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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F23%3A00076460" target="_blank" >RIV/65269705:_____/23:00076460 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/23:00130098

Výsledek na webu

<a href="https://reader.elsevier.com/reader/sd/pii/S0147956322002394?token=8BD7030A9025C0C7A656115FADCB1A173B66E50649CBF06E3943E74568576A15B9795EAF268C39CF26340E42C6BB92CA&originRegion=eu-west-1&originCreation=20221123075146" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S0147956322002394?token=8BD7030A9025C0C7A656115FADCB1A173B66E50649CBF06E3943E74568576A15B9795EAF268C39CF26340E42C6BB92CA&originRegion=eu-west-1&originCreation=20221123075146</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.hrtlng.2022.10.005" target="_blank" >10.1016/j.hrtlng.2022.10.005</a>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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, &gt;35th percentile, and &gt; 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. (C) 2022 Published by Elsevier Inc.

Název v anglickém jazyce

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

Popis výsledku anglicky

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, &gt;35th percentile, and &gt; 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. (C) 2022 Published by Elsevier Inc.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30203 - Respiratory systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Heart &amp; Lung

ISSN

0147-9563

e-ISSN

1527-3288

Svazek periodika

57

Číslo periodika v rámci svazku

JAN-FEB

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

214-221

Kód UT WoS článku

000876455200005

EID výsledku v databázi Scopus

2-s2.0-85140275060