February 12, 2021Open Access
A Qualitative Study of Home-Based and Hybrid Cardiac Rehabilitation During COVID-19
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Key result
HBCR facilitates patient access through tailored care and staff relationships despite technology adoption challenges.
- n=19
Why the study?
Many cardiac rehabilitation centers suspended in-person services during COVID-19 and pivoted to home-based cardiac rehabilitation, requiring evaluation of its implementation.
Population
12 patients and 7 staff members involved in cardiac rehabilitation during COVID-19
Comparison
Home-based cardiac rehabilitation including phone/video visits and optional mobile apps
Design
Qualitative study with semi-structured interviews and thematic analysis
Authors
Discussion
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Member takes
Implication
Supports tailored home-based cardiac rehabilitation to improve access; hypothesis-generating for technology integration and needs prospective trials.
Structured PICO
P
Population
12 adult patients (mean age 64.8 years, 66.7% female) and 7 staff members participating in a home-based cardiac rehabilitation program at UCSF during the COVID-19 pandemic.
I
Intervention
Home-based cardiac rehabilitation (HBCR) including weekly phone or video visits for individualized exercise plans, nutrition and health education counseling, wellness sessions, and optional mobile phone applications
O
Outcome
Implementation themes based on the Theory of Planned Behavior, Unified Theory of Acceptance and Use of Technology, and the Consolidated Framework for Implementation Researchpatient reported
Individually tailored home-based or hybrid cardiac rehabilitation can facilitate access, supported by strong staff relationships and leadership buy-in, though technology adoption remains a challenge for some.
Limitations
- Small number of participants
- Potential sampling bias as interviewed patients may have been more engaged
- Limited to English-speaking participants
Cite This Study
Ganeshan et al. (2021) studied Cardiac rehabilitation (n=19). Home-based cardiac rehabilitation (HBCR) was evaluated on Patient and staff experiences and implementation themes. Home-based cardiac rehabilitation facilitated patient access through individualized tailoring and strong staff relationships, though technology adoption presented challenges for some participants.
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