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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.6K

Exploring patient-reported outcomes of home-based cardiac rehabilitation in relation to Scottish, UK and European

Hannah Ranaldi1, Carolyn Deighan1, Louise Taylor1

  • 1The Heart Manual Department, NHS Lothian, Edinburgh, UK.

BMJ Open
|December 19, 2018
PubMed

Insights

The UK's leading home-based cardiac rehabilitation programme, the Heart Manual (HM), effectively supports patients post-heart attack. Patients reported significant positive impacts on their daily lives, particularly from health behavior change and psychosocial support elements.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • The Heart Manual (HM) is a prominent UK home-based cardiac rehabilitation (CR) program.
  • It targets individuals recovering from myocardial infarction and revascularisation.

Purpose of the Study:

  • To audit patient-reported outcomes of the home-based CR program.
  • To assess alignment with current Scottish, UK, and European guidelines.

Main Methods:

  • Qualitative data from 457 patient questionnaires (2011-2018) were analyzed.
  • Thematic analysis was guided by seven themes from established CR guidelines.

Main Results:

  • Patients reported significant impacts from health behavior change and psychosocial support.
  • Education and social support were also frequently cited as beneficial.
  • Medical risk management, vocational rehabilitation, and long-term strategies were less frequently mentioned.

Conclusions:

  • The Heart Manual (HM) is a comprehensive CR program aligning with national and international guidelines.
  • Patients reported profound positive impacts on their daily lives, highlighting its advantage for cardiac recovery.
Abstract

Keywords:
cardiac rehabilitationevidenced basedguidelineshome-basedpatient experiencepatient reported outcomes

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