Key result
Remote post-MI patients and physicians report substantial unmet needs across all essential cardiac rehabilitation domains.
Why the study?
Cardiac rehabilitation programs are absent in several remote areas, requiring an assessment of patient and healthcare professional needs to develop an adapted intervention program following MI and PTCA.
Observational (n=20)
No
This qualitative formative study highlights critical gaps in post-MI secondary prevention and psychosocial support in remote regions lacking formal cardiac rehabilitation programs, underscoring the need for tailored, primary-care-integrated rehabilitation models.
Answers are grounded in this paper and cite their sources.
Reveals gaps in remote post-MI secondary prevention; leaves open whether primary-care-integrated models improve outcomes in prospective trials.
Introduction: Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI). However, in several remote areas, no cardiac rehabilitation program (CRP) exists to support patients having experienced an MI. Before the creation of an intervention CRP adapted to patients living in these areas, it is essential to describe patients and healthcare professionals' needs regarding cardiac rehabilitation care. Objective: This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty. Methods: A qualitative formative research study was conducted involving 10 men, 6 women, and 4 family physicians. Data were collected through in-depth individual interviews and one focus group. Results: Results show that patients who have suffered an MI have multiple unmet needs. This gap may be due to the variability in follow-ups by healthcare professionals. In the absence of a cardiac rehabilitation program, these patients must adapt quickly to their new health condition. Discussion and conclusion: It is critical that the needs of patients living in remote areas are better addressed in cardiac rehabilitation. To do this, it is essential to create a CRP that is tailored to the needs of both patients and professionals, thus providing patient-centered care.
No takes yet. Share an insight, caveat, or question.
Bernier et al. (2022) conducted an observational in Myocardial infarction treated with percutaneous transluminal coronary angioplasty (n=20). Living in a remote area without access to a cardiac rehabilitation program post-MI and PTCA was evaluated on Patient and healthcare professional needs for the essential components of a cardiac rehabilitation program (health behaviour change/education, lifestyle risk factor management, medical risk management, and psychosocial health). Remote post-MI patients (n=16) and physicians (n=4) reported multiple unmet cardiac rehabilitation needs across education, lifestyle, medication, and psychosocial domains due to absent programs.
Synapse has enriched 10 related papers. Consider them for comparative context: