Perceived Quality of Care and Lifestyle Counseling Among Patients With Heart Disease

Abstract

Background: To examine patients' perceived quality of care and reported receipt of information on diet and exercise related to cardiovascular disease prevention. Methods: Patients admitted with acute coronary syndromes or elective cardiac catheterization were eligible for enrollment. Baseline medical information was collected through medical-record review. Patients completed surveys at the time of hospitalization that included items on perceived quality of care and whether they had received information from a healthcare provider on diet and exercise as related to their heart. Perceived quality of care was grouped into 3 categories: (1) poor to fair, (2) good, and (3) very good to excellent. Results: Among the 182 cardiac patients who completed the survey, those who reported poor to fair quality of care were more likely to report that they had received no advice regarding diet as compared with those who perceived their quality of care as good or very good to excellent (61%, 59%, and 26%, respectively, P < 0.0001). A similar pattern was observed for exercise (71%, 74%, and 36%, respectively, P < 0.0001). Conclusions: Patients with low perceived quality of care were less likely to have discussed diet and exercise habits with healthcare providers. Improving receipt of lifestyle counseling is warranted given the central role that diet and exercise play in secondary prevention.

The influence of cultural and social factors on healthy lifestyle of Arabic women

“…Participants also mentioned the role of the media in positively affecting people's attitudes toward living a healthier lifestyle, specifically that media plays a role in being a good source of information. This is supported by Jackson et al, [31] whose survey of 182 cardiac patients showed that many patients get their health guidance from magazines and newspapers, and 25% of patients reported using the internet as a source of medical information. Participants in our study suggested that TV programs, advertisements in shopping malls, and attractive displays may increase public health awareness.…”

“…Thus, counselling and guidance for patients by health care providers, especially physicians, regarding smoking cessation, weight loss, and exercise should be a key interventions to modify lifestyle behaviors among cardiac patients. [31] Some participants commented that at present, in Qatar, there are gymnasiums and recreational facilities that maintain privacy for females in order to encourage more exercise. The effect of this is supported by a study recommending that the design and implementation of a physical exercise regimen should be sensitive to cultural differences in modesty, assertiveness, and expected social roles.…”

Arab female and male perceptions of factors facilitating and inhibiting their physical activity: Findings from a qualitative study in the Middle East

“…Nonetheless, we argue that professional counseling and guidance, especially physicians’, regarding medical health, weight loss, and exercise can be a pivotal formal support to modify lifestyle behavior [ 25 , 56 ]. As one participant recommended, physicians can play an important role in prescribing physical activity to individual clients because many NCDs can be improved and prevented with lifestyle changes.…”

Part 2: Preparing Entry-Level Occupational and Physical Therapy Students to Promote Healthy Lifestyles Emphasizing Healthy Eating with Individuals with Disabilities

“…Health promotion activities focused on screening and addressing lifestyle behaviors including physical inactivity, poor diet, and smoking are now included in the clinical care guidelines for many disciplines, including occupational therapy (OT) and physical therapy (PT; American Physical Therapy Association, 2015; Jensen et al, 2014;Kris-Etherton et al, 2014;Lichtenstein et al, 2006;Scaffa, Van Slyke, & Brownson, 2008). A number of studies also report that patients are amenable to discussions of lifestyle behaviors initiated by their healthcare providers, and may report higher perceived quality of care when providers have these discussions with their patients (Jackson, Krishnan, Meccone, Ockene, & Rubenfire, 2010;Pool et al, 2014;Rose, Poynter, Anderson, Noar, & Conigliaro, 2013).…”