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Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting

Patient education is an integral part of recovery from a critical cardiac life event and a core component of cardiac rehabilitation (CR) programmes. This study addressed the feasibility of a virtual educational programme for behaviour change in CR patients from a low-resource setting in Brazil. Card...

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Autores principales: dos Santos, Rafaella Zulianello, Almeida, Sidnei, Scheafer, Andrea Korbes, Karsten, Marlus, Oh, Paul, Benetti, Magnus, Ghisi, Gabriela Lima de Melo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252834/
https://www.ncbi.nlm.nih.gov/pubmed/37297538
http://dx.doi.org/10.3390/ijerph20115934
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author dos Santos, Rafaella Zulianello
Almeida, Sidnei
Scheafer, Andrea Korbes
Karsten, Marlus
Oh, Paul
Benetti, Magnus
Ghisi, Gabriela Lima de Melo
author_facet dos Santos, Rafaella Zulianello
Almeida, Sidnei
Scheafer, Andrea Korbes
Karsten, Marlus
Oh, Paul
Benetti, Magnus
Ghisi, Gabriela Lima de Melo
author_sort dos Santos, Rafaella Zulianello
collection PubMed
description Patient education is an integral part of recovery from a critical cardiac life event and a core component of cardiac rehabilitation (CR) programmes. This study addressed the feasibility of a virtual educational programme for behaviour change in CR patients from a low-resource setting in Brazil. Cardiac patients from a CR programme closed due to the pandemic received a 12-week virtual educational intervention (WhatsApp messages and bi-weekly calls from healthcare providers). Acceptability, demand, implementation, practicality, and limited efficacy were tested. Overall, 34 patients and 8 healthcare providers agreed to participate. The intervention was considered practical and acceptable by the participants, who reported a satisfaction median of 9.0 (7.4–10.0)/10 (patients) and 9.8 (9.6–10.0)/10 (providers). The main difficulties in carrying out the intervention activities were related to technology, motivation to self-learning, and a lack of in-person orientation. All the patients reported that the information included in the intervention was aligned with their information needs. The intervention was associated with changes in exercise self-efficacy, sleep quality, depressive symptoms, and performance of high-intensity physical activity. In conclusion, the intervention was considered feasible to educate cardiac patients from a low-resource setting. It should be replicated and expanded to support patients that face barriers to onsite CR participation. Challenges related to technology and self-learning should be addressed.
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spelling pubmed-102528342023-06-10 Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting dos Santos, Rafaella Zulianello Almeida, Sidnei Scheafer, Andrea Korbes Karsten, Marlus Oh, Paul Benetti, Magnus Ghisi, Gabriela Lima de Melo Int J Environ Res Public Health Article Patient education is an integral part of recovery from a critical cardiac life event and a core component of cardiac rehabilitation (CR) programmes. This study addressed the feasibility of a virtual educational programme for behaviour change in CR patients from a low-resource setting in Brazil. Cardiac patients from a CR programme closed due to the pandemic received a 12-week virtual educational intervention (WhatsApp messages and bi-weekly calls from healthcare providers). Acceptability, demand, implementation, practicality, and limited efficacy were tested. Overall, 34 patients and 8 healthcare providers agreed to participate. The intervention was considered practical and acceptable by the participants, who reported a satisfaction median of 9.0 (7.4–10.0)/10 (patients) and 9.8 (9.6–10.0)/10 (providers). The main difficulties in carrying out the intervention activities were related to technology, motivation to self-learning, and a lack of in-person orientation. All the patients reported that the information included in the intervention was aligned with their information needs. The intervention was associated with changes in exercise self-efficacy, sleep quality, depressive symptoms, and performance of high-intensity physical activity. In conclusion, the intervention was considered feasible to educate cardiac patients from a low-resource setting. It should be replicated and expanded to support patients that face barriers to onsite CR participation. Challenges related to technology and self-learning should be addressed. MDPI 2023-05-24 /pmc/articles/PMC10252834/ /pubmed/37297538 http://dx.doi.org/10.3390/ijerph20115934 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
dos Santos, Rafaella Zulianello
Almeida, Sidnei
Scheafer, Andrea Korbes
Karsten, Marlus
Oh, Paul
Benetti, Magnus
Ghisi, Gabriela Lima de Melo
Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title_full Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title_fullStr Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title_full_unstemmed Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title_short Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting
title_sort feasibility of a virtual educational programme for behaviour change in cardiac patients from a low-resource setting
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252834/
https://www.ncbi.nlm.nih.gov/pubmed/37297538
http://dx.doi.org/10.3390/ijerph20115934
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