» Articles » PMID: 33690681

Patients' Experiences of the Complex Trust-building Process Within Digital Cardiac Rehabilitation

Overview
Journal PLoS One
Date 2021 Mar 10
PMID 33690681
Citations 7
Authors
Affiliations
Soon will be listed here.
Abstract

The development of digital solutions is becoming increasingly important in facing global challenges. Therefore, research on this topic is important in taking into account cardiac patients' experiences of the rehabilitation process for the design of digital counseling solutions. The aim of the present qualitative study was to explore the different meanings that patients give to the rehabilitation process using a Glaserian grounded theory (GT) approach. Qualitative interviews were conducted with 30 participants from a rehabilitation center in Finland. The findings indicated a "complex trust-building process" core category comprising five categories of trust-building in rehabilitation: feeling that one has hit rock bottom, facing and coping in a crosscurrent, understanding together as a peer group, moving toward a healthier lifestyle with technology, and finding self-awareness. The complex process of trust-building involved interactions among emotion, cognition, and acceptance and support processes. Therefore, digital rehabilitation should be incorporated into counseling based on patients' psychosocial, physical and emotional needs to help patients become aware of their own feelings and thoughts during the rehabilitation process.

Citing Articles

The changes in health-related quality of life after attending cardiac rehabilitation: A qualitative systematic review of the perspective of patients living with heart disease.

Rashidi A, Whitehead L, Halton H, Munro L, Jones I, Newson L PLoS One. 2025; 20(1):e0313612.

PMID: 39883647 PMC: 11781667. DOI: 10.1371/journal.pone.0313612.


Advancing translational research in digital cardiac rehabilitation: The preparation phase of the Multiphase Optimization Strategy.

Kenny E, McEvoy J, McSharry J, Taylor R, Byrne M Transl Behav Med. 2024; 15(1.

PMID: 39688502 PMC: 11756285. DOI: 10.1093/tbm/ibae068.


Patients' experiences and perspectives regarding the use of digital technology to support exercise-based cardiac rehabilitation: a qualitative interview study.

Zeller A, Gutenberg J, Niebauer J, Crutzen R, Kulnik S Front Sports Act Living. 2024; 6:1371652.

PMID: 38567184 PMC: 10986307. DOI: 10.3389/fspor.2024.1371652.


Cardiac telerehabilitation: current status and future perspectives.

Brouwers R, Scherrenberg M, Kemps H, Dendale P, Snoek J Neth Heart J. 2023; 32(1):31-37.

PMID: 38085505 PMC: 10781917. DOI: 10.1007/s12471-023-01833-9.


Applying User-Centered Design and Implementation Science to the Early-Stage Development of a Telehealth-Enhanced Hybrid Cardiac Rehabilitation Program: Quality Improvement Study.

Duran A, Keener-Denoia A, Stavrolakes K, Fraser A, Blanco L, Fleisch E JMIR Form Res. 2023; 7:e47264.

PMID: 37440285 PMC: 10375395. DOI: 10.2196/47264.


References
1.
Schweier R, Grande G, Richter C, Riedel-Heller S, Romppel M . In-depth statistical analysis of the use of a website providing patients' narratives on lifestyle change when living with chronic back pain or coronary heart disease. Patient Educ Couns. 2018; 101(7):1283-1290. DOI: 10.1016/j.pec.2018.02.015. View

2.
Webb T, Joseph J, Yardley L, Michie S . Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010; 12(1):e4. PMC: 2836773. DOI: 10.2196/jmir.1376. View

3.
Yehle K, Chen A, Plake K, Yi J, Mobley A . A qualitative analysis of coronary heart disease patient views of dietary adherence and web-based and mobile-based nutrition tools. J Cardiopulm Rehabil Prev. 2012; 32(4):203-9. PMC: 3391709. DOI: 10.1097/HCR.0b013e31825b4e6a. View

4.
Buys R, Claes J, Walsh D, Cornelis N, Moran K, Budts W . Cardiac patients show high interest in technology enabled cardiovascular rehabilitation. BMC Med Inform Decis Mak. 2016; 16:95. PMC: 4949752. DOI: 10.1186/s12911-016-0329-9. View

5.
Knudsen M, Petersen A, Angel S, Hjortdal V, Maindal H, Laustsen S . Tele-rehabilitation and hospital-based cardiac rehabilitation are comparable in increasing patient activation and health literacy: A pilot study. Eur J Cardiovasc Nurs. 2019; 19(5):376-385. DOI: 10.1177/1474515119885325. View