Adoption of community-based cardiac rehabilitation programs and physical activity following phase III cardiac rehabilitation in Scotland: A prospective and predictive study

2009 ◽  
Vol 25 (7) ◽  
pp. 839-854 ◽  
Author(s):  
Falko F. Sniehotta ◽  
Charlotta Gorski ◽  
Vera Araújo-Soares
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Phase Iii ◽  
Community Based ◽  
Rehabilitation Programs ◽  
Predictive Study

Modello di riabilitazione cardiologica teleguidata durante pandemia da COVID-19

2020 ◽  
pp. 271-275
Author(s):  
Giovanni Pasanisi ◽  
Biagio Sassone ◽  
Jonathan Myers ◽  
Giorgio Chiaranda ◽  
Andrea Raisi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Physical Activity Intervention ◽  
Rehabilitation Program ◽  
Physical And Mental Health ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Video Tutorials ◽  
Rapid Spread ◽  
Collateral Effects

Background. The COVID-19 pandemic has induced many governments to promote national lockdowns. Despite a period of quarantine is the best option and recommendation to stop the rapid spread of infections, this may have collateral effects on other dimensions of the isolated patients’ physical and mental health. Physical activity is the major component of cardiac rehabilitation programs that have been abruptly discontinued. Aims. To counteract physical inactivity during the COVID-19 outbreak we propose an home cardiac rehabilitation program under telemonitoring guidance, the home-bAsed physiCal acTivity Intervention during cOvid-19 quaraNtine (ACTION) study, testing its feasibility. Methods and results. ACTION is an observational study in cardiac outpatients referred to an exercise-based cardiac rehabilita-tion program. A program consisting of aerobic recommendations combined with a selection of strength and balance exercises is recommended. Video tutorials providing details of the workouts will be sent to patients. Selected patients can be followed during the home-sessions via video connection using current smartphone applications. Conclusions. The ACTION study could provide applicable results for safe and effective exercise therapy in outpatients with car-diovascular disease, while preventing the COVID-19 outbreak from generating adverse health consequences due to acute cessa-tion of physical activity. Findings from the ACTION study can also be useful after the end of COVID-19 outbreak for patients who cannot participate in traditional center- or home-based cardiac rehabilitation programs.

scholarly journals Que Fatores Determinam os Níveis de Atividade Física após Programa de Reabilitação Cardíaca?

2013 ◽  
Vol 26 (6) ◽  
pp. 689
Author(s):  
Diogo Soares ◽  
Sofia Viamonte ◽  
Sandra Magalhães ◽  
Maria Miguel Ribeiro ◽  
Ana Barreira ◽  
...  
Keyword(s):  
Physical Activity ◽  
Regression Analysis ◽  
Cardiac Rehabilitation ◽  
International Physical Activity Questionnaire ◽  
Linear Regression Analysis ◽  
Rehabilitation Program ◽  
Cardiac Rehabilitation Program ◽  
Physical Activity Questionnaire ◽  
Rehabilitation Programs ◽  
Activity Questionnaire

Introduction: The Cardiac Rehabilitation Programs have gained tremendous importance in the prevention of cardiovascular disease and it’s a challenge to ensure the practice of regular exercise during and after the supervised program. The aim of this study was to determine the factors that influence the physical activity habits at 12 months after the Cardiac Rehabilitation Program.Material and Methods: Prospective study, including 580 patients with ischemic heart disease who were consecutively oriented for Cardiac Rehabilitation Program at Cardiovascular Prevention and Rehabilitation Unit of Centro Hospitalar do Porto, between January 2008 and June 2011. Physical activity levels were measured with International Physical Activity Questionnaire which was calculated at the beginning of the program, 3 and 12 months later. The following variables were chosen and tested as potential determinants of physical activity habits of 12 months after program: age; sex; modifiable risk factors; functional capacity (achieved in treadmill stress test); laboratory analysis (HbA1c, lipid profile, C-Reactive Protein and Brain Natriuretic Peptide). A linear regression analysis was carried to identify the significant determinants and to find the best model adjustment.Results: Advanced age, female gender, functional capacity and low levels of physical activity prior to the Cardiac Rehabilitation Program, as well as a weak evolution of the International Physical Activity Questionnaire during the program were the best univariable predictors of a less favourable evolution of the International Physical Activity Questionnaire during 12 months of follow-up. A multivariable linear regression analysis showed that the best explanatory model included age, gender and evolution of the International Physical Activity Questionnaire during the supervised program (R2 Adj. = 0.318; f = 60.62, p < 0.001).Conclusion: The identification of certain subgroups of patients with lower tendency toward physical activity is beneficial to enable timely and individualized strategies to maximize the therapeutic and preventive potential of the Cardiac Rehabilitation Programs.

scholarly journals Electronic Health Physical Activity Behavior Change Intervention to Self-Manage Cardiovascular Disease: Qualitative Exploration of Patient and Health Professional Requirements (Preprint)

2017 ◽  
Author(s):  
Deirdre MJ Walsh ◽  
Kieran Moran ◽  
Véronique Cornelissen ◽  
Roselien Buys ◽  
Nils Cornelis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Intervention Development ◽  
Premature Death ◽  
Physical Activity Behavior ◽  
Physical Factors ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Key Stakeholders

BACKGROUND Cardiovascular diseases are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation. Uptake of traditional cardiac rehabilitation remains suboptimal, as attendance at formal hospital-based cardiac rehabilitation programs is low, with community-based cardiac rehabilitation rates and individual long-term exercise maintenance even lower. Home-based cardiac rehabilitation programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available. OBJECTIVE Given the potential that home-based cardiac rehabilitation programs have, it is important to explore how to appropriately design any such intervention in conjunction with key stakeholders. The aim of this study was to engage with individuals with cardiovascular disease and other professionals within the health ecosystem to (1) understand the personal, social, and physical factors that inhibit or promote their capacity to engage with physical activity and (2) explore their technology competencies, needs, and wants in relation to an eHealth intervention. METHODS Fifty-four semistructured interviews were conducted across two countries. Interviews were audiotaped, transcribed verbatim, and analyzed using thematic analysis. Barriers to the implementation of PATHway were also explored specifically in relation to physical capability and safety as well as technology readiness and further mapped onto the COM-B model for future intervention design. RESULTS Key recommendations included collection of patient data and use of measurements, harnessing hospital based social connections, and advice to utilize a patient-centered approach with personalization and tailoring to facilitate optimal engagement. CONCLUSIONS In summary, a multifaceted, personalizable intervention with an inclusively designed interface was deemed desirable for use among cardiovascular disease patients both by end users and key stakeholders. In-depth understanding of core needs of the population can aid intervention development and acceptability.

Hospital versus community-based phase III cardiac rehabilitation

2009 ◽  
Vol 18 (2) ◽  
pp. 116-122 ◽  
Author(s):  
Elise Blake ◽  
Costas Tsakirides ◽  
Lee Ingle
Keyword(s):  
Cardiac Rehabilitation ◽  
Phase Iii ◽  
Community Based

Specific issues with physical activity after cardiac rehabilitation

2020 ◽  
pp. 145-150
Author(s):  
Marco Ambrosetti ◽  
Esteban Garcia-Porrero
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Gold Standard ◽  
Digital Health ◽  
Phase Iii ◽  
Training Intensity ◽  
Call To Action ◽  
The Individual ◽  
Environmental Level

The transition between phase II (structured, supervised) and phase III (long-term, unsupervised) cardiac rehabilitation (CR) provides an opportunity to promote regular physical activity (PA) in cardiac patients, with the aim of maintaining functional capacity and improving cardiovascular (CV) prognosis. Unfortunately, barriers at the individual and organizational/environmental level may lead to poor adherence to PA, with a consequent need for a call to action by the whole multidisciplinary CR staff. In particular, improvement of patients’ self-efficacy—defined as beliefs about one’s ability to perform a specific action—is clearly associated with better adherence to the programme. The gold standard is individualized prescription of a PA plan—type, intensity, duration, and frequency—which should be monitored and revised periodically on the basis of serial direct evaluations of cardiorespiratory fitness. If this is not available, good PA practice focusing on training intensity and volume should be recommended. In selected cases, the delivery of a long-term PA programme could be supported by digital health tools.

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