Perceptions of Patients and Health Professionals Regarding the Experience of Patients With a Hybrid Cardiac Rehabilitation Program.

Abstract

Hybrid cardiac rehabilitation (HCR), which combines supervised center-based and monitored home-based exercise programs, gained popularity during the COVID-19 pandemic. While HCR appears to be as effective as standard cardiac rehabilitation, patients' experiences within these programs remain largely unexplored. This study aimed to explore program participants' (PP) perceptions and healthcare professionals' (HP) impressions of PP' experiences with HCR. A qualitative descriptive design was used. Audio-recorded semi-structured interviews were conducted with PP and HP, who had experience with HCR. Data were analyzed thematically. Interviews with PP (n = 16) and HP (n = 12) revealed four main themes: having fewer sessions at the center reduces accessibility barriers; going to the center provides a chance to connect with others; feeling safe in a supervised environment helps regain confidence; and going through the program supports progress through the stages of behavior change. The HCR program was perceived as convenient, primarily because it required fewer trips to the center. The program helped PP overcome feelings of social isolation, and the center was perceived as a safe environment where PP could test their physical limits. The HCR program raised awareness of their eating habits and physical activity through education. Overall, PP' experiences with HCR were positive and aligned with HP' impressions. Since PP primarily emphasized the benefits of the in-center sessions, the benefits of this component should not be overlooked.