J 2023

Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial

SU, Jing Jing, Jenniffer PAGUIO, William Mooketsi BARATEDI, Hammoda ABU-ODAH, Ladislav BAŤALÍK et. al.

Základní údaje

Originální název

Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial

Autoři

SU, Jing Jing (garant), Jenniffer PAGUIO, William Mooketsi BARATEDI, Hammoda ABU-ODAH a Ladislav BAŤALÍK (203 Česká republika, domácí)

Vydání

HEART & LUNG, NEW YORK, MOSBY-ELSEVIER, 2023, 0147-9563

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.800 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130098

Organizační jednotka

Lékařská fakulta

UT WoS

000876455200005

Klíčová slova anglicky

eHealth; Cardiac rehabilitation; Qualitative; Process evaluation; Nurse-led

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 21. 6. 2023 13:26, Mgr. Tereza Miškechová

Anotace

V originále

Background: A previous randomized controlled trial (NeCR) has indicated the effectiveness of nurse-led eHealth cardiac rehabilitation (CR) on modifying the behaviors of patients with coronary heart disease. How-ever, limited qualitative studies explore the experiences of using eHealth CR that led to such benefits. Objective: The study aimed to explore the experiences of patients who participated in the NeCR program. Methods: A descriptive qualitative study was employed among 20 intervention group patients who used the eHealth CR website and ranked differently (0-35th percentile, >35th percentile, and > 70% percentile) in the improvement of health-promoting behaviors. Results: Five themes emerged: the NeCR program has promoted behavior change and mitigated emotional distress post-CHD. Patients described how the NeCR influenced cognitive determinants (knowledge and skill acquisition, having a roadmap, self-monitoring, and self-evaluation and resolution) and offered social support (professional counseling and peer interaction via multimedia chat) toward such change. Patients also appreciated the high affordability, accessibility, reliability of the NeCR, and expressed psychological, contextual, and technical barriers. Conclusions: Providing eHealth CR during patient discharge is warranted as an affordable, accessible, and reliable alternative to obtain health benefits. Extensive behavior change techniques, actionable CR guidance, and increased awareness are widely perceived enablers. Offering professional support and moderation is critical for early post-discharge consultation and for introducing direct peer interaction to reassure patients.