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Volume 20
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Article

Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting

by
Rafaella Zulianello dos Santos
1,
Sidnei Almeida
1,
Andrea Korbes Scheafer
1,
Marlus Karsten
1,2,
Paul Oh
3,
Magnus Benetti
1 and
Gabriela Lima de Melo Ghisi
3,*
1
Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil
2
Physical Therapy Department, University of Santa Catarina State, Florianopolis 88080-350, Brazil
3
KITE Research Institute, University Health Network, Toronto, ON M4G 2V6, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(11), 5934; https://doi.org/10.3390/ijerph20115934
Submission received: 8 March 2023 / Revised: 14 April 2023 / Accepted: 22 May 2023 / Published: 24 May 2023
(This article belongs to the Section Disease Prevention)
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Abstract

Patient education is an integral part of recovery from a critical cardiac life event and a core component of cardiac rehabilitation (CR) programmes. This study addressed the feasibility of a virtual educational programme for behaviour change in CR patients from a low-resource setting in Brazil. Cardiac patients from a CR programme closed due to the pandemic received a 12-week virtual educational intervention (WhatsApp messages and bi-weekly calls from healthcare providers). Acceptability, demand, implementation, practicality, and limited efficacy were tested. Overall, 34 patients and 8 healthcare providers agreed to participate. The intervention was considered practical and acceptable by the participants, who reported a satisfaction median of 9.0 (7.4–10.0)/10 (patients) and 9.8 (9.6–10.0)/10 (providers). The main difficulties in carrying out the intervention activities were related to technology, motivation to self-learning, and a lack of in-person orientation. All the patients reported that the information included in the intervention was aligned with their information needs. The intervention was associated with changes in exercise self-efficacy, sleep quality, depressive symptoms, and performance of high-intensity physical activity. In conclusion, the intervention was considered feasible to educate cardiac patients from a low-resource setting. It should be replicated and expanded to support patients that face barriers to onsite CR participation. Challenges related to technology and self-learning should be addressed.
Keywords: cardiac rehabilitation; feasibility study; patient education as topic; virtual education cardiac rehabilitation; feasibility study; patient education as topic; virtual education

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MDPI and ACS Style

Santos, R.Z.d.; Almeida, S.; Scheafer, A.K.; Karsten, M.; Oh, P.; Benetti, M.; Ghisi, G.L.d.M. Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting. Int. J. Environ. Res. Public Health 2023, 20, 5934. https://doi.org/10.3390/ijerph20115934

AMA Style

Santos RZd, Almeida S, Scheafer AK, Karsten M, Oh P, Benetti M, Ghisi GLdM. Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting. International Journal of Environmental Research and Public Health. 2023; 20(11):5934. https://doi.org/10.3390/ijerph20115934

Chicago/Turabian Style

Santos, Rafaella Zulianello dos, Sidnei Almeida, Andrea Korbes Scheafer, Marlus Karsten, Paul Oh, Magnus Benetti, and Gabriela Lima de Melo Ghisi. 2023. "Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting" International Journal of Environmental Research and Public Health 20, no. 11: 5934. https://doi.org/10.3390/ijerph20115934

APA Style

Santos, R. Z. d., Almeida, S., Scheafer, A. K., Karsten, M., Oh, P., Benetti, M., & Ghisi, G. L. d. M. (2023). Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting. International Journal of Environmental Research and Public Health, 20(11), 5934. https://doi.org/10.3390/ijerph20115934

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