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Description:Fidelity of delivery of a physical activity intervention: World Medical Association Declaration of Helsinki: The CHARMS patient intervention All patients will attend a structured intervention embedded into their cardiac rehabilitation programme ie, as an additional group-based educational session which will include 1 information on the impact of cardiovascular disease on sexuality; 2 information regarding a healthy sex life and communication strategies for use with a partner; 3 counselling on risks and fears regarding sex for people living with cardiovascular disease; 4 tips and strategies for resuming sex after a cardiac event, and for addressing sexual problems; 5 an invitation to request a one-to-one consultation and 6 time for questions and answers. Eligible centres for inclusion in the CHARMS pilot study will offer phase III cardiac rehabilitation, and will have a minimum of 80 patients attending rehabilitation per year to ensure sufficient patient recruitment. The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. A review of current practice and editorial policy. Data collection When selected cardiac rehabilitation centres are recruited to the study, the research team will meet with cardiac rehabilitation staff to agree on how and when the CHARMS intervention will be delivered within their centre.