Highlights
- •Patients’ preferences should be considered in designing eHealth platforms to enhance user engagement.
- •Professional assessment and goal setting at program entry is crucial to initiate eHealth use.
- •Enabling self-monitoring and self-evaluation are critical in real-world usage.
- •Patients required multimedia chats with professionals and peers for reliable information exchange to guide symptom management at home.
Abstract
Background
A previous randomized controlled trial (NeCR) has indicated the effectiveness of nurse-led
eHealth cardiac rehabilitation (CR) on modifying the behaviors of patients with coronary
heart disease. However, limited qualitative studies explore the experiences of using
eHealth CR that led to such benefits.
Objective
The study aimed to explore the experiences of patients who participated in the NeCR
program.
Methods
A descriptive qualitative study was employed among 20 intervention group patients
who used the eHealth CR website and ranked differently (0-35th percentile, >35th percentile,
and > 70% percentile) in the improvement of health-promoting behaviors.
Results
Five themes emerged: the NeCR program has promoted behavior change and mitigated emotional
distress post-CHD. Patients described how the NeCR influenced cognitive determinants
(knowledge and skill acquisition, having a roadmap, self-monitoring, and self-evaluation
and resolution) and offered social support (professional counseling and peer interaction
via multimedia chat) toward such change. Patients also appreciated the high affordability,
accessibility, reliability of the NeCR, and expressed psychological, contextual, and
technical barriers.
Conclusions
Providing eHealth CR during patient discharge is warranted as an affordable, accessible,
and reliable alternative to obtain health benefits. Extensive behavior change techniques,
actionable CR guidance, and increased awareness are widely perceived enablers. Offering
professional support and moderation is critical for early post-discharge consultation
and for introducing direct peer interaction to reassure patients.
Keywords
Abbreviation:
CHD (coronary heart disease), CR (cardiac rehabilitation), NeCR (nurse-led eHealth cardiac rehabilitation), RCT (randomized controlled trial), PCI (percutaneous coronary intervention)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 17, 2022
Accepted:
October 10,
2022
Received in revised form:
September 24,
2022
Received:
July 21,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
