Evaluating the Technology Acceptance of Home-based Cardiac Telerehabilitation Programmes in patients with Coronary Heart Disease: A Systematic Scoping Review (Preprint)

2021 ◽  
Author(s):  
Hadassah Joann RAMACHANDRANa Jr ◽  
Ying Jiang Jr ◽  
Jun Yi Claire TEO Jr ◽  
Tee Joo YEO Sr ◽  
Wenru WANG Jr

BACKGROUND An understanding of the technology acceptance of home-based cardiac telerehabilitation (HBCTR) programmes is paramount if they are to be designed and delivered to target the needs and preferences of coronary heart disease (CHD) patients. However, the current state of technology acceptance of HBCTR has not been systematically evaluated in the literature. OBJECTIVE This scoping review aimed to provide a comprehensive summary of HBCTR technology acceptance in terms of (a) the timing and approaches used and (b) patients’ perspectives on its usability, utility, acceptability, acceptance, and external variables. METHODS We searched PubMed, CENTRAL, Embase, CINAHL, PsycINFO and Scopus from inception till July 2021 for English language publications that reported empirical evidence on the technology acceptance of phase 2 HBCTR in patients with CHD. Content analysis was undertaken. RESULTS The search identified 1798 studies, of which 18 studies met eligibility criteria and reported 14 unique HBCTR programmes. Majority of included programmes evaluated technology acceptance at the intra- and post-trial stages using questionnaires (n = 10) and captured usage data (n = 11). Qualitative interviews were the least used approach (n = 3). Usability, utility, acceptability, and acceptance were generally favoured. External variables influencing HBCTR usage included component quality, system quality, facilitating conditions and intrinsic factors. CONCLUSIONS HBCTR usability, utility, acceptability, and acceptance were high. Yet, a number of external variables influenced technology acceptance of HBCTR programmes. Findings from this review can be used to provide guidance for stakeholders and clinicians in developing and evaluating patient-centered HBCTR programmes. CLINICALTRIAL NA

Author(s):  
Ladislav Batalik ◽  
Vladimir Konecny ◽  
Filip Dosbaba ◽  
Daniela Vlazna ◽  
Kristian Brat

This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.


Author(s):  
Pramitha Esha Nirmala Dewi ◽  
Zahratul Mulazamah

Background: Coronary heart disease (CHD) is a progressive disease that continues to increase every year in Indonesia so it becomes a problem and a threat to the community. CHD has several factors that affect the quality of life, both in terms of physical, social, psychological, and environmental. The purpose of this research is to illustrate domain WHOQOL-BREFF and SAQ-7 to the quality of life of CHD which is undergoing outpatient at one of Secondary Hospital in Yogyakarta, Indonesia.Methods: This observational study was involving all patients with CHD who came to the Cardiology Outpatient Department during 4 months study period. There were 90 patients who met with eligibility criteria and willing to participate in the study. The SAQ-7 and WHOQOL-BREFF were used to measure the quality of life among the participants.Results: Generally, all the participants in this study considered in the high quality of life even they had been diagnosed with CHD. Among all the participants, surprisingly 97% participants by WHOQOL-BREF and 91% participants by SAQ-7 reported in the high score of quality of life. The most supported factor for their quality of life defined by WHOQOL-BREF was the Psychological domain with r=0.870 and the Treatment Satisfaction with r=0.830 defined by SAQ-7.Conclusions: The highest supportive factor for patient’s quality of life with carrying CHD were the psychological domain and their treatment satisfaction.


Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 281-283
Author(s):  
Mahboubeh Ghayour Najafabadi ◽  
Amir Sobhrakhshan Khah ◽  
Mitch Rostad

The COVID-19 pandemic has affected the entire world. It is difficult to follow protocols and regulations set forth by governments, designed by the World Health Organization. The most common protocol set forth by governments is quarantining at home. Many occupations must stay home to comply with this protocol. Among these occupations, office workers are the most common group to comply and work from home. This has led to a lack of daily movement and increased sedentary lifestyle, which has made employees prone to developing coronary heart disease (CHD). Additionally, obesity is a known risk factor for this group. This commentary presents feasible protocols aimed at helping home-based office workers stay healthy and decrease the risk of developing CHD.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Jacky Boivin ◽  
Judith Carrier ◽  
Joseph Mumba Zulu ◽  
Deborah Edwards

Abstract Background Fear of infertility (FOI) is often reported in studies about reproductive health but this literature not yet mapped. The aim of this rapid scoping review of qualitative studies was to describe the nature of FOI in Africa. Methods Eligibility criteria were qualitative data from Africa reporting views of women and men of any age. MEDLINE and CINAHL databases were searched for English language citations to February 2019 using keywords related to fear, infertility and Africa. Two independent reviewers screened texts for inclusion. Results Of 248 citations identified, 38 qualitative and six review papers were included. FOI was reported in diverse groups (e.g., men, women, fertile, infertile, married, unmarried, teachers, religious leaders). Two types of fears were identified: (1) fear of triggering infertility due to specific reproductive choices and (2) fear of the dire future consequences of infertility. Choices were perceived to affect fertility via internal accumulation and blockage (e.g., of menstrual blood), structural damage (e.g., burnt eggs), internal movement of contraceptive material, deliberate toxicity preventing population growth and behavioral effects impeding sexual activity. Diverse feared consequences of infertility were reported (e.g., polygamy, economic hardships). Fears were reported to affect reproductive behaviour (e.g., stopping contraception), help-seeking and social behaviour. Conclusion FOI is a phenomenon that should be studied in its own right. Fears could originate from genuine threats, incorrect knowledge, distortions of truths, or dissemination of false information. Rigorous studies are needed to better understand FOI and integrate it in health education, client counselling and family planning service provision.


Medicine ◽  
2020 ◽  
Vol 99 (47) ◽  
pp. e23126
Author(s):  
Filip Dosbaba ◽  
Martin Hartman ◽  
Jakub Hnatiak ◽  
Ladislav Batalik ◽  
Ondrej Ludka

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024473 ◽  
Author(s):  
Wendy Rogers ◽  
Matthew P Robertson ◽  
Angela Ballantyne ◽  
Brette Blakely ◽  
Ruby Catsanos ◽  
...  

ObjectivesThe objective of this study is to investigate whether papers reporting research on Chinese transplant recipients comply with international professional standards aimed at excluding publication of research that: (1) involves any biological material from executed prisoners; (2) lacks Institutional Review Board (IRB) approval and (3) lacks consent of donors.DesignScoping review based on Arksey and O’Mallee’s methodological framework.Data sourcesMedline, Scopus and Embase were searched from January 2000 to April 2017.Eligibility criteriaWe included research papers published in peer-reviewed English-language journals reporting on outcomes of research involving recipients of transplanted hearts, livers or lungs in mainland China.Data extraction and synthesisData were extracted by individual authors working independently following training and benchmarking. Descriptive statistics were compiled using Excel.Results445 included studies reported on outcomes of 85 477 transplants. 412 (92.5%) failed to report whether or not organs were sourced from executed prisoners; and 439 (99%) failed to report that organ sources gave consent for transplantation. In contrast, 324 (73%) reported approval from an IRB. Of the papers claiming that no prisoners’ organs were involved in the transplants, 19 of them involved 2688 transplants that took place prior to 2010, when there was no volunteer donor programme in China.DiscussionThe transplant research community has failed to implement ethical standards banning publication of research using material from executed prisoners. As a result, a large body of unethical research now exists, raising issues of complicity and moral hazard to the extent that the transplant community uses and benefits from the results of this research. We call for retraction of this literature pending investigation of individual papers.


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