The Process of Patient Engagement in Cardiac Rehabilitation: A Model-Centric Systematic Review

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2018-11-13 DOI:10.1017/bec.2018.20

Sepideh Jahandideh, E. Kendall, S. Low-Choy, K. Donald, R. Jayasinghe

{"title":"The Process of Patient Engagement in Cardiac Rehabilitation: A Model-Centric Systematic Review","authors":"Sepideh Jahandideh, E. Kendall, S. Low-Choy, K. Donald, R. Jayasinghe","doi":"10.1017/bec.2018.20","DOIUrl":null,"url":null,"abstract":"Abstract This study aimed to compile existing evidence about the proposed relationships among variables at three stages of the model of therapeutic engagement (MTE): patient intention to engage in cardiac rehabilitation (CR), CR initiation, and sustained engagement. This model has not been tested in any rehabilitation setting. Therefore, this systematic literature review is key to future research and application of MTE to predict and enhance patient engagement in CR. Model-centric systematic literature reviews have been conducted for each stage of the MTE. A coherent approach to understanding and monitoring the process of patient engagement in CR is absent. Few relevant studies included in the model-centric reviews met the criteria: eight in stage 1, four in stage 2, and six in stage 3 of the MTE. In total, the tenets of the MTE were supported in patient intention to engage in CR. However, there was less evidence quantifying the proposed relationships among variables that impact on CR initiation and sustained engagement. There is a scarcity of research examining rehabilitation engagement in depth to better understand the complicated process contributing to behavioural outcomes. No decision-support models currently exist to alert patients and healthcare provider to the factors that influence non-engagement.","PeriodicalId":46485,"journal":{"name":"Behaviour Change","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2018-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/bec.2018.20","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behaviour Change","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1017/bec.2018.20","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 6

Abstract

Abstract This study aimed to compile existing evidence about the proposed relationships among variables at three stages of the model of therapeutic engagement (MTE): patient intention to engage in cardiac rehabilitation (CR), CR initiation, and sustained engagement. This model has not been tested in any rehabilitation setting. Therefore, this systematic literature review is key to future research and application of MTE to predict and enhance patient engagement in CR. Model-centric systematic literature reviews have been conducted for each stage of the MTE. A coherent approach to understanding and monitoring the process of patient engagement in CR is absent. Few relevant studies included in the model-centric reviews met the criteria: eight in stage 1, four in stage 2, and six in stage 3 of the MTE. In total, the tenets of the MTE were supported in patient intention to engage in CR. However, there was less evidence quantifying the proposed relationships among variables that impact on CR initiation and sustained engagement. There is a scarcity of research examining rehabilitation engagement in depth to better understand the complicated process contributing to behavioural outcomes. No decision-support models currently exist to alert patients and healthcare provider to the factors that influence non-engagement.

查看原文本刊更多论文

心脏康复患者参与的过程:一个以模型为中心的系统综述

摘要本研究旨在汇编关于治疗参与模型（MTE）三个阶段变量之间拟议关系的现有证据：患者参与心脏康复（CR）的意愿、CR启动和持续参与。该模型尚未在任何康复环境中进行测试。因此，这项系统的文献综述是未来研究和应用MTE预测和增强患者参与CR的关键。已经对MTE的每个阶段进行了以模型为中心的系统文献综述。缺乏一种连贯的方法来理解和监测CR患者参与的过程。以模型为中心的审查中很少有相关研究符合标准：MTE的第1阶段有8项，第2阶段有4项，第3阶段有6项。总的来说，MTE的原则在患者参与CR的意愿中得到了支持。然而，很少有证据量化影响CR启动和持续参与的变量之间的拟议关系。很少有研究深入研究康复参与，以更好地了解导致行为结果的复杂过程。目前还没有决策支持模型来提醒患者和医疗保健提供者注意影响不参与的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.