SU, Jing Jing, Jenniffer PAGUIO, William Mooketsi BARATEDI, Hammoda ABU-ODAH and Ladislav BAŤALÍK. Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial. HEART & LUNG. NEW YORK: MOSBY-ELSEVIER, 2023, vol. 57, January-February 2023, p. 214-221. ISSN 0147-9563. Available from: https://dx.doi.org/10.1016/j.hrtlng.2022.10.005.
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Basic information
Original name Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial
Authors SU, Jing Jing (guarantor), Jenniffer PAGUIO, William Mooketsi BARATEDI, Hammoda ABU-ODAH and Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution).
Edition HEART & LUNG, NEW YORK, MOSBY-ELSEVIER, 2023, 0147-9563.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.800 in 2022
RIV identification code RIV/00216224:14110/23:00130098
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.hrtlng.2022.10.005
UT WoS 000876455200005
Keywords in English eHealth; Cardiac rehabilitation; Qualitative; Process evaluation; Nurse-led
Tags 14110525, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 21/6/2023 13:26.
Abstract
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.
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