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Perspectives on Contextual Information in Dutch Cardiac Rehab: Implications for Holistic Telemonitoring

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Abstract

Cardiac telerehabilitation (CTR) relies heavily on telemonitoring, predominantly gathering automated biophysical or survey data for clinical decision-making. However, lifestyle change during and after cardiac rehabilitation (CR) outside hospitals is impacted by many contextual factors, including mental well-being or social support. Failure to acknowledge these factors in remote cardiac care could result in healthcare professionals (HCPs) offering standardized recommendations that hinder health management. To gain insights into the utilization of contextual information in clinical decision-making in Dutch CR, we conducted semi-structured interviews with seven HCPs and CR experts. Our data analysis highlights the importance of routine, physical, and psychosocial information during holistic clinical decision-making. We argue for a transition towards a holistic approach to telemonitoring in CTR, discussing implications for more inclusive and contextual data-gathering practices.
Original languageEnglish
Title of host publicationPervasive Computing Technologies for Healthcare
Subtitle of host publication18th EAI International Conference, PervasiveHealth 2024, Heraklion, Crete, Greece, September 17–18, 2024, Proceedings, Part II
EditorsHaridimos Kondylakis, Andreas Triantafyllidis
Place of PublicationCham
PublisherSpringer
Pages121-147
Number of pages27
ISBN (Electronic)978-3-031-85575-7
ISBN (Print)978-3-031-85574-0
DOIs
Publication statusPublished - 23 Apr 2025
Event18th EAI International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2024 - Foundation for Research and Technology-Hellas, Heraklion, Crete, Greece
Duration: 17 Sept 202418 Sept 2024
Conference number: 18
https://pervasivehealth.eai-conferences.org/2024/

Publication series

NameLecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering (LNICST)
Volume612
ISSN (Print)1867-8211
ISSN (Electronic)1867-822X

Conference

Conference18th EAI International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2024
Country/TerritoryGreece
CityHeraklion, Crete
Period17/09/2418/09/24
Internet address

Funding

This work is supported by the ITEA 4 INNO4HEALTH 19008 Project

Keywords

  • cardiac rehabilitation
  • contextual information
  • holisitc care
  • telemonitoring
  • qualitative study
  • holistic care

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