Cardiac rehabilitation: pedagogical education strategies have positive effect on long-term patient-reported outcomes

Charlotte Gjørup Pedersen*, Claus Vinther Nielsen, Vibeke Lynggaard, Ann-Dorthe Zwisler, Thomas Maribo

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

This study examined whether patients attending cardiac rehabilitation (CR) based on the pedagogical strategy learning and coping (LC) led to improved health-related quality of life (HRQL), reduced symptoms of anxiety and depression and improved self-management 6 and 12 months after the completion of CR compared with patients attending CR based on the pedagogical strategy 'Empowerment, Motivation and Medical Adherence' (EMMA). A pragmatic cluster-controlled trial of two pedagogical strategies, LC and EMMA, including 10 primary health care settings and 555 patients diagnosed with ischaemic heart disease and referred to CR between August 2018 and July 2019 was conducted. In total, 312 patients replied to the questionnaires collected at baseline, 12 weeks, 6 months and 12 months after completing CR. Linear regression analyses adjusted for potential confounder variables and cluster effects were performed. We found clinically relevant and statistically significant improvements in HRQL, anxiety, depression and self-management after completing CR. The improvements were sustained at 6 and 12 months after the completion of CR. We found no differences between the two evidence-based patient education strategies. In conclusion, this study supports the use of evidence-based patient education strategies, but there is no evidence to suggest that one pedagogical strategy is superior to the other.

Original languageEnglish
JournalHealth Education Research
Volume38
Issue6
Pages (from-to)597-609
Number of pages13
ISSN0268-1153
DOIs
Publication statusPublished - 1 Dec 2023

Keywords

  • Cardiac Rehabilitation
  • Humans
  • Learning
  • Motivation
  • Patient Reported Outcome Measures
  • Quality of Life

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