Focus Area: Adherence

change concept, change idea, tools and resources.Adherence strategies are about understanding patient characteristics that are predictive of program drop-out and deploying strategies to encourage adherence.

Note: Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement. Change ideas are actionable, specific ideas or strategies for changing a process. Each change idea lists evidence- or practice-based tools and resources that can be adapted by or adopted in a health care setting to improve cardiac rehabilitation (CR) utilization.

Adherence: Change Concepts*

Identify Populations at Risk for Low Engagement

Change Idea:
Know the characteristics that are predictive of attendance and drop-out to identify patients at particular risk, to offer extra support

Tools & Resources:

Improve Patient Engagement

Change Idea:
Incorporate motivational and financial incentives for meeting goals for session attendance

Tools & Resources:


Change Idea:
Automate reminders and communication

Tools & Resources:


Change Idea:
Connect enrolled patients with a graduate or phase 3 participant Patient Ambassador or “sponsor”

Tools & Resources:

Bold font indicates CR programs that contributed content.

* If you would like more information about addressing specific factors that influence adherence, such as nutrition education, psychosocial counseling, and self-management approaches, please visit the AACVPR website.

Note: References for citations on this page can be found under Additional Resources and References.


Additional Focus Areas

Learn more about the other Cardiac Rehabilitation Change Package (CRCP) focus areas:

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