Exploring the Needs and Preferences of Athletes in Cardiac (Tele)Rehabilitation to Enhance Rehabilitation Outcome: A Qualitative Study.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S498408
Lonneke Fruytier, Irina Bianca Serban, Danny A J P Van de Sande, Sara Colombo, Steven Houben, Aarnout Brombacher, Hareld Kemps
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引用次数: 0

Abstract

Purpose: To define the user needs and preferences of the athletic population in cardiac (tele)rehabilitation (CTR).

Patients and methods: In this qualitative study, we included athletes with established coronary artery disease (CAD) who participated in a cardiac rehabilitation (CR) program and health care professionals involved in CR. All athletes engaged in sports for at least four hours per week. Fourteen male and one female athlete (mean age 63 ± 10.6 years) participated in CR after an acute coronary syndrome, percutaneous coronary intervention and/or coronary bypass surgery. The twelve healthcare professionals invited included cardiac nurse practitioners, cardiologists, sports physicians, physiotherapists, and a clinical psychologist. This study consists of four phases: a stakeholder identification session, twenty-five semi-structured individual interviews, six card-sorting focus groups and a data analysis phase with thematic analysis.

Results: User needs for athletes in CR encompass personalized exercise plans featuring clear and quantifiable exercise recommendations and limitations. Additionally, there is a need for monitoring health and exercise data; measuring progression and performance longitudinally; easy-to-use, and reliable healthcare information systems with accurate sensors and data; as well as clinical supervision and validation of information and data. Social support from both peers and family is also identified as a crucial need. The preferred technological features for a CTR system tailored for athletes include periodic digital consultations with clinicians, home-based training specific to one's sport, utilization of technology to monitor workouts, data sharing and remote feedback, personalized exercise recommendations and online educational materials.

Conclusion: This research explored the user needs and preferences of athlete patients in CR. The findings indicated that enhancing CR for athletes necessitates a personalized and sport-specific methodology. The integration of various technological features within a CTR program can play a pivotal role in assisting athletes with CAD to maintain an active lifestyle and regain their previous athletic performance levels.

探讨运动员在心脏(远程)康复中的需求和偏好以提高康复效果:一项定性研究。
目的:确定心脏(远程)康复(CTR)中运动员群体的用户需求和偏好:在这项定性研究中,我们纳入了参与心脏康复(CR)项目的已确诊冠状动脉疾病(CAD)运动员和参与心脏康复的医护人员。所有运动员每周至少运动四小时。14名男运动员和1名女运动员(平均年龄为63±10.6岁)在急性冠状动脉综合征、经皮冠状动脉介入治疗和/或冠状动脉搭桥手术后参加了心脏康复计划。受邀的 12 名专业医护人员包括心脏科护士、心脏病专家、运动医师、理疗师和一名临床心理学家。本研究包括四个阶段:利益相关者识别会议、25 个半结构化个人访谈、6 个卡片分类焦点小组和专题分析的数据分析阶段:结果:CR 运动员的用户需求包括个性化的运动计划,具有明确、可量化的运动建议和限制。此外,还需要监测健康和运动数据;纵向测量进展和表现;易于使用且可靠的医疗保健信息系统,并配备准确的传感器和数据;以及临床监督和信息与数据验证。来自同伴和家人的社会支持也被认为是一项关键需求。为运动员量身定制的 CTR 系统的首选技术功能包括:与临床医生的定期数字咨询、针对个人运动的家庭训练、利用技术监测锻炼情况、数据共享和远程反馈、个性化锻炼建议和在线教育材料:本研究探讨了运动员患者在 CR 方面的用户需求和偏好。研究结果表明,要提高运动员的 CR 能力,就必须采用个性化和针对特定运动的方法。在CTR计划中整合各种技术功能,可在帮助患有CAD的运动员保持积极的生活方式和恢复以往的运动表现水平方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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