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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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Patient and practitioner perspectives on reducing sedentary behavior at an exercise-based cardiac rehabilitation
Aviroop Biswas1, Guy E Faulkner2, Paul I Oh3
1a Institute of Health Policy, Management & Evaluation , University of Toronto , Toronto , Canada.
Disability and Rehabilitation
|June 7, 2017
Summary
Patients in cardiac rehabilitation programs often underestimate the health risks of sedentary behavior. Interventions should increase awareness and use participatory approaches to help patients reduce prolonged sitting time.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Background:
- Sedentary lifestyles are increasingly prevalent, posing health risks.
- Cardiac rehabilitation programs focus on exercise but often overlook sedentary behavior.
- Understanding patient and staff perspectives is crucial for effective behavior change interventions.
Purpose of the Study:
- To assess awareness of sedentary behavior among cardiac rehabilitation patients and staff.
- To identify perceived facilitators and barriers to reducing sedentary behavior.
- To inform the development of targeted interventions within cardiac rehabilitation.
Main Methods:
- Qualitative study employing semi-structured interviews with 15 patients and two focus groups with six staff.
- Conducted within a large metropolitan cardiac rehabilitation program in Canada.
- Thematic analysis of transcribed interviews guided by an ecological framework.
Main Results:
- Patients undervalued reducing sedentary behavior, citing lack of perceived health benefits and associating it with relaxation.
- Staff recognized risks but prioritized other health behaviors over reducing sedentary time.
- Intrapersonal (health) and environmental (information, socio-cultural) factors influenced sedentary behavior in various settings.
Conclusions:
- Future interventions should enhance awareness of sedentary behavior's health benefits.
- Tailored, participatory strategies incorporating existing behavior change techniques are recommended.
- Cardiac rehabilitation programs need to integrate sedentary behavior reduction into their existing frameworks, supporting patients with achievable goals.
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