Cardiac Rehabilitation During the COVID-19 Pandemic and the Potential for Digital Technology to Support Physical Activity Maintenance: Qualitative Study.

Autor:	Park LG; Department of Community Health Systems, University of California San Francisco, San Francisco, CA, United States.; Veterans Affairs Medical Center, San Francisco, CA, United States., Chi S; Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, United States., Pitsenbarger S; Bennett ReGen, Dearborn, MI, United States., Johnson JK; Institute for Health & Aging, School of Nursing, University of California San Francisco, San Francisco, CA, United States., Shah AJ; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States., Elnaggar A; Department of Community Health Systems, University of California San Francisco, San Francisco, CA, United States.; Veterans Affairs Medical Center, San Francisco, CA, United States., von Oppenfeld J; Veterans Affairs Medical Center, San Francisco, CA, United States., Cho E; College of Medicine, California Northstate University, Elk Grove, CA, United States., Harzand A; Division of Cardiology, School of Medicine, Emory University, Atlanta, GA, United States., Whooley MA; Veterans Affairs Medical Center, San Francisco, CA, United States.; Department of Medicine, University of California San Francisco, San Francisco, CA, United States.; Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, United States.
Jazyk:	angličtina
Zdroj:	JMIR cardio [JMIR Cardio] 2024 Mar 14; Vol. 8, pp. e54823. Date of Electronic Publication: 2024 Mar 14.
DOI:	10.2196/54823
Abstrakt:	Background: Social distancing from the COVID-19 pandemic may have decreased engagement in cardiac rehabilitation (CR) and may have had possible consequences on post-CR exercise maintenance. The increased use of technology as an adaptation may benefit post-CR participants via wearables and social media. Thus, we sought to explore the possible relationships of both the pandemic and technology on post-CR exercise maintenance. Objective: This study aimed to (1) understand CR participation during the COVID-19 pandemic, (2) identify perceived barriers and facilitators to physical activity after CR completion, and (3) assess willingness to use technology and social media to support physical activity needs among older adults with cardiovascular disease. Methods: We recruited participants aged 55 years and older in 3 different CR programs offered at both public and private hospitals in Northern California. We conducted individual interviews on CR experiences, physical activity, and potential for using technology. We used thematic analysis to synthesize the data. Results: In total, 22 participants (n=9, 41% female participants; mean age 73, SD 8 years) completed in-depth interviews. Themes from participants' feedback included the following: (1) anxiety and frustration about the wait for CR caused by COVID-19 conditions, (2) positive and safe participant experience once in CR during the pandemic, (3) greater attention needed to patients after completion of CR, (4) notable demand for technology during the pandemic and after completion of CR, and (5) social media networking during the CR program considered valuable if training is provided. Conclusions: Individuals who completed CR identified shared concerns about continuing physical activity despite having positive experiences during the CR program. There were significant challenges during the pandemic and heightened concerns for safety and health. The idea of providing support by leveraging digital technology (wearable devices and social media for social support) resonated as a potential solution to help bridge the gap from CR to more independent physical activity. More attention is needed to help individuals experience a tailored and safe transition to home to maintain physical activity among those who complete CR. (©Linda G Park, Serena Chi, Susan Pitsenbarger, Julene K Johnson, Amit J Shah, Abdelaziz Elnaggar, Julia von Oppenfeld, Evan Cho, Arash Harzand, Mary A Whooley. Originally published in JMIR Cardio (https://cardio.jmir.org), 14.03.2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu