Table 2.
Multi-level determinants of cardiac rehabilitation implementation during step 1 categorized by the Consolidated Framework of Implementation Research (CFIR) and Theoretical Domains Framework (TDF).
| Cardiac Rehabilitation Determinant Theme(s) | ||||
|---|---|---|---|---|
| Theoretical Framework |
Domain | Construct | Clinic-Based | Home-based/Telehealth |
| CFIR | Outer Setting | External Policies | Social distancing guidelines | Reimbursement |
| Patient Needs and Resources | Overwhelmed healthcare system | - | ||
| CFIR | Inner Setting | Relative Priority | Non-essential service, Provider redeployment | - |
| Structural Characteristics | Limited number of staff | - | ||
| Available Resources | Limited physical space and staff capacity | Limited staff capacity/hospital budget, Telehealth services/devices, Home-based exercise equipment/wifi access | ||
| Compatibility | Inability to conduct group-based sessions | Inability to conduct group-based sessions, Technological issues | ||
| TDF | Motivation | Emotion | Patient discomfort/fear of in-hospital services, Provider burnout | - |
| - | Beliefs about consequences | - | Patient safety | |
| - | Beliefs about capabilities | - | Ability to remotely monitor home-based sessions/use telehealth devices | |
| TDF | Capability | Knowledge | - | Unfamiliarity with home-based CR/telemedicine |
| Decision Making | - | Triaging patients | ||