A Community-Informed Virtual World-Based Cardiac Rehabilitation Program as an Extension of Center-Based Cardiac Rehabilitation

Brewer, LaPrincess C; Abraham, Helayna; Kaihoi, Brian; Leth, Shawn E.; Egginton, Jason S.; Slusser, Joshua P.; Scott, Rodney J.; Penheiter, Sumedha G.; Albertie, Monica; Squires, Ray W.; Thomas, Randal J.; Scales, Robert; Trejo-Gutiérrez, Jorge F.; Kopecky, Stephen L.

doi:10.1097/hcr.0000000000000705

Cited by 11 publications

(30 citation statements)

References 64 publications

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“…Aligning with the performance objectives, nine interventional methods were identified to perform CR at home, including guided practice, goal setting, planning coping responses, self-monitoring of behaviors, discussion, information about other’s approval, stimulating communication, mobilizing social support, and interpersonal contact. The findings are supported by previous studies where interventional strategies of peer support and reflection discussion were used in a community-informed virtual world-based CR program ( 47 ). A systematic review ( 48 ) showed that methods of social support and goal setting were frequently adopted in the home-based CR program.…”

Section: Discussionsupporting

confidence: 87%

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Wang

Lee

et al. 2023

Front. Public Health

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BackgroundIndividual’s adaptation following acute myocardial infarction (AMI) and low attendance of whole-course cardiac rehabilitation (CR) are significant issues. For optimal health post AMI, an integrated CR program aiming at individual’s adaptive behaviors is imperative for improving the CR efficiency and patients’ outcomes. This study aims to develop theory-guided interventions to increase CR attendance and adaptation level of patients post-AMI.MethodsThis study was conducted in a tertiary hospital from July 2021 to September 2022 in Shanghai China. Guided by the theory of adaptation to chronic illness (ACI theory), the study followed the Intervention mapping (IM) framework to develop the interventions for CR program. Four phases included: (1) needs assessment of patients and facilitators using a cross-sectional study and semi-structured, in-depth interviews, (2) identification of implementation outcomes and performance objectives, (3) selection of theoretical methods to explain the mechanism of patients’ adaptive behaviors and to use for behavior change, and (4) development of implementation protocol from the results of the previous phases.ResultsA total of 226 AMI patient-caregivers paired samples were eligible for the data analysis, 30 AMI patients participated in the qualitative inquiry, 16 experts in the CR field evaluated the implementation protocol, and 8 AMI patients commented on the practical interventions. Following the IM framework, an integrated cardiac rehabilitation program using mHealth strategies was developed for AMI patients to facilitate CR attendance and completion, to improve their adaptation level and health outcomes.ConclusionUsing the IM framework and ACI theory, an integrated CR program was developed to help guide the behavior change and improve adaptation among AMI patients. The preliminary findings suggest that further intervention in enhancing the combination of three-stage CR is required. A feasibility study will be conducted to assess the acceptability and effectiveness of this generated CR intervention.

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Section: Discussionsupporting

confidence: 87%

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Wang

Lee

et al. 2023

Front. Public Health

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“…A total of N = 22 articles were included in this review. 18–39 The studies varied in research designs, including 11 randomized controlled trials, 18–20,23,26,27,30–33,35 five pilot studies, 21,24,25,28,36 two observational studies, 29,34 one case study, 22 one qualitative study, 37 one mixed-method study, 38 and one cross-sectional study. 39 The studies had been conducted in different locations: 11 of them in Europe, 18–20,22,28,31,33–36,39 six in Asia, 23,24,29,30,32,37 three in Australia, 25–27 and two in...…”

Section: Resultsmentioning

confidence: 99%

“…Patients participating in the group-based cardiac telerehabilitation were required to have their own, relevant technological equipment with Internet access (computer, telephone, and mobile connection). 18–39 A variety of other devices and applications were also used in the included studies (Supplemental Material Table 3). Out of the 22 studies, a chat feature was primarily utilized as a means of delivering the intervention in 15 studies, 21,22,24–27,29–32,34,35,37–39 telemonitoring, 18,20,24,28–30,32–37,39 and a virtual platform 21–25,28,30–32,34,35,37…”

Section: Resultsmentioning

confidence: 99%

“…18–39 A variety of other devices and applications were also used in the included studies (Supplemental Material Table 3). Out of the 22 studies, a chat feature was primarily utilized as a means of delivering the intervention in 15 studies, 21,22,24–27,29–32,34,35,37–39 telemonitoring, 18,20,24,28–30,32–37,39 and a virtual platform 21–25,28,30–32,34,35,37–39 were used in 14 studies, other mobile connections in 12 studies…”

Section: Resultsmentioning

confidence: 99%

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Group-based cardiac telerehabilitation interventions and health outcomes in coronary patients: A scoping review

Jacobsson,

Oikarinen,

Krogell

et al. 2023

Clin Rehabil

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Objective To explore the extent and type of evidence in relation to group-based cardiac telerehabilitation interventions and health outcomes in coronary artery disease patients. Data sources A literature search was conducted in August 2022 and July 2023 in databases including PubMed, CINAHL, Scopus and PsycINFO. The search process followed the scoping review methodology guided by the Joanna Briggs Institute for scoping reviews. Methods The inclusion criteria were a peer-reviewed journal article published in English between 1 January 2017 and 15 August 2022 and updated to cover until 15 July 2023 concerning group-based cardiac telerehabilitation in adult coronary artery disease patients. All group-based cardiac telerehabilitation interventions and health outcome types were charted and summarized. Results The researcher screened a total of 2089 articles, of which 22 were retained with a total of 1596 participants. Group-based cardiac telerehabilitation interventions were particularly useful for patients with multi-faceted technological applications and social support. The patients received guidance regarding cardiovascular disease risk factors. Physical fitness, psychological complaints and quality of life were often measured outcomes in the included studies. Conclusions This scoping review indicates the success of various rehabilitation interventions utilizing different technologies for coronary patients. Coronary patients were guided in making lifestyle changes, and positive findings were observed in the health outcomes measured after the telerehabilitation intervention. The findings of this review can provide valuable guidance for developing and evaluating sustainable group-based cardiac telerehabilitation programs that aim to benefit coronary patients.

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“…Going forward, changes in the way we deliver CR services need to be rooted in science. Critically, as we consider alternatives to the traditional CR model, 13,14 we need to consider the patient perspective. More research is needed regarding the effectiveness of alternative models of CR in rural, remote, diverse and, otherwise, underserved populations.…”

mentioning

confidence: 99%

What's the Alternative?

Khadanga

Savage

2023

Journal of Cardiopulmonary Rehabilitation and Prevention

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A Community-Informed Virtual World-Based Cardiac Rehabilitation Program as an Extension of Center-Based Cardiac Rehabilitation

Cited by 11 publications

References 64 publications

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Development of an integrated cardiac rehabilitation program to improve the adaptation level of patients after acute myocardial infarction

Group-based cardiac telerehabilitation interventions and health outcomes in coronary patients: A scoping review

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