The impact of patient education on knowledge, attitudes, and cardiac rehabilitation attendance among patients with coronary artery disease

Williamson, Tamara M.; Rouleau, Codie R.; Aggarwal, Sandeep; Arena, Ross; Hauer, Thomas; Campbell, Tavis S.

doi:10.1016/j.pec.2021.04.024

Cited by 14 publications

(8 citation statements)

References 49 publications

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“…CAD knowledge was measured using the Coronary Artery Disease Education Questionnaire-2nd Version (CADE-Q-II). The authors concluded that patients with CAD who received patient education within CR showed improvements in disease-related knowledge that persisted at 3-month follow-up (27).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a digital patient education programme in patients with coronary artery disease, a survey-based study

Sandberg,

Ravn-Fischer,

Johnsson

et al. 2024

Preprint

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Introduction Patient education programmes focusing on risk factor modification and lifestyle changes are well established as part of cardiac rehabilitation in patients with coronary artery disease (CAD). As participation rates are low, digital patient education programmes (DPE) are interesting alternatives to increase access. Understanding patients’ perceptions of DPE are important in terms of successful implementation in clinical practice but are not well known. Therefore, the aim of this study was to assess patients’ perceptions of using a DPE in terms of end-user acceptance and usability, perceived significance for lifestyle changes and secondary preventive goal fulfilment in patients with CAD. Methods This was a cross-sectional survey-based study. The survey was distributed to all 1625 patients with acute coronary syndrome or chronic CAD with revascularisation, who were registered users of the DPE between 2020–2022. The survey contained 64 questions about e.g., acceptance and usability, perceived significance for making lifestyle changes and secondary preventive goal fulfilment. Patients who had never logged in to the DPE received questions about their reasons for not logging in. Results A total of 366 patients (mean age: 69.1 ± 11.3 years, 20% female) completed the survey and among those 207 patients (57%) had used the DPE. Patients reported that the DPE was simple to use (80%) and improved access to healthcare (67–75%). A total of 69% of the patients were generally satisfied with the DPE, > 60% reported that the DPE increased their knowledge about secondary preventive treatment goals and approximately 60% reported having a healthy lifestyle today. On the other hand, 35% of the patients would have preferred a hospital-based education programme. Among the 159 patients (43%) who had never used the DPE, the most reported reason was a perceived need for more information about how to use the DPE (52%). Conclusions This study shows an overall high level of patient acceptance and usability of the DPE, which supports its continued development and long-term role in cardiac rehabilitation in patients with CAD. Future studies should assess associations between participation in the DPE and clinical outcomes, such as secondary preventive goal fulfilment and hospitalisation.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a digital patient education programme in patients with coronary artery disease, a survey-based study

Sandberg,

Ravn-Fischer,

Johnsson

et al. 2024

Preprint

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“…Seeking supports is an initial positive behavior for improving self-management and adherence. 32 According to the knowledge-attitude-behavior theory, 33 acquiring and learning relevant disease knowledge in patients with chronic heart failure is conducive to strengthening their belief in cardiac rehabilitation and promoting their cardiac rehabilitation exercise behavior. However, consistent with the findings of related studies, 34 , 35 this active learning behavior only occurred in highly educated patients with chronic heart failure in this study.…”

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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“…Exercise monitoring is the key adherence behavior of patients with chronic heart failure in home-based cardiac rehabilitation exercise [ 25 ]. Limited knowledge may be a significant factor in the low adherence to exercise monitoring among chronic heart failure patients [ 42 ]. Those with limited knowledge may not realize the importance of exercise monitoring or recognize the monitoring data.…”

Section: Discussionmentioning

confidence: 99%

Predictors of home-based cardiac rehabilitation exercise adherence among patients with chronic heart failure: a theory-driven cross-sectional study

Yang,

Jia,

Wang

2023

BMC Nurs

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Background The factors influencing home-based cardiac rehabilitation exercise adherence among patients with chronic heart failure remain unclear. This study aimed to explore predictors of home-based cardiac rehabilitation exercise adherence in these patients, based on the theory of planned behavior. Methods This theory-driven, cross-sectional study used convenience sampling to recruit patients with chronic heart failure undergoing home-based cardiac rehabilitation. Instruments used included the Home-Based Cardiac Rehabilitation Exercise Adherence Scale, the Multidimensional Self-Efficacy for Exercise Scale, the Perceived Social Support Scale, and the Tampa Scale for Kinesiophobia Heart. Multivariate linear hierarchical regression analysis was employed to examine the factors influencing exercise adherence. Results A total of 215 patients with chronic heart failure undergoing home-based cardiac rehabilitation participated in the study. The overall score for home cardiac rehabilitation exercise adherence was (48.73 ± 3.92). Multivariate linear hierarchical regression analysis revealed that age (β=-0.087, p = 0.012), education level (β = 0.080, p = 0.020), fear of movement (β=-0.254, p < 0.001), perceived social support (β = 0.451, p < 0.001), and exercise self-efficacy (β = 0.289, p < 0.001) influenced home-based cardiac rehabilitation exercise adherence. In the second model, fear of exercise explained 23.60% of the total variance, while perceived social support and exercise self-efficacy explained 26.60% of the total variance in the third model. Conclusion This study found that home-based cardiac rehabilitation exercise adherence in patients with chronic heart failure was suboptimal, and identified its influencing factors. Targeted interventions addressing these factors, such as tailored education, support, and addressing fear of exercise, may help improve exercise adherence.

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The impact of patient education on knowledge, attitudes, and cardiac rehabilitation attendance among patients with coronary artery disease

Cited by 14 publications

References 49 publications

Evaluation of a digital patient education programme in patients with coronary artery disease, a survey-based study

Evaluation of a digital patient education programme in patients with coronary artery disease, a survey-based study

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

Predictors of home-based cardiac rehabilitation exercise adherence among patients with chronic heart failure: a theory-driven cross-sectional study

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