Key result
Culturally-adapted Cardiac College education boosts disease knowledge by ~2.5 points in hybrid cardiac rehabilitation.
Why the study?
The study evaluated the effectiveness of a comprehensive educational intervention delivered within a hybrid cardiac rehabilitation model in Spain during the COVID-19 pandemic.
Does a culturally-adapted comprehensive patient education intervention (Cardiac College) improve disease-related knowledge and health behaviors in patients attending a hybrid cardiac rehabilitation program in Spain?
Does a culturally-adapted comprehensive patient education intervention (Cardiac College) improve disease-related knowledge and health behaviors in patients attending a hybrid cardiac rehabilitation program in Spain?
Implementing an open-access, culturally-adapted comprehensive educational program within a hybrid cardiac rehabilitation model in Spain is associated with significant short-term improvements in patient disease knowledge, daily step count, and Mediterranean diet adherence.
Answers are grounded in this paper and cite their sources.
Associated with short-term knowledge gains in hybrid CR; extends prior evidence but hypothesis-generating pending RCTs.
Objective: To evaluate the effectiveness of a comprehensive educational intervention in a hybrid model of cardiac rehabilitation in Spain during the COVID-19 pandemic. Methods: In a prospective pretest-posttest pilot study a pooled sample of patients attending hybrid cardiac rehabilitation in Spain received a culturally-adapted education intervention for 6 weeks. Participants completed surveys at pre- and post-rehabilitation assessing disease-related knowledge, health literacy, adherence to the Mediterranean Diet and self-efficacy. Physical activity was measured by number of steps per day using wearable activity tracking devices. Satisfaction with the educational materials was also evaluated by a survey with a 10 point Likert-type scale and yes/no and open-ended questions. Results: Eighty-one(99%) participants completed both assessments. There was significant improvement in disease-related knowledge(p < 0.001), physical activity(p < 0.001), and adherence to the diet(p = 0.005) post-rehabilitation. The number of participants that were classified as having "high health literacy skills" increased by 17%. Post-rehabilitation knowledge was associated with education level (ß = 0.430; p = 0.001),pre-rehabilitation knowledge (ß = 0.510; p = 0.002), and high health literacy skills (ß = 0.489; p = 0.01). Educational materials were highly satisfactory to participants. Conclusion: Significant increases in disease-related knowledge and health behaviors in patients attending hybrid models of cardiac rehabilitation are encouraging results that support the value of implementing comprehensive educational initiatives to programs in Spain. Innovation: This work presents preliminary evidence of the effectiveness of the first comprehensive education intervention that is open access and culturally adapted to people living with cardiovascular disease in Spain.
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Arrieta-Bartolomé et al. (2022) studied Cardiovascular disease (coronary heart disease, heart failure, cardiomyopathy, valvular heart disease, or arrhythmias) (n=82). Cardiac College culturally-adapted comprehensive patient education intervention vs. Pre-rehabilitation baseline (pretest-posttest design) was evaluated on Disease-related knowledge assessed by the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV, score 0-20) (MD +2.5, p=<0.001). The culturally-adapted Cardiac College education intervention increased disease-related knowledge scores from 15.1 to 17.6 after 6 weeks of hybrid cardiac rehabilitation.
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