scholarly journals Evaluating the Technology Acceptance of Home-based Cardiac Telerehabilitation Programmes in patients with Coronary Heart Disease: A Systematic Scoping Review (Preprint)

Author(s):  
Hadassah Joann RAMACHANDRANa Jr ◽  
Ying Jiang Jr ◽  
Jun Yi Claire TEO Jr ◽  
Tee Joo YEO Sr ◽  
Wenru WANG Jr
2021 ◽  
Author(s):  
Hadassah Joann RAMACHANDRANa Jr ◽  
Ying Jiang Jr ◽  
Jun Yi Claire TEO Jr ◽  
Tee Joo YEO Sr ◽  
Wenru WANG Jr

BACKGROUND An understanding of the technology acceptance of home-based cardiac telerehabilitation (HBCTR) programmes is paramount if they are to be designed and delivered to target the needs and preferences of coronary heart disease (CHD) patients. However, the current state of technology acceptance of HBCTR has not been systematically evaluated in the literature. OBJECTIVE This scoping review aimed to provide a comprehensive summary of HBCTR technology acceptance in terms of (a) the timing and approaches used and (b) patients’ perspectives on its usability, utility, acceptability, acceptance, and external variables. METHODS We searched PubMed, CENTRAL, Embase, CINAHL, PsycINFO and Scopus from inception till July 2021 for English language publications that reported empirical evidence on the technology acceptance of phase 2 HBCTR in patients with CHD. Content analysis was undertaken. RESULTS The search identified 1798 studies, of which 18 studies met eligibility criteria and reported 14 unique HBCTR programmes. Majority of included programmes evaluated technology acceptance at the intra- and post-trial stages using questionnaires (n = 10) and captured usage data (n = 11). Qualitative interviews were the least used approach (n = 3). Usability, utility, acceptability, and acceptance were generally favoured. External variables influencing HBCTR usage included component quality, system quality, facilitating conditions and intrinsic factors. CONCLUSIONS HBCTR usability, utility, acceptability, and acceptance were high. Yet, a number of external variables influenced technology acceptance of HBCTR programmes. Findings from this review can be used to provide guidance for stakeholders and clinicians in developing and evaluating patient-centered HBCTR programmes. CLINICALTRIAL NA


Author(s):  
Ladislav Batalik ◽  
Vladimir Konecny ◽  
Filip Dosbaba ◽  
Daniela Vlazna ◽  
Kristian Brat

This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.


Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 281-283
Author(s):  
Mahboubeh Ghayour Najafabadi ◽  
Amir Sobhrakhshan Khah ◽  
Mitch Rostad

The COVID-19 pandemic has affected the entire world. It is difficult to follow protocols and regulations set forth by governments, designed by the World Health Organization. The most common protocol set forth by governments is quarantining at home. Many occupations must stay home to comply with this protocol. Among these occupations, office workers are the most common group to comply and work from home. This has led to a lack of daily movement and increased sedentary lifestyle, which has made employees prone to developing coronary heart disease (CHD). Additionally, obesity is a known risk factor for this group. This commentary presents feasible protocols aimed at helping home-based office workers stay healthy and decrease the risk of developing CHD.


Medicine ◽  
2020 ◽  
Vol 99 (47) ◽  
pp. e23126
Author(s):  
Filip Dosbaba ◽  
Martin Hartman ◽  
Jakub Hnatiak ◽  
Ladislav Batalik ◽  
Ondrej Ludka

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Susan L Dunn ◽  
Michael J Sit ◽  
Holli A DeVon ◽  
Devynn Makidon ◽  
Nathan L Tintle

Introduction: Dog ownership and dog walking have been associated with increased physical activity in the general population. Although evidence suggests an association between pet ownership and increased survival in patients with coronary heart disease (CHD), little is known about how dog ownership and dog walking may be associated with exercise habits in CHD patients. Hypothesis: The purpose of this study was to examine dog ownership and dog walking and their relationship with frequency of home- and hospital-based CR exercise in patients with CHD. It was hypothesized that CHD patients who walk their dogs would report more frequent home- and hospital-based CR exercise. Methods: The study was based on Self-Determination Theory. A prospective observational design was used. A total of 122 patients with CHD completed a dog ownership and walking survey during their hospitalization and were asked to complete the Cardiac Rehabilitation Exercise Participation Tool by mail at 3, 8 and 12 months later. Patients self-selected whether they walked or biked in a home- or hospital-based Phase II CR exercise setting and self-reported number of days per week of exercise in each setting. Results: The sample was predominantly male (n=82; 67.2%) with a mean age of 64.7±9.1 years. Forty-two patients (34.4%) reported owning a dog. There were no differences in participation in home or Phase II CR exercise in dog owners versus non-dog owners (home CR: 57.1% vs. 62.5%, p=0.57 and Phase II CR: 31.0% vs. 32.5%, p=0.86). Among dog owners, 23 (54.8%) reported walking their dog at least 1 day/week. There were no significant differences in Phase II CR exercise among non-dog owners, dog owners who did not dog walk, and those who walked their dogs at least 1 day/week (owners/walkers: 34.8%, owners/non-walkers: 26.3%, non-owners: 32.5%; p=0.83). However, patients who owned but did not walk their dog reported significantly lower levels of home exercise compared to patients who owned and walked their dogs at least 1 day/week (owners/non-walkers: 36.8% vs. owners/walkers: 73.9%, p=0.019) and compared to non-dog owners (owners/non-walkers: 36.8% vs. non-owners: 62.5%; p=0.047). Conclusions: Results suggest that dog ownership is not equivalent to dog walking when examining exercise frequency in CHD patients. Dog owners were no more likely to exercise than non-dog owners. However, findings show a beneficial effect on home-based exercise for CHD patients who walk their dogs at least one day a week. Healthcare professionals should encourage CHD patients who are dog owners to walk their dogs as a strategy to increase home-based exercise.


2016 ◽  
Vol 32 (5) ◽  
pp. 267-275 ◽  
Author(s):  
Jing-Ting Chen ◽  
Tsung-Hsien Lin ◽  
Wen-Chol Voon ◽  
Wen-Ter Lai ◽  
Mao-Hsiung Huang ◽  
...  

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