A Theory-Based, Technology-Assisted Intervention in a Hybrid Cardiac Rehabilitation Program for Patients with Coronary Heart Disease: A Feasibility Study

IF 2.1 3区医学 Q2 NURSING Asian Nursing Research Pub Date : 2023-08-01 DOI:10.1016/j.anr.2023.06.004

Mei Sin Chong , Janet Wing Hung Sit , Kai Chow Choi , Anwar Suhaimi , Sek Ying Chair

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Abstract

Purpose

To assess the feasibility of a technology-assisted intervention in a hybrid cardiac rehabilitation program among patients with coronary heart disease.

Methods

This study was a two-arm parallel randomized controlled trial. Twenty-eight patients with coronary heart disease were randomly assigned to either the intervention group, receiving a 12-week technology-assisted intervention (n = 14), or the control group (n = 14), receiving usual care. Guided by the Health Belief Model, the intervention group received three center-based, supervised exercise training sessions, a fitness watch that served as a cue to action, six educational videos, and a weekly video call. The Self-efficacy for Exercise, exercise capacity, and Health Promoting Lifestyle Profile II were assessed at baseline and immediately post-intervention (12-weeks).

Results

Among the 28 patients who participated in this study, 85.7% completed the program, with a relatively low attrition rate (14.3%). The number of exercise training sessions accomplished by the participants in the intervention group was 51.27 ± 19.41 out of 60 sessions (85.5%) compared to 36.46 ± 23.05 (60.8%) in the control group. No cardiac adverse events or hospitalizations were reported throughout the study. Participants in the intervention group showed greater improvement in health-promoting behaviors when compared with the control group at 12 weeks. Within-group effects demonstrated improvement in exercise self-efficacy and exercise capacity among participants in the intervention group. A participant satisfaction survey conducted immediately post-intervention revealed that participants were “very satisfied” (23.1%) and “satisfied” (76.9%) with the technology-assisted intervention.

Conclusions

The findings demonstrated that technology-assisted intervention in a hybrid cardiac rehabilitation program was feasible and suggested to be beneficial in improving exercise self-efficacy, exercise capacity, and health promoting behavior among patients with coronary heart disease. A full-scale study is needed to determine its effectiveness in the long term.

Trial and protocol registration

ClinicalTrials.gov NCT04862351.

https://clinicaltrials.gov/ct2/show/NCT04862351.

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基于理论、技术辅助干预冠心病患者混合心脏康复计划的可行性研究

目的评估技术辅助干预冠心病患者混合心脏康复计划的可行性。方法采用双臂平行随机对照试验。28名冠心病患者被随机分配到接受12周技术辅助干预的干预组（n=14）或接受常规护理的对照组（n=14）。在健康信念模型的指导下，干预组接受了三次以中心为基础的、有监督的运动训练课程、一次作为行动提示的健身手表、六个教育视频和一次每周视频通话。在基线和干预后（12周）立即评估运动的自我效能感、运动能力和促进健康的生活方式概况II。结果在参与本研究的28名患者中，85.7%的患者完成了该项目，干预组参与者完成的运动训练次数为51.27±19.41次（占60次训练的85.5%），而对照组为36.46±23.05次（60.8%）。在整个研究过程中，没有心脏不良事件或住院报告。与对照组相比，干预组的参与者在12周时表现出更大的健康促进行为改善。组内效应表明，干预组参与者的运动自我效能感和运动能力有所提高。干预后立即进行的参与者满意度调查显示，参与者对技术辅助干预“非常满意”（23.1%）和“满意”（76.9%）。结论技术辅助干预混合心脏康复计划是可行的，有利于提高冠心病患者的运动自我效能、运动能力和健康促进行为。需要进行全面的研究，以确定其长期有效性。试验和方案注册ClinicalTrials.gov NCT04862351。https://clinicaltrials.gov/ct2/show/NCT04862351.

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.