TY - JOUR
T1 - Design of a Remote Coaching Program to Bridge the Gap From Hospital Discharge to Cardiac Rehabilitation
T2 - Intervention Mapping Study
AU - Keessen, Paul
AU - van Duijvenbode, Ingrid C. D.
AU - Latour, Corine H. M.
AU - Kraaijenhagen, Roderik A.
AU - Janssen, Veronica R.
AU - Jørstad, Harald T.
AU - Scholte op Reimer, Wilma J. M.
AU - Visser, Bart
N1 - Funding Information: Data were collected by PK and ICDvD with assistance from Tarik Hoek Spaans, Miranda Balfoort, and Bonita Meek. The authors also thank Christine Dolman and Ilonka Pol for participating in the research group. Financial support was received via a personal grant (PK; 023.010.064) from the Dutch Research Council and grant RAAK.PRO02.083 from the Taskforce for Applied Research (RAAK-PRO). The funding bodies had no role in the design of the study; collection, analysis, and interpretation of data; or in writing the manuscript. Publisher Copyright: © Hadley Woodruff Reid, Rae Jean Proeschold-Bell, Christina Makarushka, Katherine Dayllan Melgar Vega, Megan Huchko, Jose Jeronimo, Lavanya Vasudevan.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Background: Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). Objective: The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support. Methods: We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies. Results: Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can’t do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program. Conclusions: This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
AB - Background: Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). Objective: The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support. Methods: We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies. Results: Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can’t do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program. Conclusions: This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
KW - cardiac rehabilitation
KW - coronary artery disease
KW - e-coaching
KW - eHealth
KW - information needs
KW - intervention mapping approach
KW - remote coaching
KW - support needs
UR - http://www.scopus.com/inward/record.url?scp=85133470875&partnerID=8YFLogxK
U2 - https://doi.org/10.2196/34974
DO - https://doi.org/10.2196/34974
M3 - Article
C2 - 35612879
SN - 2561-1011
VL - 6
JO - JMIR Cardio
JF - JMIR Cardio
IS - 1
M1 - e34974
ER -