Knowledge and exercise behavior maintenance in cardiac rehabilitation patients receiving educational interventions

The present study was developed as part of a comprehensive evaluation of the state of the art of knowledge and implementation of the Italian Guidelines for psychological activities in Cardiac Rehabilitation, published in 2003 by the Working Group of Psychology of the Italian Society of Cardiac Rehabilitation (GICR). Methods. A questionnaire was designed to collect detailed information on facilities, organization, staffing level, professional background and activities carried out by psychologists working in Italian Cardiac Rehabilitation Units (CRU). Out of 144 Italian CRU (inventory 2004), 107 reported structured psychological programmes. The questionnaires were sent by conventional mail to the referring psychologist of these 107 CRU; they were invited to participate in the survey on a purely voluntary basis. Results. Responses were received from 70 (65.4%) of 107 CRU. 55 CRU (79.8%) report a good knowledge of the published GL; 10.1% declare that the psychologists did not know the current GL. 84.5% consider the GL to be fully applicable, while 15.5% believe that they are only partly applicable. Psychological assessment is performed through clinical interview (94.3%) and psychometric tests (81.4%). 92.8% of the CRU use screening instruments in order to evaluate psychosocial risk factors, in particular anxiety and depression (64.3%). Quality of life (22.8%) and cognitive impairment (17.1%) are not routinely assessed. Educational interventions are planned in 87.1% of the CR programme and are extended to the family members (51%) as well as counselling (57%). Psychological programme includes smoking (56%) and eating behaviour (55%) group interventions. Stress management is routinely planned in 69% of the CRU. Psychological intervention tailored to individual needs of the patients is performed in 62.9% CRU. Written final reports are available in 88.6% cases. The follow-up is carried out by 48.6% of the CRU, 15.7% in a structured way. Conclusions. The survey shows wide discrepancies in the provision of psychological activities in Italian CRU. Nevertheless psychological assessment and interventions seem acceptably coherent with current national GL on CR.

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Behavior determinants among cardiac rehabilitation patients receiving educational interventions: An application of the health action process approach

Patient Education and Counseling ◽

10.1016/j.pec.2015.01.006 ◽

2015 ◽

Vol 98 (5) ◽

pp. 612-621 ◽

Cited By ~ 18

Author(s):

Gabriela Lima de Melo Ghisi ◽

Sherry L. Grace ◽

Scott Thomas ◽

Paul Oh

Keyword(s):

Cardiac Rehabilitation ◽

Educational Interventions ◽

Process Approach ◽

Health Action Process Approach ◽

Health Action ◽

Action Process

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Anxiety and depression; influence on information needs in patients receiving cardiac rehabilitation

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.361 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

N Tenbult - Van Limpt ◽

SJC Traa ◽

R Brouwers ◽

HMC Kemps

Keyword(s):

High Risk ◽

Cardiac Rehabilitation ◽

Information Needs ◽

Healthy Lifestyle ◽

Educational Interventions ◽

Low Risk ◽

Anxiety And Depression ◽

P Value ◽

Depression And Anxiety ◽

Depression Risk

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Educational interventions on healthy lifestyle and cardiovascular risk factors are important elements of Cardiac Rehabilitation (CR), and may increase patients’ self-efficacy, satisfaction and health-promoting behaviour. However, these interventions are often not tailored to individual needs of patients, thereby reducing their effectiveness. In order to tailor educational interventions to individuals, it"s important to identify determinants of information needs. Depression and anxiety are highly prevalent in cardiac patients and negatively influence prognosis. Additionally, depression and anxiety may prevent people from seeking information due to lack of initiative and withdrawal from social situations. Little is known on information needs for anxious and depressed patients entering CR. This study evaluated the influence of anxiety and depression on information needs of patients entering CR. Methods Prospective observational study. Patients were asked to complete questionnaires on anxiety and depression and on information needs and information seeking behaviour before start of CR. Primary endpoint was the association between information needs and risk of anxiety and depression. Results We included 259 patients, predominantly male (76%), mean age 64.8 ± 10.4 year. Two thirds of patients were diagnosed with MI (68%), 163 patients underwent PCI (63%), 71 patients underwent CABG (27%) and 22 patients were treated by medication only (9%). At baseline 19 patients were current smokers (8%). Patients with moderate to high risk of anxiety or depression more often had questions on mood than patients with low risk of anxiety and depression. Patients with moderate to high anxiety risk also more often had questions on nutrition than low risk patients. Discussion In patients entering CR, moderate to high risk of anxiety and depression was associated with higher degree of information needs on mood than their low risk counterparts. This indicates that CR programme and educational interventions should be more specifically tailored to patients’ information needs, taking into account anxiety and depression risk. Information needs before start CR Anxiety risk Depression risk Low (HADS score 0-7) Moderate to high (HADS score 8-21) p-value Low (HADS score 0-7) Moderate to high (HADS score 8-21) p-value Questions on physical activity 71 (37%) 25 (44%) 0.34 78 (38%) 17 (39%) 0.96 Questions on nutrition 49 (26%) 26 (45%) 0.02 57 (28%) 18 (40%) 0.28 Questions on mood 29 (15%) 37 (65%) <0.001 43 (21%) 23 (52%) <0.001 Questions on smoking 3 (23%) 4 (50%) 0.35 5 (33%) 2 (33%) 1.00

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