Abstract
Background For patients suffering from heart disease their participation in cardiac rehabilitation (CR) provides an opportunity to learn how to find a new foothold in life. However, many patients never enroll. Cardiac patients' enrolment in CR is encouraged by face-to-face communication during hospitalization. In a changing world with increasingly short hospital stays little is known about caring to encourage patients' enrolment in CR.
Aim To map and evaluate the content and characteristics of studies reporting on face-to-face interventions to encourage enrolment in cardiac rehabilitation.
Method A published scoping review protocol guided by the Joanna Briggs Institute Methodology described the search strategy, the identification, and the analysis of peer reviewed studies on face-to-face intervention to encourage enrolment in CR. Data were analyzed using a narrative synthesis.
Results 10/3507 studies were included. Five randomized studies reported on a total of 547 participants; two cohort studies reported on 3288 participants. Four studies describing and evaluating development of behavior change strategies referred to a specific theory. Most studies targeted patient education, while two studies addressed patients' individual needs. Contextual factors influencing outcome generation were rarely evaluated.
Conclusion Studies investigating face-to-face interventions in a hospital setting to encourage cardiac patients' enrolment in CR are lacking. Education is an important intervention component, however, if considerations are lacking on how to meet patients' needs interventions may become overly paternalistic. Organizational structures and the setting of cardiac care units vary and change; knowledge on contextual factors influencing implementation and outcome generation is called for.
Implications Future research on face-to-face interventions to encourage enrolment in CR can benefit from the use of program theory and process evaluation to understand what works, under which circumstances, and how change is brought about including the interplay of mechanism and context. Person-centered approaches need to be addressed.
Aim To map and evaluate the content and characteristics of studies reporting on face-to-face interventions to encourage enrolment in cardiac rehabilitation.
Method A published scoping review protocol guided by the Joanna Briggs Institute Methodology described the search strategy, the identification, and the analysis of peer reviewed studies on face-to-face intervention to encourage enrolment in CR. Data were analyzed using a narrative synthesis.
Results 10/3507 studies were included. Five randomized studies reported on a total of 547 participants; two cohort studies reported on 3288 participants. Four studies describing and evaluating development of behavior change strategies referred to a specific theory. Most studies targeted patient education, while two studies addressed patients' individual needs. Contextual factors influencing outcome generation were rarely evaluated.
Conclusion Studies investigating face-to-face interventions in a hospital setting to encourage cardiac patients' enrolment in CR are lacking. Education is an important intervention component, however, if considerations are lacking on how to meet patients' needs interventions may become overly paternalistic. Organizational structures and the setting of cardiac care units vary and change; knowledge on contextual factors influencing implementation and outcome generation is called for.
Implications Future research on face-to-face interventions to encourage enrolment in CR can benefit from the use of program theory and process evaluation to understand what works, under which circumstances, and how change is brought about including the interplay of mechanism and context. Person-centered approaches need to be addressed.
| Original language | Danish |
|---|---|
| Publication date | 27 Apr 2022 |
| Number of pages | 1 |
| Publication status | Published - 27 Apr 2022 |
| Event | Caring in a changing world: The 4th International NCCS & EACS Conference April 27th – 28th 2022 - Mälardalen University, Mälardalen, Sweden Duration: 27 Apr 2022 → 28 Apr 2022 https://www.mdu.se/download/18.114bf3d81801d6da899a20c/1649917702761/Endast%20program%20konferens%202022_220411.pdf |
Conference
| Conference | Caring in a changing world |
|---|---|
| Location | Mälardalen University |
| Country/Territory | Sweden |
| City | Mälardalen |
| Period | 27/04/2022 → 28/04/2022 |
| Internet address |