scholarly journals Willingness to participate in cardiac telerehabilitation: results from semi-structured interviews

2021 ◽  
Author(s):  
Maarten Falter ◽  
Martijn Scherrenberg ◽  
Hanne Kindermans ◽  
Sevda Kizilkilic ◽  
Toshiki Kaihara ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Digital Literacy ◽  
Local Governments ◽  
Perceived Barriers ◽  
Willingness To Participate ◽  
Participation Rates ◽  
Structured Interviews ◽  
Important Barrier ◽  
Main Barrier

Abstract Introduction Cardiac rehabilitation (CR) is indicated in patients with cardiovascular disease but participation rates remain low. Telerehabilitation (TR) is often proposed as a solution. While many trials have investigated TR, few have studied participation rates in conventional CR non-participants. The aim of this study was to identify the percentage of patients that would be willing to participate in a TR programme to identify the main perceived barriers and facilitators for participating in TR. Methods Two groups of patients were recruited: CR non-participants and CR participants. Semi-structured interviews were conducted. Results Thirty non-participants and 30 participants were interviewed. Of CR non-participants, 33% would participate in TR and 10% would participate in a blended CR programme (combination of centre-based CR and TR). Of CR participants, 60% would participate in TR and 70% would be interested in a blended CR programme. Of those that would participate in TR, 44% would prefer centre-based CR, 33% would prefer a blended CR programme and 11% would prefer a full TR programme. In both groups, the main facilitating aspect about TR was not needing transport and the main barrier was digital literacy. Conclusion For CR non-participants TR will only partly solve the problem of low participation rates and blended programmes might not offer a solution. CR participants are more prepared to participate in TR and blended CR. Digital literacy was in both groups mentioned as an important barrier, emphasizing the challenges for healthcare and local governments to keep educating all types of patients in digital literacy.

scholarly journals Willingness of non-participants of conventional cardiac rehabilitation to participate in cardiac telerehabilitation: results of semi-structured interviews

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
M Falter ◽  
M Scherrenberg ◽  
T Kaihara ◽  
V Intan-Goey ◽  
P Dendale
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Digital Literacy ◽  
Structured Interview ◽  
Ischemic Heart ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
At Home

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Cardiac rehabilitation (CR) is considered a Class IA recommendation in secondary prevention of ischemic heart disease and heart failure. Participation rates are low however. Telerehabilitation (TR) is widely studied to overcome known barriers. However, the willingness of patients that refuse centre-based CR to participate in TR is scarcely studied. This study aims to assess the willingness to participate in TR in patients that refuse conventional centre-based CR, as well as the main barriers to participation in CR and TR. Methods Patients were screened during hospitalisation on the cardiology, cardiac surgery and cardiac intensive care departments. Patients that were eligible for CR but refused to participate were asked to participate in the study. A semi-structured interview consisting of 18 questions was performed during hospitalisation. After signing an informed consent, interviews were conducted, recorded and analysed. Additional data was extracted and analysed from the hospital electronic health records. Results A total of 20 patients were included. Mean age was 69.6 years (± 10), 17 patients were male (85%), cardiac pathologies were ischemic heart disease (10), heart failure (5) and arrhythmia (5). Six patients (30%) owned a smartphone. Primary reasons not to participate in conventional CR were transport issues (7), lack of motivation (5), cost (3), already being physically active at home (2), or other reasons (3). Eight patients (40%) indicated that, if a programme existed, they would participate in a TR programme. In the group of patients that would not want to participate in TR (n = 12), 10 said lack of digital literacy was a reason, 9 said not having the needed technology (either a computer, a smartphone or both) was a reason. Five said that lack of motivation was a reason and 3 didn’t see the utility of doing rehabilitation at home or rehabilitation at all. The most important reason not to participate was a lack of digital literacy in 6 patients, and a lack of motivation or not seeing the utility of rehabilitation in 6 patients. In the group of patients that would participate in TR, all 8 said that not needing transport was an advantage, 2 indicated that being able to perform rehabilitation on flexible hours was an advantage. All 8 indicated that not needing transport was the main advantage of TR for them. The most important barrier for this group was not being fluent with computers and/or smartphone (3). Conclusions Of a group of patients not willing to participate in conventional CR, 40% would be prepared to participate in TR. Lack of digital literacy and lack of motivation were the main reasons not to participate in TR. Not needing transport was seen as the main advantage of TR. Further research in larger populations will be needed to confirm these results.

Factors Influencing Possible Participation in Chronic Disease Self-management Courses

2008 ◽  
Vol 14 (3) ◽  
pp. 19 ◽  
Author(s):  
Rosemary Mahomed ◽  
Winsome St. John ◽  
Elizabeth Patterson
Keyword(s):  
Chronic Disease ◽  
Medical Practitioner ◽  
Subjective Norms ◽  
Transport Cost ◽  
Self Management ◽  
Willingness To Participate ◽  
Participation Rates ◽  
Structural Barriers ◽  
Structured Interviews ◽  
Adequate Funding

Chronic disease self-management (CDSM) courses have been shown to be effective in improving self-management, quality of life and clinical outcomes; however, participation rates in both generic and disease-specific courses are low. The objective of this qualitative study was to explore the attitudes, perceived behavioural control (PBC) and subjective norms of general practice patients with chronic diseases towards future participation in a CDSM course. The study, conducted in 2 006, used semi-structured interviews with a purposive sample of eight men and 11 women who had a chronic disease. The theory of planned behaviour provided a framework for a thematic analysis of the data identifying themes related to attitude, PBC and subjective norms. Nine themes were identified related to attitude. These included a desire for the opportunity to share/gain support; willingness to participate if they were provided with more/new information; basing their choice on severity of disease; trying the program out first; individual coping strategies; reliance on medical practitioner advice; needing some certainty or being afraid of future prospects; doing things in their own particular way; and deciding on the basis of proven results. Six themes emerged related to PBC, which revolved around structural barriers, time, transport, cost, mobility, convenient time and location. Three subjective norms were identified including encouragement from family/friends, medical practitioner and others with the same condition. Several positive attitudes such as the provision of information, opportunities to share and gain support and help with coping - which CDSM courses offer - could be capitalised on when promoting the courses. However, understanding other attitudes such as the importance of disease severity and a need to 'do it my way', reveal misconceptions about the aims of CDSM courses that need to be more clearly communicated when promoting courses. Structural barriers to participating in CDSM courses can easily be overcome by careful planning and adequate funding. Finally, general practitioner encouragement to attend CDSM courses could improve participation rates.

scholarly journals Zero Carbon Building Practices in Aotearoa New Zealand

Energies ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4455
Author(s):  
Thao Thi Phuong Bui ◽  
Suzanne Wilkinson ◽  
Niluka Domingo ◽  
Casimir MacGregor
Keyword(s):  
Climate Change ◽  
New Zealand ◽  
Construction Industry ◽  
Local Governments ◽  
Early Stage ◽  
Policy Implications ◽  
Structured Interviews ◽  
Building Projects ◽  
Aotearoa New Zealand ◽  
Zero Carbon

In the light of climate change, the drive for zero carbon buildings is known as one response to reduce greenhouse gas emissions. Within New Zealand, research on climate change mitigation and environmental impacts of buildings has received renewed attention. However, there has been no detailed investigation of zero carbon building practices. This paper undertakes an exploratory study through the use of semi-structured interviews with government representatives and construction industry experts to examine how the New Zealand construction industry plans and implements zero carbon buildings. The results show that New Zealand’s construction industry is in the early stage of transiting to a net-zero carbon built environment. Key actions to date are focused on devising a way for the industry to develop and deliver zero carbon building projects. Central and local governments play a leading role in driving zero carbon initiatives. Leading construction firms intend to maximise the carbon reduction in building projects by developing a roadmap to achieve the carbon target by 2050 and rethinking the way of designing and constructing buildings. The research results provide an insight into the initial practices and policy implications for the uptake of zero carbon buildings in Aotearoa New Zealand.

Social urbanism: public policy and place brand

2019 ◽  
Vol 12 (3) ◽  
pp. 326-337 ◽  
Author(s):  
Caroline Doyle
Keyword(s):  
Public Policy ◽  
Social Problem ◽  
Local Governments ◽  
Structured Interviews ◽  
Content Type ◽  
Study Approach ◽  
Local Stakeholders ◽  
Place Brand ◽  
The City

PurposeThis paper aims to focus on how a public policy designed to address a social problem ultimately became the place brand.Design/methodology/approachThis paper uses a qualitative case study approach focusing on the city of Medellín, Colombia. It draws from fieldwork conducted in Medellín over 2014 and 2015, including semi-structured interviews with an array of local stakeholders.FindingsThe paper concludes that local governments should be aware that the policymaking process can become part of their branding. It also shows the importance of the continual involvement of stakeholders in the place brand process to ensure it is a sustainable brand.Originality/valueThere are limited studies which focus on how a public policy designed to address a social problem ultimately becomes the place brand. This paper shows how a public policy, social urbanism, became the branding of Medellín.

Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery

2017 ◽  
Vol 17 (1) ◽  
pp. 45-53 ◽  
Author(s):  
Tina B Hansen ◽  
Selina K Berg ◽  
Kirstine L Sibilitz ◽  
Ann D Zwisler ◽  
Tone M Norekvål ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Heart Valve ◽  
Isolated Heart ◽  
Personal Responsibility ◽  
Training Programme ◽  
Valve Surgery ◽  
Rehabilitation Programme ◽  
Heart Valve Surgery ◽  
Structured Interviews ◽  
Cardiac Rehabilitation Programme

Background: Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. Aims: The purpose of this qualitative analysis was to gain insight into patients’ experiences in cardiac rehabilitation, the CopenHeartVR trial. This trial specifically assesses patients undergoing isolated heart valve surgery. Methods: Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2–3 weeks, 3–4 months and 8–9 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. Results: Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. Conclusions: Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes.

Effect of a Computerized Referral at Hospital Discharge on Cardiac Rehabilitation Participation Rates

2009 ◽  
Vol 29 (6) ◽  
pp. 365-369 ◽  
Author(s):  
Enkhtuyaa Mueller ◽  
Patrick D. Savage ◽  
David J. Schneider ◽  
Laura L. Howland ◽  
Philip A. Ades
Keyword(s):  
Cardiac Rehabilitation ◽  
Hospital Discharge ◽  
Participation Rates

Cancer and cardiovascular disease: The impact of cardiac rehabilitation and cardiorespiratory fitness on survival

2021 ◽  
Vol 343 ◽  
pp. 139-145
Author(s):  
Tamara Williamson ◽  
Chelsea Moran ◽  
Daniele Chirico ◽  
Ross Arena ◽  
Cemal Ozemek ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Cardiorespiratory Fitness ◽  
The Impact

scholarly journals Increasing Referral and Participation Rates to Outpatient Cardiac Rehabilitation: The Valuable Role of Healthcare Professionals in the Inpatient and Home Health Settings

Circulation ◽  
2012 ◽  
Vol 125 (10) ◽  
pp. 1321-1329 ◽  
Author(s):  
Ross Arena ◽  
Mark Williams ◽  
Daniel E. Forman ◽  
Lawrence P. Cahalin ◽  
Lola Coke ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Healthcare Professionals ◽  
Home Health ◽  
Participation Rates ◽  
Valuable Role

scholarly journals Older Adults’ Motivations for Participating in a “Tune-Up” of Their Driving Skills: A Multi-Stakeholder Analysis

2020 ◽  
pp. 073346482098241
Author(s):  
Ruheena Sangrar ◽  
Kyung Joon Mun ◽  
Lauren E. Griffith ◽  
Lori Letts ◽  
Brenda Vrkljan
Keyword(s):  
Older Adults ◽  
Stakeholder Analysis ◽  
Later Life ◽  
Community Dwelling ◽  
Older Drivers ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
Driver Training ◽  
Near Misses ◽  
Driving Experience

Driver training has the potential to keep older adults safe behind-the-wheel for longer, yet there is limited evidence describing factors that influence their willingness to participate in training. Focus groups with community-dwelling older drivers ( n = 23; 70–90 years) and semi-structured interviews with driving instructors ( n = 6) and occupational therapists ( n = 5) were conducted to identify these factors. Qualitative descriptive analyses highlighted how self-awareness of behind-the-wheel abilities in later life can influence an older adult’s motivation to participate in driver training, as well as their willingness to discuss their behaviors. Collision-involvement and near-misses prompted participants to reflect on their driving abilities and their openness to feedback. Participants’ preferences for learning contexts that use a strengths-based approach and validate the driving experience of older drivers, while providing feedback on behind-the-wheel performance, were raised. Older driver training initiatives that consider the needs of the aging population in their design can promote road safety and community mobility.

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