Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation: Intervention Mapping Study.
cardiac rehabilitation
coronary artery disease
e-coaching
eHealth
information needs
intervention mapping approach
remote coaching
support needs
Journal
JMIR cardio
ISSN: 2561-1011
Titre abrégé: JMIR Cardio
Pays: Canada
ID NLM: 101718325
Informations de publication
Date de publication:
25 May 2022
25 May 2022
Historique:
received:
15
11
2021
accepted:
11
05
2022
revised:
18
02
2022
entrez:
25
5
2022
pubmed:
26
5
2022
medline:
26
5
2022
Statut:
epublish
Résumé
Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support. We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies. Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can't do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program. This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
Sections du résumé
BACKGROUND
BACKGROUND
Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR).
OBJECTIVE
OBJECTIVE
The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support.
METHODS
METHODS
We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies.
RESULTS
RESULTS
Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can't do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program.
CONCLUSIONS
CONCLUSIONS
This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
Identifiants
pubmed: 35612879
pii: v6i1e34974
doi: 10.2196/34974
pmc: PMC9178457
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e34974Informations de copyright
©Paul Keessen, Ingrid CD van Duijvenbode, Corine HM Latour, Roderik A Kraaijenhagen, Veronica R Janssen, Harald T Jørstad, Wilma JM Scholte op Reimer, Bart Visser. Originally published in JMIR Cardio (https://cardio.jmir.org), 25.05.2022.
Références
J Vasc Nurs. 2016 Sep;34(3):93-9
pubmed: 27568316
Patient Educ Couns. 2014 May;95(2):160-74
pubmed: 24529720
Heart Lung. 2017 May - Jun;46(3):159-165
pubmed: 28411960
J Theory Pract Dent Public Health. 2013 Nov;1(3):
pubmed: 25328904
Cochrane Database Syst Rev. 2012 Nov 14;11:CD001919
pubmed: 23152210
EuroIntervention. 2015 Mar 22;10(11):e1-7
pubmed: 24472705
Heart Lung. 2016 Sep-Oct;45(5):416-22
pubmed: 27664313
Health Psychol Rev. 2016 Sep;10(3):297-312
pubmed: 26262912
Eur J Cardiovasc Nurs. 2016 Feb;15(1):55-63
pubmed: 25208726
AACN Clin Issues Crit Care Nurs. 1994 Feb;5(1):59-65
pubmed: 7767798
J Clin Nurs. 2010 May;19(9-10):1352-61
pubmed: 20500345
Am J Lifestyle Med. 2016 Nov;10(6):356-368
pubmed: 28217036
Nurs Health Sci. 2011 Sep;13(3):238-45
pubmed: 21615656
J Adv Nurs. 2001 Mar;33(6):748-57
pubmed: 11298212
Hippokratia. 2006 Oct;10(4):176-81
pubmed: 22087057
Eur J Cardiovasc Nurs. 2017 Jun;16(5):444-452
pubmed: 28111970
Eur J Cardiovasc Nurs. 2017 Dec;16(8):715-723
pubmed: 28513199
Neth Heart J. 2017 Nov;25(11):618-628
pubmed: 28917025
BMC Cardiovasc Disord. 2020 Nov 23;20(1):495
pubmed: 33228521
Thorac Cardiovasc Surg. 2009 Feb;57(1):22-4
pubmed: 19169992
Aging Clin Exp Res. 2021 Apr;33(4):957-964
pubmed: 32415667
Health Psychol. 2014 Dec;33(12):1614-7
pubmed: 24490644
Heart Lung. 1997 Sep-Oct;26(5):350-7
pubmed: 9315463
J Am Coll Cardiol. 2016 Jan 5;67(1):1-12
pubmed: 26764059
JMIR Mhealth Uhealth. 2019 Dec 13;7(12):e13311
pubmed: 31833836
J Clin Nurs. 2011 Apr;20(7-8):1160-7
pubmed: 21385251
BMC Fam Pract. 2016 Sep 20;17:136
pubmed: 27646507
Eur J Cardiovasc Nurs. 2004 Jul;3(2):149-63
pubmed: 15234319
Eur J Cardiovasc Nurs. 2016 Dec;15(7):513-521
pubmed: 26588939
Eur J Cardiovasc Nurs. 2003 Sep;2(3):189-94
pubmed: 14622626
Neth Heart J. 2020 Sep;28(9):443-451
pubmed: 32495296
Front Digit Health. 2021 Aug 06;3:642818
pubmed: 34713112
Iran J Nurs Midwifery Res. 2015 Jul-Aug;20(4):442-9
pubmed: 26257798
J Clin Nurs. 2017 May;26(9-10):1264-1280
pubmed: 27535229
Patient Educ Couns. 2005 Feb;56(2):211-7
pubmed: 15653251
Disabil Rehabil. 2016;38(3):268-76
pubmed: 25885667
BMC Cardiovasc Disord. 2017 Mar 14;17(1):77
pubmed: 28288580
J Med Internet Res. 2021 Feb 8;23(2):e18773
pubmed: 33555259
Eur J Prev Cardiol. 2020 Mar;27(5):478-489
pubmed: 31597473
Patient Educ Couns. 2017 Dec;100(12):2218-2230
pubmed: 28662874
JMIR Mhealth Uhealth. 2016 Jun 24;4(2):e57
pubmed: 27342791
Heart Lung. 2000 May-Jun;29(3):161-72
pubmed: 10819798
Eur J Cardiovasc Nurs. 2012 Mar;11(1):14-24
pubmed: 21030311
J Clin Nurs. 2011 Jan;20(1-2):227-35
pubmed: 20550622
J Clin Nurs. 2014 Jun;23(11-12):1708-17
pubmed: 24175928
Eur J Prev Cardiol. 2018 Jan;25(1):19-28
pubmed: 29120237
Scand J Prim Health Care. 2019 Mar;37(1):41-52
pubmed: 30732519
Patient Educ Couns. 2014 Apr;95(1):143-50
pubmed: 24457175
J Am Med Inform Assoc. 2008 Jan-Feb;15(1):8-13
pubmed: 17947617
J Med Educ. 1988 Oct;63(10):785-92
pubmed: 3050102
Sultan Qaboos Univ Med J. 2019 May;19(2):e122-e128
pubmed: 31538010
PLoS One. 2018 Dec 26;13(12):e0209826
pubmed: 30586425
Health Educ Behav. 1998 Oct;25(5):545-63
pubmed: 9768376
Heart Lung. 1997 Mar-Apr;26(2):109-17
pubmed: 9090515
Eur J Prev Cardiol. 2019 Apr;26(6):606-608
pubmed: 30486650
Prog Cardiovasc Dis. 2011 May-Jun;53(6):464-70
pubmed: 21545933
J Clin Nurs. 2013 Apr;22(7-8):930-8
pubmed: 22784274
Int J Technol Assess Health Care. 2016 Jan;32(4):284-291
pubmed: 27751189
Heart Lung. 2009 May-Jun;38(3):182-91
pubmed: 19486786
Atherosclerosis. 2005 Feb;178(2):339-44
pubmed: 15694943
J Cardiovasc Nurs. 2011 Mar-Apr;26(2):145-67
pubmed: 21076315
Open Heart. 2016 Feb 08;3(1):e000369
pubmed: 26870390
Med J Aust. 2008 Jun 16;188(S12):S142-4
pubmed: 18558916
Glob J Health Sci. 2015 Nov 18;8(7):126-34
pubmed: 26925909
J Clin Nurs. 2017 Feb;26(3-4):418-426
pubmed: 27270582
J Community Health. 2009 Aug;34(4):321-7
pubmed: 19353250