PDF(Pubmed)
Abstract：
BACKGROUND: The use of eHealth technology in cardiac rehabilitation (CR) is a promising approach to enhance patient outcomes since adherence to healthy lifestyles and risk factor management during phase III CR maintenance is often poorly supported. However, patients\' needs and expectations have not been extensively analyzed to inform the design of such eHealth solutions.
OBJECTIVE: The goal of this study was to provide a detailed patient perspective on the most important functionalities to include in an eHealth solution to assist them in phase III CR maintenance.
METHODS: A guided survey as part of a Living Lab approach was conducted in Germany (n=49) and Spain (n=30) involving women (16/79, 20%) and men (63/79, 80%) with coronary artery disease (mean age 57 years, SD 9 years) participating in a structured center-based CR program. The survey covered patients\' perceived importance of different CR components in general, current usage of technology/technical devices, and helpfulness of the potential features of eHealth in CR. Questionnaires were used to identify personality traits (psychological flexibility, optimism/pessimism, positive/negative affect), potentially predisposing patients to acceptance of an app/monitoring devices.
RESULTS: All the patients in this study owned a smartphone, while 30%-40% used smartwatches and fitness trackers. Patients expressed the need for an eHealth platform that is user-friendly, personalized, and easily accessible, and 71% (56/79) of the patients believed that technology could help them to maintain health goals after CR. Among the offered components, support for regular physical exercise, including updated schedules and progress documentation, was rated the highest. In addition, patients rated the availability of information on diagnosis, current medication, test results, and risk scores as (very) useful. Of note, for each item, except smoking cessation, 35%-50% of the patients indicated a high need for support to achieve their long-term health goals, suggesting the need for individualized care. No major differences were detected between Spanish and German patients (all P>.05) and only younger age (P=.03) but not sex, education level, or personality traits (all P>.05) were associated with the acceptance of eHealth components.
CONCLUSIONS: The patient perspectives collected in this study indicate high acceptance of personalized user-friendly eHealth platforms with remote monitoring to improve adherence to healthy lifestyles among patients with coronary artery disease during phase III CR maintenance. The identified patient needs comprise support in physical exercise, including regular updates on personalized training recommendations. Availability of diagnoses, laboratory results, and medications, as part of a mobile electronic health record were also rated as very useful.
BACKGROUND: ClinicalTrials.gov NCT05461729; https://clinicaltrials.gov/study/NCT05461729.
OBJECTIVE: The goal of this study was to provide a detailed patient perspective on the most important functionalities to include in an eHealth solution to assist them in phase III CR maintenance.
METHODS: A guided survey as part of a Living Lab approach was conducted in Germany (n=49) and Spain (n=30) involving women (16/79, 20%) and men (63/79, 80%) with coronary artery disease (mean age 57 years, SD 9 years) participating in a structured center-based CR program. The survey covered patients\' perceived importance of different CR components in general, current usage of technology/technical devices, and helpfulness of the potential features of eHealth in CR. Questionnaires were used to identify personality traits (psychological flexibility, optimism/pessimism, positive/negative affect), potentially predisposing patients to acceptance of an app/monitoring devices.
RESULTS: All the patients in this study owned a smartphone, while 30%-40% used smartwatches and fitness trackers. Patients expressed the need for an eHealth platform that is user-friendly, personalized, and easily accessible, and 71% (56/79) of the patients believed that technology could help them to maintain health goals after CR. Among the offered components, support for regular physical exercise, including updated schedules and progress documentation, was rated the highest. In addition, patients rated the availability of information on diagnosis, current medication, test results, and risk scores as (very) useful. Of note, for each item, except smoking cessation, 35%-50% of the patients indicated a high need for support to achieve their long-term health goals, suggesting the need for individualized care. No major differences were detected between Spanish and German patients (all P>.05) and only younger age (P=.03) but not sex, education level, or personality traits (all P>.05) were associated with the acceptance of eHealth components.
CONCLUSIONS: The patient perspectives collected in this study indicate high acceptance of personalized user-friendly eHealth platforms with remote monitoring to improve adherence to healthy lifestyles among patients with coronary artery disease during phase III CR maintenance. The identified patient needs comprise support in physical exercise, including regular updates on personalized training recommendations. Availability of diagnoses, laboratory results, and medications, as part of a mobile electronic health record were also rated as very useful.
BACKGROUND: ClinicalTrials.gov NCT05461729; https://clinicaltrials.gov/study/NCT05461729.
摘要：
背景：在心脏康复（CR）中使用电子健康技术是提高患者预后的一种有希望的方法，因为在III期CR维持期间坚持健康的生活方式和危险因素管理通常很少得到支持。然而,患者的需求和期望尚未得到广泛分析，以告知此类电子健康解决方案的设计。
目的：本研究的目的是为患者提供一个详细的观点，以了解eHealth解决方案中包含的最重要功能，以帮助他们进行III期CR维持。
方法：作为LivingLab方法的一部分，在德国（n=49）和西班牙（n=30）进行了一项指导性调查，涉及女性（16/79，20％）和男性（63/79，80％）患有冠状动脉疾病（平均年龄57岁，SD9年)参与结构化的基于中心的CR计划。调查涵盖了患者对不同CR成分的总体感知重要性，技术/技术设备的当前使用情况，以及CR中电子健康的潜在特征的帮助。问卷调查用于识别人格特质(心理灵活性，乐观/悲观，正面/负面影响)，可能使患者接受应用程序/监测设备。
结果：这项研究中的所有患者都拥有智能手机，而30%-40%的人使用智能手表和健身追踪器。患者表示需要一个用户友好的eHealth平台，个性化，并且易于访问，71%(56/79)的患者认为技术可以帮助他们在CR后保持健康目标。在提供的组件中，支持定期体育锻炼，包括更新的时间表和进度文件，被评为最高。此外,患者对诊断信息的可用性进行了评级，目前的药物,测试结果,和风险评分（非常）有用。值得注意的是，对于每个项目，除了戒烟,35％-50％的患者表示高度需要支持以实现其长期健康目标，这表明需要个性化护理。在西班牙和德国患者之间没有发现主要差异（所有P>.05），只有年龄较小（P=.03），但没有性别。教育水平,或人格特质(所有P>.05)与电子健康成分的接受度相关。
结论：本研究中收集的患者观点表明，在III期CR维持期间，冠状动脉疾病患者对个性化用户友好的电子健康平台的接受度较高，可通过远程监测提高对健康生活方式的依从性。确定的患者需求包括支持体育锻炼，包括定期更新个性化培训建议。诊断的可用性，实验室结果,和药物，作为移动电子健康记录的一部分，也被评为非常有用。
背景：ClinicalTrials.govNCT05461729;https://clinicaltrials.gov/study/NCT05461729。
目的：本研究的目的是为患者提供一个详细的观点，以了解eHealth解决方案中包含的最重要功能，以帮助他们进行III期CR维持。
方法：作为LivingLab方法的一部分，在德国（n=49）和西班牙（n=30）进行了一项指导性调查，涉及女性（16/79，20％）和男性（63/79，80％）患有冠状动脉疾病（平均年龄57岁，SD9年)参与结构化的基于中心的CR计划。调查涵盖了患者对不同CR成分的总体感知重要性，技术/技术设备的当前使用情况，以及CR中电子健康的潜在特征的帮助。问卷调查用于识别人格特质(心理灵活性，乐观/悲观，正面/负面影响)，可能使患者接受应用程序/监测设备。
结果：这项研究中的所有患者都拥有智能手机，而30%-40%的人使用智能手表和健身追踪器。患者表示需要一个用户友好的eHealth平台，个性化，并且易于访问，71%(56/79)的患者认为技术可以帮助他们在CR后保持健康目标。在提供的组件中，支持定期体育锻炼，包括更新的时间表和进度文件，被评为最高。此外,患者对诊断信息的可用性进行了评级，目前的药物,测试结果,和风险评分（非常）有用。值得注意的是，对于每个项目，除了戒烟,35％-50％的患者表示高度需要支持以实现其长期健康目标，这表明需要个性化护理。在西班牙和德国患者之间没有发现主要差异（所有P>.05），只有年龄较小（P=.03），但没有性别。教育水平,或人格特质(所有P>.05)与电子健康成分的接受度相关。
结论：本研究中收集的患者观点表明，在III期CR维持期间，冠状动脉疾病患者对个性化用户友好的电子健康平台的接受度较高，可通过远程监测提高对健康生活方式的依从性。确定的患者需求包括支持体育锻炼，包括定期更新个性化培训建议。诊断的可用性，实验室结果,和药物，作为移动电子健康记录的一部分，也被评为非常有用。
背景：ClinicalTrials.govNCT05461729;https://clinicaltrials.gov/study/NCT05461729。
