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Updated: May 31, 2026

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

Knowledge, attitudes and practices towards cardiac rehabilitation among patients with heart failure

Fang Wei1, Runze Huang1, Wei Li2

  • 1Department of cardiovascular medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, 550001, China.

BMC Public Health
|May 29, 2026
PubMed

Insights

Patients with heart failure show moderate knowledge and positive attitudes towards cardiac rehabilitation, but practice is not directly correlated with knowledge. Attitudes mediate the relationship between knowledge and practice, highlighting the need to address both factors for improved CR participation.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Science

Background:

  • Cardiac rehabilitation (CR) is crucial for patients with heart failure (HF).
  • Understanding patients' knowledge, attitudes, and practices (KAP) regarding CR is essential for effective intervention.
  • This study investigates KAP among HF patients.

Purpose of the Study:

  • To examine the knowledge, attitudes, and practices (KAP) related to cardiac rehabilitation (CR) among patients with heart failure (HF).
  • To explore the associations among KAP components using structural equation modeling (SEM).

Main Methods:

  • A cross-sectional study involving 589 patients with HF.
  • Data collected via a self-designed questionnaire assessing demographic information and KAP scores.
  • Structural equation modeling (SEM) used to analyze relationships between KAP components.

Main Results:

  • Mean scores: Knowledge (6.48±2.50), Attitude (29.36±4.50), Practice (28.18±7.35).
  • Knowledge positively impacted attitude (β=0.87) and negatively impacted practice (β=-1.06).
  • Attitude positively impacted practice (β=0.78), and knowledge indirectly impacted practice through attitude (β=0.68).

Conclusions:

  • HF patients exhibit moderate knowledge, positive attitudes, and active practices in CR.
  • Attitudes mediate the relationship between knowledge and practice, indicating a non-linear association.
  • Interventions should enhance CR knowledge and address attitudinal factors influencing practice translation.
Abstract

Keywords:
AttitudesCardiac rehabilitationCross-sectional studyHeart failureKnowledgePatient educationPractice

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