Henita J Menezes, Sonia R B D'Souza, Ramachandran Padmakumar, Abraham S Babu, Rohini R Rao, Meenakshi Garg, Namratha P Kotebagilu, Veena G Kamath, Asha Kamath, Akhila Satyamurthy, Shrikant Sahu, Sherry L Grace
{"title":"基于技术的女性心脏康复治疗(TaCT):中等收入环境下干预的可实施性、可用性、参与度和可接受性。","authors":"Henita J Menezes, Sonia R B D'Souza, Ramachandran Padmakumar, Abraham S Babu, Rohini R Rao, Meenakshi Garg, Namratha P Kotebagilu, Veena G Kamath, Asha Kamath, Akhila Satyamurthy, Shrikant Sahu, Sherry L Grace","doi":"10.4103/jehp.jehp_2200_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Despite the benefits of cardiac rehabilitation (CR), women are under-represented, especially in lower-income settings. Technology may be leveraged to tailor CR to better engage women, but this has never been tested in a middle-income country. This study assessed the implementability, usability, engagement, and acceptability of Technology-bAsed Cardiac rehabilitation Therapy (TaCT) in women with cardiovascular disease (CVD) in a middle-income country.</p><p><strong>Materials and methods: </strong>Data from intervention arm participants in a randomized trial was analyzed. The trial was undertaken in the outpatient cardiology department of a private tertiary care center in India. The 6-month CR intervention was delivered via an app (individualized secondary prevention recommendations), website (patient education), WhatsApp (standardized behavior change promotion messages, yoga/relaxation video, support chat), and bi-weekly one-on-one phone calls with a nurse trainee (risk factor management). At the end of the intervention, participants' engagement, usability (System Usability Scale), and, acceptability (/5) of the program were evaluated using descriptive statistics.</p><p><strong>Results: </strong>50 women were randomized to intervention; one died and 49 (100%) were retained. Some participants faced challenges such as internet availability issues and technical glitches. There were no adverse events. Engagement was high for calls (mean = 11.6 ± 1.4/12), WhatsApp messages (mean = 34.2 ± 4.6/36 read) the website (74-151 hits/education page), and the mobile app (7.2 ± 4.2 times/patient); there were no group chat messages. Usability was rated as \"excellent\" (94.7 ± 5.2/100). Acceptability with the overall intervention was high (means ≥4.5/5), but was lower for information understandability, including diet and exercise recommendations.</p><p><strong>Conclusions: </strong>Favorable implementability and acceptability, as well as excellent usability and engagement with TaCT were established. Along with favorable outcome results, this suggests that TaCT may serve as a valuable intervention to improve women's access and adherence to CR in resource-constrained environments.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"287"},"PeriodicalIF":1.3000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413114/pdf/","citationCount":"0","resultStr":"{\"title\":\"Technology-bAsed cardiac rehabilitation therapy (TaCT) for women: Intervention implementability, usability, engagement and acceptability in a middle-income setting.\",\"authors\":\"Henita J Menezes, Sonia R B D'Souza, Ramachandran Padmakumar, Abraham S Babu, Rohini R Rao, Meenakshi Garg, Namratha P Kotebagilu, Veena G Kamath, Asha Kamath, Akhila Satyamurthy, Shrikant Sahu, Sherry L Grace\",\"doi\":\"10.4103/jehp.jehp_2200_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Despite the benefits of cardiac rehabilitation (CR), women are under-represented, especially in lower-income settings. Technology may be leveraged to tailor CR to better engage women, but this has never been tested in a middle-income country. This study assessed the implementability, usability, engagement, and acceptability of Technology-bAsed Cardiac rehabilitation Therapy (TaCT) in women with cardiovascular disease (CVD) in a middle-income country.</p><p><strong>Materials and methods: </strong>Data from intervention arm participants in a randomized trial was analyzed. The trial was undertaken in the outpatient cardiology department of a private tertiary care center in India. The 6-month CR intervention was delivered via an app (individualized secondary prevention recommendations), website (patient education), WhatsApp (standardized behavior change promotion messages, yoga/relaxation video, support chat), and bi-weekly one-on-one phone calls with a nurse trainee (risk factor management). At the end of the intervention, participants' engagement, usability (System Usability Scale), and, acceptability (/5) of the program were evaluated using descriptive statistics.</p><p><strong>Results: </strong>50 women were randomized to intervention; one died and 49 (100%) were retained. Some participants faced challenges such as internet availability issues and technical glitches. There were no adverse events. Engagement was high for calls (mean = 11.6 ± 1.4/12), WhatsApp messages (mean = 34.2 ± 4.6/36 read) the website (74-151 hits/education page), and the mobile app (7.2 ± 4.2 times/patient); there were no group chat messages. Usability was rated as \\\"excellent\\\" (94.7 ± 5.2/100). Acceptability with the overall intervention was high (means ≥4.5/5), but was lower for information understandability, including diet and exercise recommendations.</p><p><strong>Conclusions: </strong>Favorable implementability and acceptability, as well as excellent usability and engagement with TaCT were established. Along with favorable outcome results, this suggests that TaCT may serve as a valuable intervention to improve women's access and adherence to CR in resource-constrained environments.</p>\",\"PeriodicalId\":15581,\"journal\":{\"name\":\"Journal of Education and Health Promotion\",\"volume\":\"14 \",\"pages\":\"287\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413114/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Education and Health Promotion\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jehp.jehp_2200_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Education and Health Promotion","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jehp.jehp_2200_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Technology-bAsed cardiac rehabilitation therapy (TaCT) for women: Intervention implementability, usability, engagement and acceptability in a middle-income setting.
Background: Despite the benefits of cardiac rehabilitation (CR), women are under-represented, especially in lower-income settings. Technology may be leveraged to tailor CR to better engage women, but this has never been tested in a middle-income country. This study assessed the implementability, usability, engagement, and acceptability of Technology-bAsed Cardiac rehabilitation Therapy (TaCT) in women with cardiovascular disease (CVD) in a middle-income country.
Materials and methods: Data from intervention arm participants in a randomized trial was analyzed. The trial was undertaken in the outpatient cardiology department of a private tertiary care center in India. The 6-month CR intervention was delivered via an app (individualized secondary prevention recommendations), website (patient education), WhatsApp (standardized behavior change promotion messages, yoga/relaxation video, support chat), and bi-weekly one-on-one phone calls with a nurse trainee (risk factor management). At the end of the intervention, participants' engagement, usability (System Usability Scale), and, acceptability (/5) of the program were evaluated using descriptive statistics.
Results: 50 women were randomized to intervention; one died and 49 (100%) were retained. Some participants faced challenges such as internet availability issues and technical glitches. There were no adverse events. Engagement was high for calls (mean = 11.6 ± 1.4/12), WhatsApp messages (mean = 34.2 ± 4.6/36 read) the website (74-151 hits/education page), and the mobile app (7.2 ± 4.2 times/patient); there were no group chat messages. Usability was rated as "excellent" (94.7 ± 5.2/100). Acceptability with the overall intervention was high (means ≥4.5/5), but was lower for information understandability, including diet and exercise recommendations.
Conclusions: Favorable implementability and acceptability, as well as excellent usability and engagement with TaCT were established. Along with favorable outcome results, this suggests that TaCT may serve as a valuable intervention to improve women's access and adherence to CR in resource-constrained environments.