Chong, Mei Sin and Sit, Janet Wing Hung and Choi, Kai Chow and Suhaimi, Anwar and Chair, Sek Ying (2023) A theory-based, technology-assisted intervention in a hybrid cardiac rehabilitation program for patients with coronary heart disease: A feasibility study. Asian Nursing Research, 17 (3). pp. 180-190. ISSN 1976-1317, DOI https://doi.org/10.1016/j.anr.2023.06.004.
Full text not available from this repository.Abstract
Purpose: To assess the feasibility of a technology-assisted intervention in a hybrid cardiac rehabilitation program among patients with coronary heart disease.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.(c) 2023 Korean Society of Nursing Science. Published by Elsevier BV. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
| Item Type: | Article |
|---|---|
| Funders: | Department of Rehabilitation Medicine, University Malaya Medical Centre |
| Uncontrolled Keywords: | Technology; Hybrid; Cardiac rehabilitation; Coronary heart disease |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Rehabilitation Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 11 Oct 2025 13:30 |
| Last Modified: | 11 Oct 2025 13:30 |
| URI: | http://eprints.um.edu.my/id/eprint/48167 |
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