Exploring patient experiences of participating in digital cardiac rehabilitation: A qualitative study

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-09-18 DOI:10.1111/bjhp.12692
Eanna Kenny, Molly Byrne, John W. McEvoy, Susan Connolly, Jenny McSharry
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Abstract

Objective

Digital cardiac rehabilitation (CR) has emerged as a promising alternative to in-person CR. Understanding patients' experiences and perceptions can provide valuable insights into what makes these programmes successful and identify opportunities for improvement. This study aimed to explore patients' experiences of digital CR and to understand the factors that make these programmes successful.

Design

A qualitative approach was taken.

Methods

From March to August 2022, we conducted semi-structured interviews with patients who were referred to one of two digital CR programmes offered on the island of Ireland. Interviews were audio-recorded, transcribed verbatim and analysed using reflexive thematic analysis. A public and patient involvement panel guided the recruitment strategy and assisted with data analysis.

Results

Eleven patients, predominantly male (82%) and with a mean age of 64 (range 50–75), participated in the study. Five themes were developed: (1) Empowered patients; (2) Controlling the recovery; (3) At home but not alone; (4) The world at your (digital) doorstep and; (5) Challenges of interacting online. Participants reported that digital CR equipped them with the necessary tools and support to modify their lifestyle and effectively manage their recovery. However, the opportunities for social interaction were limited and communicating online was not always straightforward.

Conclusions

Participants reported that digital CR guided them towards recovery and improved their sense of empowerment and control. However, the limited opportunities for social interaction may represent a challenge for patients seeking social support.

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探索患者参与数字化心脏康复的体验:定性研究。
目的:数字心脏康复(CR)已成为替代现场心脏康复的一种有前途的方法。了解患者的体验和看法可以为这些项目的成功提供有价值的见解,并确定改进的机会。本研究旨在探讨患者对数字化 CR 的体验,并了解使这些项目取得成功的因素:设计:采用定性方法:从 2022 年 3 月到 8 月,我们对转诊到爱尔兰岛提供的两个数字 CR 计划之一的患者进行了半结构化访谈。我们对访谈进行了录音、逐字记录,并采用反思性主题分析法对访谈进行了分析。公众和患者参与小组指导了招募策略,并协助进行了数据分析:参与研究的 11 名患者主要为男性(82%),平均年龄为 64 岁(50-75 岁不等)。研究提出了五个主题:(1) 赋予患者权力;(2) 控制康复;(3) 在家但不孤独;(4) 世界就在(数字)家门口;(5) 在线互动的挑战。参与者报告说,数字 CR 为他们提供了改变生活方式和有效管理康复所需的工具和支持。然而,社交互动的机会有限,网上交流并不总是那么直截了当:参与者表示,数字 CR 引导他们走向康复,提高了他们的能力感和控制感。然而,有限的社交互动机会可能会给寻求社会支持的患者带来挑战。
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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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