Journal article
Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life
Aarhus University1
Aalborg University2
Department of Health Technology, Technical University of Denmark3
Biotherapeutic Engineering and Drug Targeting, Department of Health Technology, Technical University of Denmark4
Colloids & Biological Interfaces, Biotherapeutic Engineering and Drug Targeting, Department of Health Technology, Technical University of Denmark5
Vendsyssel Hospital6
Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients (n = 136) were randomly assigned to a TR or CR group.
The TR group was provided with relevant health care technology for a period of three months, and both groups filled in questionnaires on their motivation for lifestyle changes and self-care psychological distress, and quality of life at 0, 3, 6, and 12 months. Patients in both groups were found to be equally motivated for lifestyle changes and self-care (p <0.05) and they experienced similar levels of psychological distress and quality of life.
TR is comparable to conventional rehabilitation in motivating patients, preventing psychological distress and improving quality of life. Although we observed an initial increase in autonomous motivation in the telerehabilitation group, this positive difference in motivation does not last over time. As such, neither rehabilitation format seems able to ensure long-term motivation.
Therefore, TR may serve as a viable replacement for conventional rehabilitation when considered relevant. Further research is needed to enhance long-term motivation, and maybe telerehabilitation can help to achieve this.
Language: | English |
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Publisher: | MDPI |
Year: | 2019 |
Pages: | 512 |
ISSN: | 16604601 and 16617827 |
Types: | Journal article |
DOI: | 10.3390/ijerph16030512 |
ORCIDs: | 0000-0002-7098-5699 , Jønsson, Katrine , 0000-0002-4952-5663 and 0000-0001-5893-9676 |
Anxiety Cardiac rehabilitation Depression Motivation Psychological distress Telerehabilitation
CARE DEPRESSION SCALE DIMENSIONALITY EXPERIENCES Female HEART-FAILURE PATIENTS HOSPITAL ANXIETY Heart Diseases Heart Diseases/rehabilitation Humans Male Medicine Middle Aged PROGRAMS Quality of Life R SYMPTOMS Self Care Stress, Psychological Surveys and Questionnaires TELEMEDICINE Time Factors anxiety cardiac rehabilitation depression motivation psychological distress telerehabilitation