Patient-Reported Outcomes in Cardiac Rehabilitation

Taherzadeh, Golnoush; Filippo, Deandra E.; Kelly, Shannon; Engen-Verheul, Mariette van; Peek, Niels; Oh, Paul; Grace, Sherry L.

doi:10.1097/hcr.0000000000000142

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…Little is known about how to measure or improve patient satisfaction in CR or whether changes in programming can affect this perception. 93 In an era of increased focus on patient experience, this represents an important gap in both measurement and intervention.…”

Section: Discussionmentioning

confidence: 99%

A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities

et al. 2023

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Cardiac rehabilitation (CR) is a guideline-recommended, multidisciplinary program of exercise training, risk factor management, and psychosocial counseling for people with cardiovascular disease (CVD) that is beneficial but underused and with substantial disparities in referral, access, and participation. The emergence of new virtual and remote delivery models has the potential to improve access to and participation in CR and ultimately improve outcomes for people with CVD. Although data suggest that new delivery models for CR have safety and efficacy similar to traditional in-person CR, questions remain regarding which participants are most likely to benefit from these models, how and where such programs should be delivered, and their effect on outcomes in diverse populations. In this review, we describe important gaps in evidence, identify relevant research questions, and propose strategies for addressing them. We highlight 4 research priorities: (1) including diverse populations in all CR research; (2) leveraging implementation methodologies to enhance equitable delivery of CR; (3) clarifying which populations are most likely to benefit from virtual and remote CR; and (4) comparing traditional in-person CR with virtual and remote CR in diverse populations using multicenter studies of important clinical, psychosocial, and cost-effectiveness outcomes that are relevant to patients, caregivers, providers, health systems, and payors. By framing these important questions, we hope to advance toward a goal of delivering high-quality CR to as many people as possible to improve outcomes in those with CVD.

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Section: Discussionmentioning

confidence: 99%

A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities

et al. 2023

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“…This is the first study to our knowledge to have investigated patient satisfaction using the recommended generic and psychometrically validated measure in the CR setting 17. Results suggest that the PACIC23 is a reliable, valid, and sensitive measure of satisfaction for the CR setting.…”

Section: Discussionmentioning

confidence: 84%

“…Despite these recommendations, there is little evidence available regarding patient satisfaction with CR. A recent review identified only 8 studies in this area 17. The scant published data suggest that patients have high satisfaction, in particular with staff and the motivating environment, information received regarding disease, information on diagnosis and treatment, and self-management of medicine 18,19.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the administration of a generic or health care-specific satisfaction measure must be considered, as only the former can establish the degree of patient satisfaction when compared to a control group (ie, patients not exposed to a given health service). Psycho-metrically validated tools appropriate to measure patient satisfaction in CR have not been established; however, the recent review in this area17 recommended the Patient Assessment of Chronic Illness Care (PACIC) 23. This tool assesses multiple dimensions of patient satisfaction, in accordance with Wagner’s Chronic Care Model 24.…”

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction with cardiac rehabilitation: association with utilization, functional capacity, and heart-health behaviors

Ali

Chessex

Bassett‐Gunter

et al. 2017

PPA

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BackgroundCardiac rehabilitation (CR) societies recommend assessment of patient satisfaction given its association with health care utilization and outcomes. Recently, the Patient Assessment of Chronic Illness Care (PACIC, Glasgow) was recommended as an appropriate tool for the CR setting. The objectives of this study were to 1) describe patient satisfaction with CR, 2) test the psychometric properties of the PACIC in the CR setting, and 3) assess the association of patient satisfaction with CR utilization and outcomes.MethodsSecondary analysis was conducted on an observational, prospective CR program evaluation cohort. A convenience sample of patients from 1 of 3 CR programs was approached at their first CR visit, and consenting participants completed a survey. Clinical data were extracted from charts pre- and post-program. Participants were e-mailed surveys again 6 months (including the PACIC) and 1 and 2 years later.ResultsOf 411 consenting patients, 247 (60.2%) completed CR. The mean PACIC score was 2.8±1.1/5. Internal reliability was α=0.95. The total PACIC score varied significantly by site (F=3.12, P=0.046), indicating discriminant validity. Patient satisfaction was significantly related to greater CR adherence (r=0.22, P<0.01) and completion (t=2.63, P<0.01), greater functional status at CR discharge (r=0.17, P=0.03) and 2 years post-intake (r=0.19, P=0.03), greater physical activity at discharge (r=0.18, P=0.02), as well as lower depressive symptoms at discharge (r=−0.16, P=0.02) and 1-year follow-up (r=−0.19, P=0.03). These associations sustained adjustment for sex.ConclusionPatients were relatively satisfied with their care. The PACIC is a psychometrically validated scale, which could serve as a useful tool to assess patient satisfaction with CR.

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“…Studies also showed no significant difference in patient satisfaction attending in cardiac rehabilitation program. 15 , 19 So it is not clear that this questionnaire is enough much effective in cardiac rehabilitation settings.…”

Section: Discussionmentioning

confidence: 99%

Development of a self-care program satisfaction questionnaire for cardiovascular patients in Iran

Nosratabadi

Halvaiepour

2018

J Cardiovasc Thorac Res

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Introduction: Evaluating patient satisfaction with self-care program can increase the likelihood of complying with treatment. There is no valid and reliable tool to be used in measuring Iranian patient’s satisfaction with self-care program. So, this study intends to develop the patient satisfaction questionnaire in the context of cardiac rehabilitation and test its validity and reliability in Iranian patients. Methods: A cross-sectional study was conducted to develop and validate the patient satisfaction with self-care program questionnaire using structural modeling. A total of 155 cardiovascular patients referring to cardiovascular rehabilitation center in Isfahan were participated in this study. Construct and criterion validity, and test-retest reliability were used to validate the scale. Results: After reviewing literature and receiving expert’ comments for items pooling as well as conducting exploratory factor analysis, 10 statements in the model remained which are loaded on 2 factors. These 2 subscales explained about 63 percent of variance of all constructs. The Cronbach’s alpha coefficient ranged between 0.87 and 0.89 for the whole questionnaires and its subscales. Besides, scale had excellent stability (intraclass correlation = 0.86). Criterion validity analyzed through correlational analyses revealed significant relationships between the current scale and Patient Satisfaction Questionnaire Short Form (PSQ11). CFA revealed an acceptable overall fit for two-factor model. Conclusion: The scale integrated 10 items in two dimension including patient satisfaction with rehabilitation program and patient satisfaction with personnel of rehabilitation team. In total, most of the psychometric properties of the 10-item patient satisfaction with self-care program scale achieved the standard level and were sufficient to recommend for cardiac rehabilitation settings.

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Patient-Reported Outcomes in Cardiac Rehabilitation

Cited by 11 publications

References 27 publications

A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities

A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities

Patient satisfaction with cardiac rehabilitation: association with utilization, functional capacity, and heart-health behaviors

Development of a self-care program satisfaction questionnaire for cardiovascular patients in Iran

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