What Do Patients Talk About? A Qualitative Analysis of Online Chat Sessions with Health Care Specialists During a 'Virtual' Cardiac Rehabilitation Program
| Autor: | Bindy Kang, Dan Horvat, Davina Banner-Lukaris, Andrew Ignaszewski, Joel Singer, Joanna Mendell, Joanna Bates, Scott A. Lear |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Canada medicine.medical_specialty Online chat Telemedicine Health Personnel medicine.medical_treatment Health Behavior MEDLINE Health Informatics Telehealth Disease Medication Adherence Health Information Management Health care medicine Humans Exercise Aged Internet Cardiac Rehabilitation Rehabilitation business.industry Attendance General Medicine Continuity of Patient Care Middle Aged Diet Family medicine Female business |
| Zdroj: | Telemedicine and e-Health. 25:71-78 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2017.0206 |
| Popis: | Cardiac rehabilitation programs (CRPs) are effective at reducing cardiovascular disease (CVD) risk, yet attendance in these programs remains low due to geographic constraints. In a previously conducted randomized trial we demonstrated that a virtual CRP (vCRP) delivered over the Internet reduced risk for CVD. The current investigation has reviewed the online chat sessions between participants and healthcare providers (HCP) to describe the content of discussions during the vCRP intervention.Participants were recruited from two geographically isolated areas in British Columbia, Canada without in-person CRP or a cardiologist serving the area. The vCRP, among other elements, included scheduled one-on-one chat sessions with a dietician, exercise specialist, and nurse to mimic standard CRP consultations. The chat sessions were reviewed for content and themes. Multiple chat sessions between participants and a single care provider were also analyzed to describe how chat content progressed through multiple sessions.A total of 38 participants participated in the vCRP intervention. From the 122 chat sessions between participants and HCP during the vCRP, the main themes identified were Managing Health and Lifestyle, Continuity of Care, and Getting Care from a Distance. Within each theme, sub-themes were also identified.The vCRP chat sessions fulfilled the role of face-to-face consultations with HCP that are standard in hospital-based CRP and addressed patient concerns, facilitating remote patient-provider interaction and covering topics on exercise, diet, and positive behavior changes to limit risk factors for future heart problems. |
| Databáze: | OpenAIRE |
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