Bridging Patients’ Needs and Caregivers’ Perspectives to Tailor Information Provisioning during Cardiac Rehabilitation

Sankaran, Supraja; Bonneux, Cindel; Dendale, Paul; Coninx, Karin

doi:10.14236/ewic/hci2018.49

Cited by 8 publications

(8 citation statements)

References 20 publications

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“…It is therefore important to inform and support informal caregivers in their new role. A recent study shows that patients and informal caregivers prefer the same content and delivery formats for digital interventions (eg, health video clips, contact with health care provider) [ 65 ]. It is thus expected that informal caregivers can benefit from this remote coaching program.…”

Section: Discussionmentioning

confidence: 99%

Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study

Keessen¹,

Duijvenbode²,

Latour³

et al. 2022

JMIR Cardio

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Background Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). Objective The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support. Methods We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies. Results Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can’t do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program. Conclusions This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.

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Section: Discussionmentioning

confidence: 99%

Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study

Keessen¹,

Duijvenbode²,

Latour³

et al. 2022

JMIR Cardio

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“…In our previous work, we studied the usability of HeartHab and patient perceptions of the persuasive techniques used in multiple field studies [10,22,23]. Having validated the usability of the app and having gained promising insights on the influence of intelligibility, tailoring, and other persuasive design elements toward motivating patients, we wanted to assess the actual impact on the aforementioned CR factors (F1-F4).…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Impact of the HeartHab App on Motivation, Physical Activity, Quality of Life, and Risk Factors of Coronary Artery Disease Patients: Multidisciplinary Crossover Study

Sankaran¹,

Dendale²,

Coninx³

2019

JMIR Mhealth Uhealth

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Background Telerehabilitation approaches have been successful in supporting coronary artery disease (CAD) patients to rehabilitate at home after hospital-based rehabilitation. However, on completing a telerehabilitation program, the effects are not sustained beyond the intervention period because of the lack of lifestyle adaptations. Furthermore, decline in patients’ motivation lead to recurrence of disease and increased rehospitalization rates. We developed HeartHab, using persuasive design principles and personalization, to enable sustenance of rehabilitation effects beyond the intervention period. HeartHab promotes patients’ understanding, motivates them to reach personalized rehabilitation goals, and helps to maintain positive lifestyle adaptations during telerehabilitation. Objective This study aimed to investigate the impact of the HeartHab app on patients’ overall motivation, increasing physical activities, reaching exercise targets, quality of life, and modifiable risk factors in patients with CAD during telerehabilitation. The study also investigated carryover effects to determine the maintenance of effects after the conclusion of the intervention. Methods A total of 32 CAD patients were randomized on a 1:1 ratio to telerehabilitation or usual care. We conducted a 4-month crossover study with a crossover point at 2 months using a mixed-methods approach for evaluation. We collected qualitative data on users’ motivation, user experience, and quality of life using questionnaires, semistructured interviews and context-based sentiment analysis. Quantitative data on health parameters, exercise capacity, and risk factors were gathered from blood tests and ergo-spirometry tests. Data procured during the app usage phase were compared against baseline values to assess the impact of the app on parameters such as motivation, physical activity, quality of life, and risk factors. Carryover effects were used to gather insights on the maintenance of effects. Results The qualitative data showed that 75% (21/28) of patients found the HeartHab app motivating and felt encouraged to achieve their rehabilitation targets. 84% (21/25) of patients either reached or exceeded their prescribed physical activity targets. We found positive significant effects on glycated hemoglobin ( P =.01; d =1.03; 95% CI 0.24-1.82) with a mean decrease of 1.5 mg/dL and high-density lipoprotein (HDL) cholesterol ( P =.04; d =0.78; 95% CI 0.02-1.55) with a mean increase of 0.61 mg/dL after patients used the HeartHab app. We observed significant carryover effects on weight, HDL cholesterol, and maximal oxygen consumption (VO 2 max), indicating the maintenance of effects. Conclusions Persuasive design techniques integrated in HeartHab and tailoring of exercise targets were effective in mo...

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“…The behavioural modules medication adherence and physical activity are available for a fixed period of time, whereas the supporting modules parameter monitoring and education are available to the patient at all times. Furthermore, the educational content provided in the education module updates over time based on the patient's needs (from the patient's and caregivers' point of view) and preferences [16]. The supporting module to report symptoms was omitted in the evolutionary version of HeartHab, due to limited usage in the crossover trial and no active follow-up possibility by caregivers.…”

Section: Hearthabmentioning

confidence: 99%

Investigating Motivations and Patient Profiles for Personalization of Health Applications for Behaviour Change

Bonneux

Dendale

Coninx

2022

Proceedings of the 15th International Conference on PErvasive Technologies Related to Assistive Environments

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Personalization is a key aspect when developing applications targeting health behaviour change. However, the use of personalized mobile interventions for lifestyle behaviour is still in its infancy. Based on our former research on mobile applications to support cardiac patients in health behaviour change, we identified four key motivations to enhance the personalization offered in applications targeting health behaviour change. In this paper, we propose a mixed-methods approach, using both qualitative and quantitative data collected in prior studies, to apply personalization in the design of health applications. Our approach consists of five steps: 1) collecting data for personalization, 2) detecting patient profiles using clustering methods, 3) understanding patient profiles using a graphical representation, 4) describing patient profiles using personas, and 5) personalizing a health application according to patient profiles. One of the major strengths of our approach is that it combines established HCI techniques such as personas and data visualization techniques with methods from big data analytics and artificial intelligence to identify ways to personalize health applications. We conclude by presenting future directions to apply personalization in the domain of health technologies. CCS CONCEPTS• Human-centered computing → HCI design and evaluation methods; • Applied computing → Health informatics; • Information systems → Personalization.

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Bridging Patients’ Needs and Caregivers’ Perspectives to Tailor Information Provisioning during Cardiac Rehabilitation

Cited by 8 publications

References 20 publications

Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study

Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study

Evaluating the Impact of the HeartHab App on Motivation, Physical Activity, Quality of Life, and Risk Factors of Coronary Artery Disease Patients: Multidisciplinary Crossover Study

Investigating Motivations and Patient Profiles for Personalization of Health Applications for Behaviour Change

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