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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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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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Health Literacy of Patients Attending Cardiac Rehabilitation

Alison Beauchamp1, Robyn Sheppard, Frances Wise

  • 1Australian Centre for Heart Health, Melbourne, Australia (Drs Beauchamp and Jackson); Department of Medicine-Western Health, University of Melbourne, Australia (Dr Beauchamp); Australian Institute for Musculoskeletal Science, Melbourne, Australia (Dr Beauchamp); Monash University School of Rural Health, Warragul, Australia (Dr Beauchamp); Cardiac Rehabilitation Unit, Caulfield Hospital, Australia (Ms Sheppard and Dr Wise); Epworth Monash Rehabilitation Medicine Unit, Monash University, Australia (Dr Wise); Faculty of Health, Deakin University, Geelong, Australia (Dr Jackson); and Centre on Behavioural Health, University of Hong Kong, China (Dr Jackson).

Journal of Cardiopulmonary Rehabilitation and Prevention
|July 1, 2020
PubMed

Insights

Cardiac rehabilitation dropout is high, but health literacy (HL) profiles vary. Understanding diverse HL needs can improve patient engagement and outcomes in cardiac rehab programs.

Area of Science:

  • Cardiology
  • Public Health
  • Health Literacy Research

Background:

  • Cardiac rehabilitation (CR) is crucial for reducing cardiac events.
  • High dropout rates and challenges in maintaining behavioral changes post-CR are significant issues.
  • Health literacy (HL) is a potential factor influencing self-management of cardiac risk, yet its role in CR is under-explored.

Purpose of the Study:

  • To describe the health literacy profiles of individuals starting CR.
  • To examine changes in health literacy from CR program entry to completion.
  • To investigate the association between HL and CR dropout rates.

Main Methods:

  • Utilized the Health Literacy Questionnaire (HLQ) with CR attendees in Melbourne, Australia.
  • Employed cluster analysis to identify distinct HL profiles among participants.
  • Assessed changes in HLQ scores using effect sizes and conducted post-program interviews.

Main Results:

  • Identified five distinct health literacy clusters among CR attendees.
  • Participants with higher confidence in navigating the health system were more likely to drop out.
  • Information-seeking ability improved, but other aspects of HL did not significantly change during CR.
  • Approximately 18% of participants did not complete the program.

Conclusions:

  • A diverse range of health literacy profiles exists within the CR population.
  • CR programs need tailored approaches to address the varied HL needs of attendees.
  • Understanding HL profiles can inform strategies to reduce dropout and improve long-term outcomes.
Abstract

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