Abstract | PURPOSE: METHODS: This study was a two-arm parallel randomized controlled trial. Twenty-eight patients with coronary heart disease were randomly assigned to either the intervention group, receiving a 12-week technology-assisted intervention (n = 14), or the control group (n = 14), receiving usual care. Guided by the Health Belief Model, the intervention group received three center-based, supervised exercise training sessions, a fitness watch that served as a cue to action, six educational videos, and a weekly video call. The Self-efficacy for Exercise, exercise capacity, and Health Promoting Lifestyle Profile II were assessed at baseline and immediately post-intervention (12-weeks). RESULTS: Among the 28 patients who participated in this study, 85.7% completed the program, with a relatively low attrition rate (14.3%). The number of exercise training sessions accomplished by the participants in the intervention group was 51.27 ± 19.41 out of 60 sessions (85.5%) compared to 36.46 ± 23.05 (60.8%) in the control group. No cardiac adverse events or hospitalizations were reported throughout the study. Participants in the intervention group showed greater improvement in health-promoting behaviors when compared with the control group at 12 weeks. Within-group effects demonstrated improvement in exercise self-efficacy and exercise capacity among participants in the intervention group. A participant satisfaction survey conducted immediately post-intervention revealed that participants were "very satisfied" (23.1%) and "satisfied" (76.9%) with the technology-assisted intervention. CONCLUSIONS: The findings demonstrated that technology-assisted intervention in a hybrid cardiac rehabilitation program was feasible and suggested to be beneficial in improving exercise self-efficacy, exercise capacity, and health promoting behavior among patients with coronary heart disease. A full-scale study is needed to determine its effectiveness in the long term. TRIAL AND PROTOCOL REGISTRATION: ClinicalTrials.gov NCT04862351. https://clinicaltrials.gov/ct2/show/NCT04862351.
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Authors | Mei Sin Chong, Janet Wing Hung Sit, Kai Chow Choi, Anwar Suhaimi, Sek Ying Chair |
Journal | Asian nursing research
(Asian Nurs Res (Korean Soc Nurs Sci))
Vol. 17
Issue 3
Pg. 180-190
(Aug 2023)
ISSN: 2093-7482 [Electronic] Korea (South) |
PMID | 37355035
(Publication Type: Randomized Controlled Trial, Journal Article)
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Copyright | Copyright © 2023. Published by Elsevier B.V. |
Topics |
- Humans
- Cardiac Rehabilitation
(methods)
- Feasibility Studies
- Coronary Disease
- Exercise
- Self Efficacy
- Exercise Therapy
(methods)
- Quality of Life
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