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。

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-07-31 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_2200_24
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
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引用次数: 0

摘要

背景:尽管心脏康复(CR)有好处,但妇女的代表性不足,特别是在低收入地区。可以利用技术来调整企业社会责任,以更好地吸引女性,但这从未在中等收入国家进行过测试。本研究评估了中等收入国家心血管疾病(CVD)妇女的技术心脏康复治疗(TaCT)的可实施性、可用性、参与度和可接受性。材料和方法:对随机试验干预组参与者的数据进行分析。该试验是在印度一家私立三级护理中心的门诊心脏病科进行的。为期6个月的CR干预通过应用程序(个性化二级预防建议)、网站(患者教育)、WhatsApp(标准化行为改变促进信息、瑜伽/放松视频、支持聊天)和每两周一次与实习护士的一对一电话(风险因素管理)进行。在干预结束时,参与者的参与度、可用性(系统可用性量表)和程序的可接受性(/5)使用描述性统计进行评估。结果:50名妇女随机接受干预;死亡1只,保留49只(100%)。一些参与者面临着互联网可用性问题和技术故障等挑战。没有不良事件发生。电话(平均= 11.6±1.4/12)、WhatsApp消息(平均= 34.2±4.6/36阅读)、网站(74-151点击/教育页面)和移动应用程序(7.2±4.2次/患者)的参与度较高;没有群组聊天信息。可用性被评为“优秀”(94.7±5.2/100)。总体干预的可接受性较高(平均值≥4.5/5),但包括饮食和运动建议在内的信息可理解性较低。结论:建立了良好的可实施性和可接受性,以及良好的可用性和对TaCT的参与。除了良好的结果外,这表明TaCT可以作为一种有价值的干预措施,在资源受限的环境中改善妇女对CR的获取和坚持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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