Effectiveness of an Education Intervention Among Cardiac Rehabilitation Patients in Canada: A Multi-Site Study

Abstract

Background: Although patient education is considered a core component of cardiac rehabilitation (CR) programs, to our knowledge, no educational program designed for CR has been standardized in Canada. This absence of standardization may be due to a lack of reliable resources to educate these patients. The objective of this study was to assess the effectiveness of an education intervention in Material and Methods Design and procedureThis study was a prospective longitudinal study in design, with assessments undertaken pre-and post-CR. Ethics approval CJC Open -(2020) 1e8Ethics Statement: The research reported has adhered to the relevant ethical guidelines.

Translation and evaluation of a comprehensive educational program for cardiac rehabilitation patients in Latin America: A multi-national, longitudinal study

“…Consistent with prior studies on structured educational interventions for cardiac patients [ 14 , 16 , 31 , 32 ], our findings confirm their benefit in supporting patients’ adherence to CR programs, and increasing knowledge and behaviour change as well, but in a Spanish-speaking setting for the first time to our knowledge. Previous studies have also demonstrated an effect of this education intervention on lower morbidity up to 12 months later in LMICs [ 33 ], which could be cost-saving to health systems, as well as on improvements in cardiorespiratory fitness [ 14 ], which is associated with lower mortality.…”

“…The education program was developed by a multidisciplinary team of healthcare providers and patient partners, using a rigorous, theoretically-based process, as is described elsewhere [ 15 ]. Cardiac College™ has been tested in high- [ 16 ], as well as low- and middle-income settings [ 14 ], and shown to improve clinical outcomes, heart-health behaviours, and disease-related knowledge, as well as decrease morbidity, with maintenance of gains 1-year following CR. Cardiac College™ has been translated to 7 languages, but not Spanish.…”

Exercise and Physical Activity Counseling Needs among Cardiac Rehabilitation Patients

“…Nevertheless, the finding of previous research noted that CR was not optimally conducted as a secondary prevention to avoid repeated MI (Herliani et al, 2015). Moreover, another study also reported although patient education is considered a core component of CR, there was no educational program which has been standardized for CR patients in Canada (Ghisi et al, 2020).…”

“…Physical activity and exercise counseling should be involved into the physical activity and exercise program. Previous research noted that involving counseling into the program which was recommended for the patient will result in patient's adherence to their CR recommendations and regular exercise performance after discharging due to satisfaction with the education provided and trusting the information received (Ghisi et al, 2020). Patients' needs on exercise training .485** ** Correlation is significant at the 0.01 level (2-tailed) * Correlation is significant at the 0.05 level (2-tailed) Table 3.…”

Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review

“…A narrative review is available on ways in which community and home-based programs could better meet women’s needs, such as offering appealing forms of exercise [ 91 ], offering flexible timing and setting, as well as promoting social interactions [ 24 ]. With the COVID-19 pandemic, our program delivers weekly women-focused CR sessions, based on our validated patient education program [ 92 – 94 ], which are freely available online ( https://www.healtheuniversity.ca/EN/CardiacCollege/Pages/Women-Learn-Online.aspx ). A recently-published paper presents development and evaluation of a theoretically-based mobile phone-based women-focused CR program using machine learning [ 78 ]; preliminary engagement and walking results are promising.…”