Highlights
- •A 4-phase approach was used to develop the new virtual education curriculum for CR.
- •A toolkit that included patient-centered and facilitator manuals was created.
- •The level of user engagement and acceptability with the curriculum was acceptable.
Abstract
Background
To overcome the many barriers faced by the long-lasting pandemic, the development
of new ways to deliver cardiac rehabilitation (CR)’s components was needed.
Objective
This mixed-methods study describes the process to create a virtual education curriculum
and assess the level of user engagement and acceptability in CR participants.
Methods
A 4-phase approach was used to develop the new virtual education curriculum for CR
and collect feedback regarding patients’ engagement with and acceptability of the
curriculum in a convenience sample of 80 CR participants. Data were analyzed using
a reflexive thematic analysis approach and mapped to the evidence-based implementation
strategies, followed by stakeholder engagement. Considering all information gathered
and applying best practices in patient education and curriculum development, a 16-week
virtual education curriculum was established.
Results
Five themes were identified on how the current education could be improved: focus
on self-management, emphasize emotional wellbeing, improve facilitation, incorporate
existing resources, and improve content flow. The recommendations associated with
each theme informed the new curriculum and a tailored implementation plan to support
the use of virtual education as part of routine care within the program. A toolkit
that included a screening tool for comfort with/access to technology, patient-centered
manuals with weekly learning plans, and a facilitator's manual was created. Overall,
all recommended weekly education was completed by more than 70% of the participants,
with greater acceptability.
Conclusions
The present study offers an example of a collaborative approach to tailoring strategies
for the development of a new group-based virtual education model of CR.
Keywords
Abbreviations:
CR (Cardiac Rehabilitation), CVD (Cardiovascular diseases), REDCap (Research Electronic Data Capture), VCR (Virtual Cardiac Rehabilitation)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 06, 2022
Accepted:
August 20,
2022
Received in revised form:
August 11,
2022
Received:
May 25,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
