Goals in Cardiac Rehabilitation

Farin, Erik; Frey, Christian; Glattacker, Manuela; Jäckel, W. H.

doi:10.1097/01.hcr.0000270684.96689.77

Cited by 3 publications

(2 citation statements)

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“…These findings confirm and extend prior work examining health‐related goals among older adults with multiple chronic conditions 18–20 and older adults participating in rehabilitation and exercise programs 21,22 . The similarity across studies reinforces the importance of these domains to older persons and emphasizes the need to measure patient‐centered outcomes in cardiology trials.…”

Section: Discussionsupporting

confidence: 82%

“…These findings confirm and extend prior work examining health-related goals among older adults with multiple chronic conditions [18][19][20] and older adults participating in rehabilitation and exercise programs. 21,22 The similarity across studies reinforces the importance of these domains to older persons and emphasizes the need to measure patient-centered outcomes in cardiology trials. As compared to prior studies, our participants less frequently identified goals related to life enjoyment or connecting with others, and this may be due to the CR enrollment context and proximity of a major cardiac event.…”

Section: Discussionmentioning

confidence: 81%

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Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial

Shwayder,

Dodson,

Tellez

et al. 2024

J American Geriatrics Society

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BackgroundThere is growing recognition that healthcare should align with individuals' health priorities; however, these priorities remain undefined, especially among older adults. The Rehabilitation Using Mobile Health for Older Adults with Ischemic Heart Disease in the Home Setting (RESILIENT) trial, designed to test the efficacy of mobile health cardiac rehabilitation (mHealth‐CR) in an older cohort, also measures the attainment of participant‐defined health outcome goals as a prespecified secondary endpoint. This study aimed to characterize the health priorities of older adults with ischemic heart disease (IHD) using goal attainment scaling—a technique for measuring individualized goal achievement—in a sample of 100 RESILIENT participants.MethodsThe ongoing RESILIENT trial randomizes patients aged ≥65 years with IHD (defined as hospitalization for acute coronary syndrome and/or coronary revascularization), to receive mHealth‐CR or usual care. For the current study, we qualitatively coded baseline goal attainment scales from randomly selected batches of 20 participants to identify participants' cardiac rehabilitation outcome goals and their perceptions of barriers and action plans for goal attainment. We used a deductive framework (i.e., 4 value categories from Patient Priorities Care) and inductive approaches to code and analyze interviews until thematic saturation.ResultsThis sample of 100 older adults set diverse health outcome goals. Most (54.6%) prioritized physical activity, fewer (17.1%) identified symptom management, fewer still (13.7%) prioritized health metrics, mostly comprised of weight loss goals (10.3%), and the fewest (<4%) were related to clinical metrics such as reducing cholesterol or preventing hospital readmission. Participants anticipated extrinsic (access to places to exercise, time) and intrinsic (non‐cardiac pain, motivation) barriers. Action plans detailed strategies for exercise, motivation, accountability, and overcoming time constraints.ConclusionsUsing goal attainment scaling, we elicited specific and measurable goals among older adults with IHD beginning cardiac rehabilitation. Priorities were predominantly functional, diverging from clinical metrics emphasized by clinicians and healthcare systems.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 81%

Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial

Shwayder,

Dodson,

Tellez

et al. 2024

J American Geriatrics Society

View full text Add to dashboard Cite

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Goal Setting in Cardiac Rehabilitation

Stone

King

2007

Journal of Cardiopulmonary Rehabilitation and Prevention

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Goal setting in cardiac rehabilitation: Implications for clinical practice

et al. 2012

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Background: Effective goal setting is a vital component of cardiac rehabilitation (CR) programs. Objective: The objectives of this study were to investigate the types of goals set by patients attending a CR program in a tertiary teaching hospital and the compatibility of the goals set with the patient's risk factor profile. Methods: A descriptive, cross sectional, retrospective audit of the medical records of patients who attended the CR program in a tertiary teaching hospital in Sydney NSW between January 2007 and December 2009 was undertaken. The medical records of 355 patients who attended CR within the stipulated time frame were audited. Results: Short and long term goals were set by 104 and 50 patients, respectively. Four themes identified in the analysis of the goal data were reducing behavioural risk factors for further cardiovascular events, improvements in physical symptoms, enhancing mental well being and return to normal life. The majority of the goals related to physical activity (82%). Conclusion: Collaborative goal setting and the need to establish goals that are attainable and correspond with the patient's health behaviours and clinical measures that require modification is vital.

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Goals in Cardiac Rehabilitation

Abstract: Findings suggest that the cognitive illness perception of the treating physician affects goal setting in CR.

Cited by 3 publications

References 20 publications

Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial

Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial

Goal Setting in Cardiac Rehabilitation

Goal setting in cardiac rehabilitation: Implications for clinical practice

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