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.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.800 in 2022

RIV identification code

RIV/00216224:14110/23:00130098

Organization unit

Faculty of Medicine

UT WoS

000876455200005

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 21/6/2023 13:26, Mgr. Tereza Miškechová

Abstract

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.