Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life

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  • Helle Spindler
  • Kasper Leerskov, Aalborg University, Denmark
  • Katrine Joensson, Technical University of Denmark
  • ,
  • Gitte Nielsen, Vendsyssel Hospital, Denmark
  • Jan Jesper Andreasen, Aalborg University, Denmark
  • Birthe Dinesen, Aalborg University, Denmark

Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients (n = 136) were randomly assigned to a TR or CR group. The TR group was provided with relevant health care technology for a period of three months, and both groups filled in questionnaires on their motivation for lifestyle changes and self-care psychological distress, and quality of life at 0, 3, 6, and 12 months. Patients in both groups were found to be equally motivated for lifestyle changes and self-care (p < 0.05) and they experienced similar levels of psychological distress and quality of life. TR is comparable to conventional rehabilitation in motivating patients, preventing psychological distress and improving quality of life. Although we observed an initial increase in autonomous motivation in the telerehabilitation group, this positive difference in motivation does not last over time. As such, neither rehabilitation format seems able to ensure long-term motivation. Therefore, TR may serve as a viable replacement for conventional rehabilitation when considered relevant. Further research is needed to enhance long-term motivation, and maybe telerehabilitation can help to achieve this.

Original languageEnglish
Article number512
JournalInternational Journal of Environmental Research and Public Health
Number of pages15
Publication statusPublished - 2019

    Research areas

  • anxiety, cardiac rehabilitation, depression, motivation, psychological distress, telerehabilitation, DIMENSIONALITY, TELEMEDICINE, DEPRESSION SCALE, HOSPITAL ANXIETY, SYMPTOMS, CARE, EXPERIENCES, HEART-FAILURE PATIENTS, PROGRAMS, Humans, Middle Aged, Heart Diseases/rehabilitation, Male, Motivation, Time Factors, Female, Surveys and Questionnaires, Telerehabilitation, Quality of Life, Stress, Psychological, Self Care

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