Patients' Perception of Monitoring During Cardiac Rehabilitation

Scotto, Carrie; Waechter, Donna; Rosneck, Jim

doi:10.1097/01.ncq.0000356909.79829.4e

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…However, it was reported that patients with chronic heart failure have poor ability to recognize exercise early warning, and only by judging the critical value of exercise indicators and self-feelings to adopt appropriate exercise intensity during home-based cardiac rehabilitation exercise. 46 Accordingly, it is necessary for patients with chronic heart failure to receive the relevant technical supports and education from cardiac rehabilitation professionals to promote the ability to identify exercise risk warnings and adherence behavior. In addition, there are great differences in exercise monitoring among patients with chronic heart failure for the heterogeneity of education level.…”

Section: Discussionmentioning

confidence: 99%

A Conceptual Model of Home-Based Cardiac Rehabilitation Exercise Adherence in Patients with Chronic Heart Failure: A Constructivist Grounded Theory Study

Yang¹,

Sun²,

Sun³

et al. 2023

PPA

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Purpose This study aimed to explore a conceptual model of home-based cardiac rehabilitation exercise adherence and reveal its internal behavioral logic. Patients and Methods A constructivist grounded theory design was adopted to explore the conceptual model of home-based cardiac rehabilitation exercise adherence. Semi-structured interviews were completed to collect qualitative data for constructing the conceptual model. The theoretical saturation and validation strategies were adopted to demonstrate the adequacy of qualitative data. A three-level coding procedure with constant comparisons was completed to analyze this qualitative data. Results A total of 21 patients with chronic heart failure were recruited in this study. As a result of this study, 32 initial codes, 12 category codes, and four core categories were extracted, namely, seeking supports, rehabilitation exercise, exercise monitoring and information feedback. According to the internal behavioral logic, the conceptual model of home cardiac rehabilitation exercise adherence was finally formed. In this closed-chain model, seeking supports is the initial adherence behavior, and rehabilitation exercise is the core adherence behavior, and exercise monitoring is the key adherence behavior, and information feedback is the driving adherence behavior. Conclusion The conceptual model of home-based cardiac rehabilitation exercise adherence in patients with chronic heart failure was developed, revealing its internal behavioral logic and providing theoretical references for developing relevant clinical research tools with comprehensive coverage and identifying weak links.

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Section: Discussionmentioning

confidence: 99%

A Conceptual Model of Home-Based Cardiac Rehabilitation Exercise Adherence in Patients with Chronic Heart Failure: A Constructivist Grounded Theory Study

Yang¹,

Sun²,

Sun³

et al. 2023

PPA

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“…Minimal change and poor adherence to diet regimens 2 mo post-CR and significant worsening of dietary scores after 1-yr follow-up have been described in patients in CR. 30,54,55 One CR study assessing nine micronutrients important in cardiovascular health (vitamin C, vitamin E, vitamin A, vitamin B 12 , vitamin B 6 , folate, potassium, sodium, and magnesium) at baseline, during, and 6 mo post-CR found the levels of micronutrients insufficient in meeting the dietary reference intake levels in a population with good adherence to the program. 56 Another study assessed 5-yr follow-up of patients in CR after intervention with an expanded 1-yr CR program including increased education on diet and counseling and three 3-hr weekly cooking sessions led by a dietitian.…”

Section: Nutrition Interventions In Cardiac Rehabilitationmentioning

confidence: 99%

“…Studies on the short- and long-term dietary outcomes in patients in CR are limited. Minimal change and poor adherence to diet regimens 2 mo post-CR and significant worsening of dietary scores after 1-yr follow-up have been described in patients in CR 30,54,55. One CR study assessing nine micronutrients important in cardiovascular health (vitamin C, vitamin E, vitamin A, vitamin B 12 , vitamin B 6 , folate, potassium, sodium, and magnesium) at baseline, during, and 6 mo post-CR found the levels of micronutrients insufficient in meeting the dietary reference intake levels in a population with good adherence to the program 56.…”

Section: Review Of Relevant Literaturementioning

confidence: 99%

Nutrition Intervention in Cardiac Rehabilitation

Lara-Breitinger

Lynch

Kopecky

2021

Journal of Cardiopulmonary Rehabilitation and Prevention

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A Review of Nutrition in Cardiac Rehabilitation 383N utrition is a central component of lifestyle intervention for the secondary prevention of cardiovascular disease (CVD). 1,2 However, despite the evidence of cardioprotective diets as a major modifiable risk factor in reversing and slowing the progression of CVD, 3,4 patient adherence and maintenance of a heart healthy diet remain low and provider-mediated nutritional intervention is underutilized in clinical practice. [5][6][7][8] Cardiac rehabilitation (CR), prescribed to patients with a history of a recent myocardial infarction, chronic stable angina, heart failure with reduced ejection fraction, cardiovascular surgery, and other CVD, is a comprehensive multidisciplinary approach composed of supervised exercise and counseling, with nutrition counseling and education serving as a core component. 1,4,9 Although there is consensus that the quality of nutrition mitigates CVD [10][11][12][13][14] and CR reduces CVD mortality and improves quality of life, 15 best practice methodologies for nutrition intervention in CR are lacking and the barriers to implementation of successful nutrition interventions in CR and sustained healthy dietary behaviors are complex.The aim of this review is to briefly summarize the evidence-based cardioprotective diets and explore the fundamental role of registered dietary nutritionists (RDN) in CR, the current evidence behind nutrition interventions in CR, and behavior change techniques (BCT) integral to nutrition intervention in CR. We provide recommendations for best practices in CR nutrition intervention and propose future innovative strategies of nutrition research and its potential role in supporting long-term change in CR. METHODOLOGYA literature search was conducted in Google, PubMed, Elsevier, the Evidence Analysis Library of the Academy of Nutrition and Dietetics, and the Journal of Cardiopulmonary Rehabilitation and Prevention to identify human studies of original investigations, systematic reviews, and national guidelines published from 1980 to 2021. The following keywords or phrases were involved: CR dietary assessment, intervention in CR, dietary counseling in CR, dietary and nutritional recommendations in CR, CR RDN, current nutrition practice in CR programs, CR nutrition guidelines, CR dietitian resources, CR behavior change, motivational interviewing in CR nutrition, effectiveness of eHealth CR on health outcomes, and barriers and long-term outcomes following CR nutrition.Peer-reviewed original investigations and systematic reviews of adults ≥18 yr participating in CR were included if there was adequate mention of nutritional or dietary assessment and/or intervention. For brevity, cardioprotective diets were included only if described and highlighted by the American Heart Association and American College of Cardiology due to the diversity of dietary patterns in the literature. Only validated dietary questionnaires utilized in CR were included. Exclusion criteria included non-English articles and non-peer-reviewed studies.

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“…However, the treatments have been shown to be unsuccessful in helping cardiac patients reach similar intensity once the program was completed at home. One of the reasons reported for not reaching the recommended intensity after the program was the absence of tools (eg, heart-rate [HR] monitor) to help them to identify the correct intensity as they had in the supervised program 9. In the past, studies attempted to determine whether people could identify moderate-to-vigorous intensity by comparing self-perceived exertion scores with their HR10–15 and reported low to moderate associations depending on the methodology used.…”

Section: Introductionmentioning

confidence: 99%

Pilot study: can older inactive adults learn how to reach the required intensity of physical activity guideline?

B̀ouchard¹,

Langlois²,

Boisvert-Vigneault³

et al. 2013

CIA

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Most individuals do not reach the recommended physical activity level of at least 150 minutes of aerobic exercise (AE) at moderate-to-vigorous intensity per week. For example, only 13% of older Canadian adults reach World Health Organization physical activity guideline (PAG). One of the reasons might be a difficulty identifying the required intensity. Twenty-five inactive older adults received one session about the AE-PAG and how to use a tool or strategy to help them identify AE intensity: heart-rate (HR) monitor (% of maximal HR; N = 9); manual pulse (% of maximal HR; N = 8); or pedometer (walking cadence; N = 8). Participants had 8 weeks to implement their specific tool with the aim of reaching the PAG by walking at home. At pre- and post-intervention, the capacity to identify AE intensity and AE time spent at moderate-to-vigorous intensity were evaluated. Only the two groups using a tool increased total AE time (both P < 0.01), but no group improved the time spent at moderate-to-vigorous intensity. No significant improvement was observed in the ability to correctly identify AE intensity in any of the groups, but a tendency was observed in the pedometer group (P = 0.07). Using walking cadence with a pedometer should be explored as a tool to reach the PAG as it is inexpensive, easy to use, and seemed the best tool to improve both AE time and perception of intensity.

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Patients' Perception of Monitoring During Cardiac Rehabilitation

Cited by 7 publications

References 13 publications

A Conceptual Model of Home-Based Cardiac Rehabilitation Exercise Adherence in Patients with Chronic Heart Failure: A Constructivist Grounded Theory Study

A Conceptual Model of Home-Based Cardiac Rehabilitation Exercise Adherence in Patients with Chronic Heart Failure: A Constructivist Grounded Theory Study

Nutrition Intervention in Cardiac Rehabilitation

Pilot study: can older inactive adults learn how to reach the required intensity of physical activity guideline?

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