Effectiveness of a virtual vs. in-person group-based education curriculum to increase disease-related knowledge and change health behaviour among cardiac rehabilitation participants

Patient Education and Counseling, Journal Year: 2023, Volume and Issue: 118, P. 108021 - 108021

Published: Oct. 11, 2023

Language: Английский

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Sex differences in the physiological responses to cardiac rehabilitation: a systematic review

BMC Sports Science Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: 16(1)

Published: March 28, 2024

Abstract Background Heart disease is one of the leading causes death in Canada. Many heart patients are referred for cardiac rehabilitation, a multidisciplinary outpatient program often consisting exercise training. Cardiac rehabilitation has been proven to be successful secondary preventative measure reducing mortality and improving overall health patients, its completion important both sexes as there growing evidence that women benefit much men, if not more, with regard mortality. It note previous studies have shown healthy men respond differently aerobic resistance training, possibly due hormones, body composition, autonomic and/or cardiovascular differences. However, evaluating sex differences efficacy standard programs yet fully explored many investigating clinical or anthropometric data but physiological outcomes. This systematic review aimed investigate male female after rehabilitation. The inclusion criteria were purposefully broad encompass scenarios, states, various lengths intensities intention highlighting strengths weaknesses current literature. Methods To conduct synthesis without meta-analysis, search strategy was generated examine relationships between supervised program, outcomes, registered (Prospero: CRD42021251614) following databases searched from inception 19 December 2023: APA PsycInfo (Ovid), CINAHL Complete (EBSCOhost), Embase Emcare Nursing Medline All (Ovid; includes PubMed non-Medline), Web Science Core Collection. Eighty-eight pertaining fitness, metabolism, respiratory function, function C-reactive protein underwent extraction. Results conclusions Importantly, this suggests similarly wide-range most variables. discussing maximal oxygen consumption, functional capacity, six-minute walk distances, grip strength suggest more. Further research required address certain limitations, such appropriate statistical methods type/intensity interventions.

Language: Английский

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Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial

BMJ Open, Journal Year: 2024, Volume and Issue: 14(6), P. e084070 - e084070

Published: June 1, 2024

Objectives The main objective of the study is to investigate short-term efficacy Acceptance and Commitment Therapy (ACT) on simultaneous modification biological indicators risk psychological well-being in patients with coronary heart disease attending cardiac rehabilitation (CR). Design This was a two-arm randomised controlled trial comparing brief, manualised, ACT-based intervention usual care (UC). Setting conducted an outpatient CR unit Italy. Data collection took place from January 2016 July 2017. Participants Ninety-two were enrolled randomised, following unbalanced randomisation ratio 2:1 ACT group (n=59) control (n=33). Eighty-five completed (n=54) UC (n=31) interventions analysed. Interventions received UC, 6 weeks multidisciplinary programme, encompassing exercise training, educational counselling medical examinations. experimental group, addition participated HEART (ACTonHEART) three sessions based ACT. Outcomes primary outcomes Low Density Lipoproteins (LDL)cholesterol, resting systolic blood pressure, body mass index (BMI) measured by Psychological General Well-Being Index (PGWBI). Outcome measures assessed at baseline end CR. Results Based linear mixed models, no significant × time interaction observed for either (β, 95% CI: PGWBI =−1.13, –6.40 –4.14; LDL cholesterol =−2.13, –11.02 –6.76; pressure =−0.50, –10.76 –9.76; diastolic =−2.73, –10.12 –4.65; BMI =−0.16, –1.83 –1.51, all p values >0.05) or secondary (all >0.05). A effect found total (beta=4.72; p=0.03). Conclusions Although analyses revealed null findings, results can inform design future help researchers strike balance between idealised implementation structural limitations existing programmes. Trial registration number NCT01909102 .

Language: Английский

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Women-Focused Cardiac Rehabilitation Delivery Around the World and Program Enablers to Support Broader Implementation

CJC Open, Journal Year: 2023, Volume and Issue: 6(2), P. 425 - 435

Published: Oct. 14, 2023

Women are less likely than men to use cardiac rehabilitation (CR); thus, women-focused (W-F) CR was developed. Implementation of W-F globally investigated, as well barriers and enablers its delivery.

Language: Английский

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Examining the effectiveness of home-based cardiac rehabilitation programs for heart failure patients with reduced ejection fraction: a critical review

BMC Cardiovascular Disorders, Journal Year: 2023, Volume and Issue: 23(1)

Published: Dec. 5, 2023

Abstract Background Heart failure (HF) is the most common cardiovascular reason for hospital admission, particularly among patients older than 60 years old. with reduced ejection fraction (HFrEF) comprises approximately 50% of all heart cases. Home-based cardiac rehabilitation (HBCR) an alternative option to enhance participation rate in (CR) interventions who are not able attend center-based (CBCR). The purpose this review clarify extent which present studies HBCR align core components defined by both European Society Cardiology (ESC) and British Association Cardiac Prevention Rehabilitation (BACPR). Methods A critical was conducted through four databases, MEDLINE, Embase, Cochrane Central Register Controlled Trials, Database Systematic Reviews, identify randomized controlled trials up until June 2022. We scrutinized commonalities between BACPR ESC developed a list standards. risk bias assessed using RoB 2 tool. Results Among 87 papers selected full-text screening, 11 met inclusion criteria. Six possessed high proportion fidelity essential standards, had medium alliance, one intervention low level alliance. Conclusion Overall, majority included alignment standards components. However, need more attention long-term strategy as important standard revealed. Rapid identification initial assessment standards; however, lifestyle factor management outcomes were recognized least

Language: Английский

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Targeting behavioral factors with digital health and shared decision-making to promote cardiac rehabilitation—a narrative review

Frontiers in Digital Health, Journal Year: 2024, Volume and Issue: 6

Published: Feb. 23, 2024

Cardiac rehabilitation (CR) represents an important steppingstone for many cardiac patients into a more heart-healthy lifestyle to prevent premature death and improve quality of life years. However, CR is underutilized worldwide. In order support the development targeted digital health interventions, this narrative review (I) provides understandings factors influencing utilization from behavioral perspective, (II) discusses potential technologies (DHTs) address barriers reinforce facilitators CR, (III) outlines how DHTs could incorporate shared decision-making utilization. A search reviews in Web Science PubMed was conducted summarize evidence on The were grouped according Behaviour Change Wheel . Patients' Capability participating influenced by their disease knowledge, awareness benefits information received, interactions with healthcare professionals (HCP). Opportunity attend impacted system such as referral processes HCPs' awareness, well personal resources including logistical challenges comorbidities. Motivation engage affected emotions, gender, age, self-perception fitness control over condition, peer comparisons. Based factors, identified intervention functions that increase uptake: Future aiming may benefit incorporating HCP education, enabling management collaboration along patient pathway, enhancing social relatives peers. To conclude, considerations are made future innovations functions.

Language: Английский

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Impact of mHealth application on adherence to cardiac rehabilitation guidelines after a coronary event: Randomised controlled clinical trial protocol

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Background Coronary disease is the main cause of death around world. mHealth technology considered attractive and promising to promote behavioural changes aimed at healthy lifestyle habits among coronary patients. The purpose this study evaluate efficacy an intervention regarding improved results in secondary prevention patients after acute myocardial infarction (AMI) or angina terms lifestyle, clinical variables therapeutic compliance. Methods Randomised trial with 300 who underwent a percutaneous (PCI) stent implant. They will be assigned either group, subject self-monitored educational involving internet application installed on their mobile phone tablet, control group receiving standard healthcare (150 each arm). primary outcome adherence Mediterranean diet, physical activity, smoking, compliance, knowledge acquired, user-friendliness satisfaction application. Measurements blood pressure, heart rate, body weight, waist circumference (WC) 6-min walk test taken. Furthermore, lipid profile, glucose HbA1c evaluated. Clinical interview conducted, validated questionnaires completed. quantitative compared using analysis covariance adjusted for age sex. A multivariate performed examine association habits, cardiovascular risk factors (CDRFs) hospital discharge (major adverse events, treatment compliance lifestyle). Conclusions provide evidence about effectiveness improving participants could offered complement existing services. Trial registration NCT05247606. [ https://ClinicalTrials.gov ]. 21/02/2022

Language: Английский

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Adapting cardiac telerehabilitation from research evidence to real-world implementation: engaging stakeholders

European Journal of Cardiovascular Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 29, 2024

Language: Английский

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A multi-site mixed-method evaluation of ‘Cardiac College for Women’ implementation: perspectives of cardiac rehabilitation patients and providers

Frontiers in Cardiovascular Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Oct. 8, 2024

A Cardiac College for Women curriculum was developed to address the dearth of women-focused cardiac rehabilitation (CR) education. This study investigated: (1) patient utilization education; (2) acceptability and applicability as well (3) CR providers’ experiences implementing it. a multi-site, mixed-methods study. After baseline assessments at an academic program in two Canadian provinces, 12 weekly 30 min structured in-person group education sessions were led by staff relevant discipline, with supporting online videos written materials. reported their engagement diaries, completed survey post-program. Semi-structured virtual interviews held willing participants delivering intervention. Transcripts analyzed concurrently researchers independently via NVIVO using text condensation, followed consensus reconciliation multi-source validation. Forty patients participated program, 28 completing diaries 36 post-intervention surveys. Participants attended 80% (67%–89%). They spent average min/week engaging additionally education, 83% rating content applicable (73%–100%). Overall rated 4.3 ± 1.7/5. Twelve 5 interviews. Four themes identified: contextual considerations, staffing implementation issues, valued aspects, suggestions improvement. In conclusion, established highly acceptable patients, self-management. The women-specific materials also readily implementable staff.

Language: Английский

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Sex and gender specific pitfalls and challenges in cardiac rehabilitation: a working hypothesis towards better inclusivity in cardiac rehabilitation programmes

European Heart Journal Open, Journal Year: 2024, Volume and Issue: 4(5)

Published: Aug. 31, 2024

Abstract Notwithstanding its acknowledged pivotal role for cardiovascular prevention, cardiac rehabilitation (CR) is still largely under prescribed, in almost 25% of patients owing an indication for. In addition, when considering differences concerning the two sexes, female individuals are underrepresented CR programmes with lower referral rates, participation, and completion as compared to male counterpart. This picture becomes even more tangled reference gender, a complex socio-cultural construct characterized by four domains (gender identity, relation, role, institutionalized gender). Indeed, each them reveals several obstacles that considerably penalize adherence different categories people, especially those who not identifiable non-binary gender. Aim present review identify sex- (i.e. biological) gender- socio-cultural) specific related biological sex sociocultural gender then envision likely viable solution through tailored treatments towards patients’ well-being.

Language: Английский

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