Abstract
Aims : Current cardiac telerehabilitation (CTR) interventions are insufficiently tailored to the preferences and competences of individual patients, which raises the question whether their implementation will increase overall participation and adherence to cardiac rehabilitation (CR). However, research on patient-specific factors that influence participation and adoption of CTR interventions is scarce. The aim of this study was to evaluate which patient-related characteristics influence participation in a novel CTR intervention in patients with coronary artery disease. Methods and results : This prospective observational substudy of the SmartCare-CAD randomized controlled trial evaluated patient characteristics of study participants as proxy for participation in a CTR intervention. We compared demographic, geographic, and health-related characteristics between trial participants and non-participants to determine which characteristics influenced trial participation. A total of 699 patients (300 participants and 399 non-participants; 84% male, mean age 64.3 ± 10.5 years) were included. Most of the non-participants refused participation because of insufficient technical skills or lack of interest in digital health (26%), or preferred centre-based CR (21%). Variables independently associated with non-participation included: higher age, lower educational level, shorter travelling distance, smoking, positive family history for cardiovascular disease, having undergone coronary artery bypass grafting; and a higher blood pressure, worse exercise capacity, and higher risk of depression before the start of CR. Conclusion: Participation in CTR is strongly influenced by demographic and health-related factors such as age, educational level, smoking status, and both physical and mental functioning. Cardiac telerehabilitation interventions should therefore be redesigned with the involvement of these currently underrepresented patient subgroups.
| Original language | English |
|---|---|
| Pages (from-to) | 81-89 |
| Number of pages | 9 |
| Journal | European Heart Journal - Digital Health |
| Volume | 3 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1 Mar 2022 |
Bibliographical note
Publisher Copyright:© 2021 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology.
Funding
*This work is based on the electronic Catalogue of Folklore-Mythological Motifs. Financial support was provided by the Russian Foundation for Basic Research (Projects 04-06-80238 and 07-06-00441-a), the Program of the Presidium of the Russian Academy of Sciences: “Human and Cultural Adaptations to Environmental, Social, and Technogenic Transformations,” and INTAS (Project 05-10000008-7922). Abstracts (in Russian) and sources of texts are available at the web site http://www.ruthenia. ru/folklore/berezkin.
Keywords
- Cardiac rehabilitation
- Cardiac telerehabilitation
- Coronary artery disease
- Participation
- Telemonitoring
