The Digital Heart Manual: A pilot study of an innovative cardiac rehabilitation programme developed for and with users

Deighan, Carolyn; Michalova, L.; Pagliari, Claudia; Elliott, Jennifer; Louise, Taylor; Ranaldi, Hannah

doi:10.1016/j.pec.2017.03.014

Cited by 8 publications

(12 citation statements)

References 15 publications

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“…One such example highlighted in the guidelines2 8 and successfully embedded across the UK National Health Service and internationally is the Heart Manual (HM; NHS Lothian) 11. An individually tailored 6-week CR programme for patients recovering from acute MI and/or revascularisation, the HM is available in either paper or digital format12 and proven to be as cost-effective as traditional centre-based programmes 7. As a flexible resource, the HM has been successfully implemented in CR pathways as both a standalone resource and in collaboration with multidisciplinary teams within centre-based programmes.…”

Section: Introductionmentioning

confidence: 99%

Exploring patient-reported outcomes of home-based cardiac rehabilitation in relation to Scottish, UK and European guidelines: an audit using qualitative methods

2018

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ObjectivesThe Heart Manual (HM) is the UK’s leading facilitated home-based cardiac rehabilitation (CR) programme for individuals recovering from myocardial infarction and revascularisation. This audit explored patient-reported outcomes of home-based CR in relation to current Scottish, UK and European guidelines.SettingPatients across the UK returned their questionnaire after completing the HM programme to the HM Department (NHS Lothian).ParticipantsQualitative data from 457 questionnaires returned between 2011 and 2018 were included for thematic analysis. Seven themes were identified from the guidelines. This guided initial deductive coding and provided the basis for inductive subthemes to emerge.ResultsThemes included: (1) health behaviour change and modifiable risk reduction, (2) psychosocial support, (3) education, (4) social support, (5) medical risk management, (6) vocational rehabilitation and (7) long-term strategies and maintenance. Both (1) and (2) were reported as having the greatest impact on patients' daily lives. Subthemes for (1) included: guidance, engagement, awareness, consequences, attitude, no change and motivation. Psychosocial support comprised: stress management, pacing, relaxation, increased self-efficacy, validation, mental health and self-perception. This was followed by (3) and (4). Patients less frequently referred to (5), (6) and (7). Additional themes highlighted the impact of the HM programme and that patients attributed the greatest impact to a combination of all the above themes.ConclusionsThis audit highlighted the HM as comprehensive and inclusive of key elements proposed by Scottish, UK and EU guidelines. Patients reported this had a profound impact on their daily lives and proved advantageous for CR.

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Section: Introductionmentioning

confidence: 99%

Exploring patient-reported outcomes of home-based cardiac rehabilitation in relation to Scottish, UK and European guidelines: an audit using qualitative methods

2018

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“…The included studies were critically appraised by 2 independent researchers using the Joanna Briggs Institute standardized critical appraisal checklist for qualitative studies. There was a lack of statement locating the researcher culturally or theoretically, 17,[26][27][28][29][30] an unclear description of the influence of the researchers on the research, 17,26,27,29,31 and a lack of ethics approval statement. 27 Yet, their overall quality appraisal was considered acceptable and was included in this review.…”

Section: Quality Appraisalmentioning

confidence: 99%

Perception of eHealth Programs for Cardiovascular Health

Bayuo

Abu‐Odah

et al. 2023

J Cardiovasc Nurs

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Background Despite emerging evidence on the effectiveness of eHealth interventions in improving cardiovascular health, little is known about the perception of use and efficacy of these interventions and real-world application. Objective We sought to develop an in-depth understanding of the perceptions of eHealth interventions in improving cardiovascular health. Methods This is a systematic review and meta-synthesis of qualitative studies. A comprehensive search of multiple databases and a manual search of the references list were conducted. Meta-synthesis of qualitative data was performed to review and interpret the findings. The study report followed the ENTREQ checklist. Results Four themes emerged regarding perceptions of eHealth interventions: preferred eHealth intervention design features, enabling healthcare professionals' support, eHealth engagement for health benefits, and barriers to eHealth engagement. Intervention design features should integrate motivational elements, use an eHealth literacy lens, and enhance cultural relevance. Healthcare professionals appreciated these new working methods but voiced concern about competency building. Real-world usage initiation was driven by perceived needs and usefulness, whereas persistent engagement was inspired by intrinsic motivation in participants. Conclusions eHealth interventions were appreciated as a valuable opportunity for providing alternative/supplementary cardiac care for health optimization. Participants commented on the need for more explicit and accurate health information presentation, and they appreciated the motivational elements in empowering them with self-determination over daily self-care behaviors. Professionals raised the need for specific guidance to enhance competency and intervention fidelity when delivering eHealth care.

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“…There are many variations of mode of delivery within the NACR data. These include 11 possible unique modes of delivery including Angina Plan [23], REACH-HF [24] and the Heart Manual [25]. For this paper these have been divided into centre-based, home-based and hybrid.…”

Section: Mode Of Deliverymentioning

confidence: 99%

“…Another potential limitation is that the mode of delivery between 2014-mid 2019 was limited to nine choices, however, development in May 2019 increased the granularity of recording to include more choices such as splitting home-based options into named interventions e.g. Heart Manual [25], Angina Plan [23] and REACH-HF [24]. Unfortunately, the small time period meant that this could not be utilized for this study.…”

Section: Limitationsmentioning

confidence: 99%

Are patient characteristics and modes of delivery associated with completion of cardiac rehabilitation? A national registry analysis

Tang

Harrison

Skou

et al. 2022

International Journal of Cardiology

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The Digital Heart Manual: A pilot study of an innovative cardiac rehabilitation programme developed for and with users

Cited by 8 publications

References 15 publications

Exploring patient-reported outcomes of home-based cardiac rehabilitation in relation to Scottish, UK and European guidelines: an audit using qualitative methods

Exploring patient-reported outcomes of home-based cardiac rehabilitation in relation to Scottish, UK and European guidelines: an audit using qualitative methods

Perception of eHealth Programs for Cardiovascular Health

Are patient characteristics and modes of delivery associated with completion of cardiac rehabilitation? A national registry analysis

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