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Electronic health physical activity behavior change intervention to self-manage cardiovascular disease: qualitative exploration of patient and health professional requirements

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dc.contributor.author Walsh, Deirdre M.J.
dc.contributor.author Moran, Kieran A.
dc.contributor.author Cornelissen, Veronique A.
dc.contributor.author Buys, Roselien
dc.contributor.author Cornelis, Nils
dc.contributor.author Woods, Catherine B.
dc.date.accessioned 2018-05-15T14:53:30Z
dc.date.available 2018-05-15T14:53:30Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/6842
dc.description peer-reviewed en_US
dc.description.abstract Background: Cardiovascular diseases are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation. Uptake of traditional cardiac rehabilitation remains suboptimal, as attendance at formal hospital-based cardiac rehabilitation programs is low, with community-based cardiac rehabilitation rates and individual long-term exercise maintenance even lower. Home-based cardiac rehabilitation programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available. Objective: Given the potential that home-based cardiac rehabilitation programs have, it is important to explore how to appropriately design any such intervention in conjunction with key stakeholders. The aim of this study was to engage with individuals with cardiovascular disease and other professionals within the health ecosystem to (1) understand the personal, social, and physical factors that inhibit or promote their capacity to engage with physical activity and (2) explore their technology competencies, needs, and wants in relation to an eHealth intervention. Methods: Fifty-four semistructured interviews were conducted across two countries. Interviews were audiotaped, transcribed verbatim, and analyzed using thematic analysis. Barriers to the implementation of PATHway were also explored specifically in relation to physical capability and safety as well as technology readiness and further mapped onto the COM-B model for future intervention design. Results: Key recommendations included collection of patient data and use of measurements, harnessing hospital based social connections, and advice to utilize a patient-centered approach with personalization and tailoring to facilitate optimal engagement. Conclusions: In summary, a multifaceted, personalizable intervention with an inclusively designed interface was deemed desirable for use among cardiovascular disease patients both by end users and key stakeholders. In-depth understanding of core needs of the population can aid intervention development and acceptability. en_US
dc.language.iso eng en_US
dc.publisher Journal of Medical Internet Research en_US
dc.relation 643491 en_US
dc.relation.ispartofseries Journal of Medical Internet Research;20 (5), e163
dc.relation.uri http://dx.doi.org/10.2196/jmir.9181
dc.subject telemedicine en_US
dc.subject exercise en_US
dc.subject cardiovascular diseases en_US
dc.subject rehabilitation en_US
dc.title Electronic health physical activity behavior change intervention to self-manage cardiovascular disease: qualitative exploration of patient and health professional requirements en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.2196/jmir.9181
dc.contributor.sponsor ERC en_US
dc.relation.projectid 643491 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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