Key result
Poor interprofessional communication and impersonal support hinder long-term lifestyle changes in cardiac care.
Why the study?
Health promotion and preventive healthcare reduce cardiovascular disease burdens, and Positive Health presents a promising approach to enhance cardiac care through adaptability and self-management.
Observational (n=11)
No
A patient journey analysis highlights that integrating Positive Health principles in cardiac rehabilitation requires improved interprofessional communication and sustained, personalized lifestyle support to promote lasting behavioral changes.
The increasing focus on health promotion and preventive healthcare is essential in reducing cardiovascular disease burdens. Positive Health (PH), centred on adaptability and self-management, presents a promising approach to enhance cardiac care. This study explores the integration of PH and lifestyle interventions within cardiac care, pinpointing areas for improvement through a patient journey analysis. This qualitative observational study uses a patient journey approach to analyse the integration of PH principles in cardiac care. A qualitative approach included a semistructured interview with a cardiac patient and a focus group with ten healthcare professionals, segmented into three stages: initial signal and examination, diagnosis and treatment and post-treatment follow-up. Thematic analysis revealed three key themes: communication, self-direction and personalised lifestyle modifications. Communication gaps among healthcare providers and towards the patient led to inefficiencies in care delivery. Although self-direction in care was encouraged, maintaining lifestyle changes proved difficult due to limited personalised support and motivation. Strengthening communication and providing tailored, sustainable lifestyle interventions are crucial to enhancing patient satisfaction, promoting enduring behavioural changes and achieving better cardiac outcomes. The patient journey method offers valuable insights into patient needs, facilitating the collaborative, integrated care improvements.
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Hogen-Koster et al. (2025) conducted an observational in Cardiovascular disease (post-CABG cardiac rehabilitation) (n=11). Integration of Positive Health (PH) principles and lifestyle interventions was evaluated on Patient journey qualitative themes (communication, self-direction, and personalized lifestyle modifications). Thematic analysis identified key gaps in interprofessional communication and a lack of personalized support, hindering long-term lifestyle changes in cardiac care.
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