The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs

Abstract

The primary aim of this study was to test the causal structure of the model of therapeutic engagement (MTE) for the first time, to examine whether the model assists in understanding the process of patient engagement in cardiac rehabilitation (CR) programs. This study used a prospective design, following up patients from the Gold Coast University Hospital Cardiology ward who attended Robina Cardiac Rehabilitation Clinic. A structural equation model of the interactions among the proposed variables within the three stages of the MTE (intention to engage in CR programs, CR initiation, and sustained engagement) revealed significant relationships among these variables in a dataset of 101 patients who attended a CR program. However, no relationship was discerned between outcome expectancies and patient intention to engage in CR. Patients’ willingness to consider the treatment also mediated the relationship between perceived self-efficacy and patient intention to engage in CR. These findings help clarify the process proposed by Lequerica and Kortte (2010) in the context of patient engagement in CR programs. The findings also reveal information on how patients engage in CR programs. Importantly, this provides new information for healthcare providers, enabling them to more effectively engage patients according to their stage of engagement.

Surgery patients’ perspectives of their role in postoperative pain: A scoping review

“…Research have also examined patients’ beliefs and attitudes toward their experiences of pain and the various methods used for pain relief, all of which contribute to the intricacy of the patients’ role in pain management ( Doekhie et al., 2020 ; Forsberg et al., 2015 ; Kästner et al., 2021 ). Several studies have reported on patient engagement and noted that aspects of patients’ expectations and attitudes were found to influence their level of participation in pain management ( Blumenthal-Barby, 2017 ; Davis et al., 2007 ; Jahandideh et al., 2019 ). Many patients were found to be misinformed about the risks associated with medications, the importance of self-reporting pain, and the potential complications of intense or unresolved pain ( Bjørnnes et al., 2017 ; Cogan et al., 2014 ; Komann et al., 2021 ; Milosevic et al., 2021 ; Schwenkglenks et al., 2014 ; van Dijk et al., 2017 ; Vu et al., 2021 ).…”

The Impact of Socio-environmental Barriers on the Process of Engagement in Cardiac Rehabilitation Programs

“…In general, this review showed that the literature (including several empirical studies) supported subsets of the proposed relationships within the MTE in the context of CR. Another study (Jahandideh et al, 2019) investigated how the factors proposed by the MTE contributed to engagement, and interacted, through analysis of 101 participants who remained to commence the program. A key finding was that almost all relationships among the proposed factors within the three stages of engagement were found to be significant and consistent in terms of effect sign and size, with the MTE.…”