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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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A client-centred programme focusing energy conservation for people with heart failure
Eva-Britt Norberg1, Britta Löfgren1, Kurt Boman2
1a Department of Community Medicine and Rehabilitation , Occupational Therapy, Umeå University, Umeå , Sweden.
Scandinavian Journal of Occupational Therapy
|January 6, 2017
Summary
This study explored home-based energy conservation strategies (ECS) for chronic heart failure (CHF) clients. Both clients and occupational therapists (OTs) found the program valuable, though OTs questioned its clinical practice feasibility.
Area of Science:
- Occupational Therapy
- Cardiology
- Public Health
Background:
- Chronic heart failure (CHF) significantly impacts clients' daily lives and independence.
- Energy conservation strategies (ECS) are crucial for managing CHF symptoms and improving quality of life.
- Occupational therapy (OT) offers a client-centered approach to support individuals with chronic conditions.
Purpose of the Study:
- To explore the experiences of clients with CHF and occupational therapists (OTs) regarding a home-based program focused on energy conservation strategies (ECS).
- To understand the perceived benefits and challenges of implementing ECS within a primary healthcare setting for CHF management.
Main Methods:
- A home-based program utilizing the Occupational Therapy Intervention Process Model (OTIPM) was implemented by two OTs.
- Data were collected through client self-reports on activities of daily living (ADL), fatigue, depression, goal achievement, and ECS use.
- Individual interviews were conducted with both clients and OTs to gather qualitative insights.
Main Results:
- Clients reported experiencing mild depression, severe fatigue, and fluctuating independence in ADL.
- Most clients achieved their goals and utilized various ECS, perceiving collaborative support from OTs.
- OTs gained knowledge and structure from the program but expressed reservations about its clinical applicability.
Conclusions:
- The specialized program provided structure and knowledge for OTs, enhancing their client-centered approach for CHF management.
- Clients experienced valuable support and learned effective ECS, leading to improved daily functioning.
- Further evaluation is necessary to determine the program's feasibility for broader clinical implementation.
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