Key result
Digital technology adoption reaches ~96% among cardiac rehabilitation graduates in daily life.
Why the study?
Digital health technologies may improve access and adherence to secondary prevention measures, but their use and perceptions among cardiac rehabilitation patients are not well understood.
Cross-Sectional (n=117)
Yes
Former cardiac rehabilitation patients in Austria report high usage of digital technology—especially smartphones—in daily life (96%) and for physical activity (77%), supporting user-centred co-design of digital secondary prevention tools incorporating pulse and blood pressure monitoring.
Answers are grounded in this paper and cite their sources.
High digital adoption supports co-design of secondary prevention tools; leaves open whether integration improves adherence or outcomes.
Objective: Digital health technologies offer great potential to improve access and adherence to cardiovascular disease secondary prevention measures such as regular physical activity (PA). However, the use and perceptions of digital technology (DT) among cardiac rehabilitation (CR) patients are not well understood. The aim of this study was therefore to explore the use of DT in former CR patients' daily lives, for PA and for health information; and to gain insight into patient perceptions of DT for PA, including barriers, facilitators and requested features. Methods: A cross-sectional postal survey was conducted between May 2022 and January 2023. Five Austrian CR centres contacted 500 former patients who had completed a phase 2 CR programme from January 2019 onwards. One-hundred seventeen patients (mean [SD] age, 69 ± 10 years, 22% female) responded. Descriptive and thematic analyses were conducted for closed and open-ended questions, respectively. Results: Results indicated high DT usage for communication and informational aspects, and to a large extent also for PA and health information seeking. Main facilitators of DT use for PA were attributed to health and behavioural monitoring. Main barriers were lack of perceived need, lack of interest and poor usability. Most frequently requested features included pulse and blood pressure measurement, step count and compatibility to other devices. Conclusions: Patients generally used and perceived DT as beneficial in daily life and for secondary prevention purposes such as PA. The survey identified facilitators, barriers and feature requests, which may inform the design and implementation of digital health interventions for CR patients.
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McGowan et al. (2023) conducted a cross-sectional in Cardiovascular disease (former phase 2 cardiac rehabilitation patients) (n=117). Digital technology use (smartphones, smartwatches, fitness trackers, step counters, internet) vs. Use in daily life vs. use for physical activity and health information was evaluated on Self-reported prevalence of digital technology use in daily life, for physical activity, and for health information seeking (p=<0.001). Digital technology was used by 96% of former cardiac rehabilitation patients in daily life, 77% for physical activity, and 73% for online health information seeking.
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