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A qualitative exploration of cardiovascular disease patients’ views and experiences with an eHealth cardiac rehabilitation intervention: The PATHway project (2020)

O'Shea, Orlagh; Woods, Catherine B.; McDermott, Lauri; Buys, Roselien; Cornelis, N...

A qualitative exploration of cardiovascular disease patients’ views and experiences with an eHealth cardiac rehabilitation intervention: The PATHway project (2020)

O'Shea, Orlagh; Woods, Catherine B.; McDermott, Lauri; Buys, Roselien; Cornelis, Nils; Claes, Jomme; Cornelissen, Veronique; Gallagher, Anne; Newton, Helen; Moyna, Niall M.; McCaffrey, Noel; Susta, Davide; McDermott, Clare; McCormack, Ciara; Budts, Werner; Moran, Kieran

Abstract:

The aim of this study is to explore participants’ views and experiences of an eHealth phase 3 cardiac rehabilitation (CR) intervention: Physical Activity Towards Health (PATHway). Sixty participants took part in the PATHway intervention. Debriefs were conducted after the six-month intervention. All interviews were audio recorded and transcribed verbatim. Transcripts were analysed with Braun and Clarke’s thematic analysis. Forty-four (71%) debriefs were conducted (n = 34 male, mean (SD) age 61 (10) years). Five key themes were identified: (1) Feedback on the components of the PATHway system, (2) Motivation, (3) Barriers to using PATHway, (4) Enablers to using PATHway, and (5) Post programme reflection. There were a number of subthemes within each theme, for example motivation explores participants motivation to take part in PATHway and participants motivation to sustain engagement with PATHway throughout the intervention period. Participant engagement with the components of the PATHw...

http://hdl.handle.net/10344/9002

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An assessment of patient need for a technology-enabled remote exercise rehabilitation programme among a chronic illness population (2016)

Woods, Catherine; Walsh, Deirdre; McCaffrey, Noel; Furlong, Bróna; Buys, Roselien; Corn...

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Barriers and motivators in engaging with technology-enabled cardiac rehabilitation: a patient and health professional perspective. (2016)

Walsh, Deirdre; Woods, Catherine; Moran, Kieran; McCaffrey, Noel; Cornelissen, Véroniqu...

Mark

Cardiac patients show high interest in technology enabled cardiovascular rehabilitation (2016)

Buys, Roselien; Claes, Jomme; Walsh, Deirdre; Cornelis, Nils; Budts, Werner; Woods, Cat...

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Co-design and user validation of a technology-enabled behaviour change intervention for individuals with cardiovascular disease: Preliminary findings (2016)

Woods, Catherine; Walsh, Deirdre; Duff, Orlaith; Claes, Jomme; Buys, Roselien; Cornelis...

Mark

Computerized decision support for beneficial home-based exercise rehabilitation in patients with cardiovascular disease (2018)

Triantafyllidis, Andreas; Filos, Dimitris; Buys, Roselien; Claes, Jomme; Cornelissen, V...

Computerized decision support for beneficial home-based exercise rehabilitation in patients with cardiovascular disease (2018)

Triantafyllidis, Andreas; Filos, Dimitris; Buys, Roselien; Claes, Jomme; Cornelissen, Véronique; Kouidi, Evangelia; Chatzitofis, Anargyros; Zarpalas, Dimitris; Daras, Petros; Walsh, Deirdre; Woods, Catherine; Moran, Kieran; Maglaveras, Nicos; Chouvarda, Ioanna

Abstract:

Background: Exercise-based rehabilitation plays a key role in improving the health and quality of life of patients with Cardiovascular Disease (CVD). Home-based computer-assisted rehabilitation programs have the potential to facilitate and support physical activity interventions and improve health outcomes. Objectives: We present the development and evaluation of a computerized Decision Support System (DSS) for unsupervised exercise rehabilitation at home, aiming to show the feasibility and potential of such systems toward maximizing the benefits of rehabilitation programs. Methods: The development of the DSS was based on rules encapsulating the logic according to which an exercise program can be executed beneficially according to international guidelines and expert knowledge. The DSS considered data from a prescribed exercise program, heart rate from a wristband device, and motion accuracy from a depth camera, and subsequently generated personalized, performance-driven adaptations ...

http://doras.dcu.ie/22365/

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Electronic health physical activity behavior change intervention to self-manage cardiovascular disease: qualitative exploration of patient and health professional requirements (2017)

Walsh, Deirdre; Moran, Kieran; Cornelissen, Véronique; Buys, Roselien; Cornelis, Nils; ...

Mark

Feasibility, acceptability, and clinical effectiveness of a technology-enabled cardiac rehabilitation platform (Physical Activity Toward Health-I): randomized controlled trial (2020)

Claes, Jomme; Cornelissen, Véronique; McDermott, Clare; Moyna, Niall M.; Pattyn, Nele; ...

Feasibility, acceptability, and clinical effectiveness of a technology-enabled cardiac rehabilitation platform (Physical Activity Toward Health-I): randomized controlled trial (2020)

Claes, Jomme; Cornelissen, Véronique; McDermott, Clare; Moyna, Niall M.; Pattyn, Nele; Cornelis, Nils; Gallagher, Anne; McCormack, Ciara; Newton, Helen; Gillain, Alexandra; Budts, Werner; Goetschalckx, Kaatje; Woods, Catherine B.; Moran, Kieran A.; Buys, Roselien

Abstract:

BACKGROUND: Cardiac rehabilitation (CR) is highly effective as secondary prevention for cardiovascular diseases (CVDs). Uptake of CR remains suboptimal (30% of eligible patients), and long-term adherence to a physically active lifestyle is even lower. Innovative strategies are needed to counteract this phenomenon. OBJECTIVE: The Physical Activity Toward Health (PATHway) system was developed to provide a comprehensive, remotely monitored, home-based CR program for CVD patients. The PATHway-I study aimed to investigate its feasibility and clinical efficacy during phase III CR. METHODS: Participants were randomized on a 1:1 basis to the PATHway (PW) intervention group or usual care (UC) control group in a single-blind, multicenter, randomized controlled pilot trial. Outcomes were assessed at completion of phase II CR and 6-month follow-up. The primary outcome was physical activity (PA; Actigraph GT9X link). Secondary outcomes included measures of physical fitness, modifiable cardiovasc...

http://hdl.handle.net/10344/8672

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PATHway I: design and rationale for the investigation of the feasibility, clinical effectiveness and cost-effectiveness of a technology-enabled cardiac rehabilitation platform (2017)

Claes, Jomme; Buys, Roselien; Woods, Catherine; Briggs, Andrew; Geue, Claudia; Aitken, ...

PATHway I: design and rationale for the investigation of the feasibility, clinical effectiveness and cost-effectiveness of a technology-enabled cardiac rehabilitation platform (2017)

Claes, Jomme; Buys, Roselien; Woods, Catherine; Briggs, Andrew; Geue, Claudia; Aitken, Moira; Moyna, Niall; Moran, Kieran; McCaffrey, Noel; Walsh, Deirdre; Chouvarda, Ioanna; Budts, Werner; Filos, Dimitris; Triantafyllidis, Andreas; Maglaveras, Nicos; Cornelissen, Véronique

Abstract:

Introduction. Exercise-based cardiac rehabilitation (CR) independently alters the clinical course of cardiovascular diseases resulting in a signi cant reduction in all-cause and cardiac mortality. However, only 15%–30% of all eligible patients participate in a phase 2 ambulatory programme. The uptake rate of community-based programmes following phase 2 CR and adherence to long-term exercise is extremely poor. Newer care models, involving telerehabilitation programmes that are delivered remotely, show considerable promise for increasing adherence. In this view, the PATHway (Physical Activity Towards Health) platform was developed and now needs to be evaluated in terms of its feasibility and clinical efficacy. Methods and analysis. In a multicentre randomised controlled pilot trial, 120 participants (m/f, age 40–80 years) completing a phase 2 ambulatory CR programme will be randomised on a 1:1 basis to PATHway or usual care. PATHway involves a comprehensive, internet- enabled, sensor...

http://doras.dcu.ie/21924/

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PATHway: decision support in exercise programmes for cardiac rehabilitation (2016)

Filos, Dimitris; Triantafyllidis, Andreas; Chouvarda, Ioanna; Buys, Roselien; Corneliss...

Mark

Technology use among patients with cardiovascular disease: an assessment of patient need for a technology enabled behavioural change intervention. (2015)

Woods, Catherine; Walsh, Deirdre; Furlong, Bróna; Moran, Kieran; Monaghan, David; McCaf...

Mark

Technology-enabled cardiac rehabilitation through PATHway. Design and rationale for the investigation of its feasibility, clinical effectiveness and cost-effectiveness (2016)

Cornelissen, Véronique; Moyna, Niall; Claes, Jomme; Briggs, Andrew; McDermott, Clare M....

Technology-enabled cardiac rehabilitation through PATHway. Design and rationale for the investigation of its feasibility, clinical effectiveness and cost-effectiveness (2016)

Cornelissen, Véronique; Moyna, Niall; Claes, Jomme; Briggs, Andrew; McDermott, Clare M.; Chouvarda, Ioanna; Filos, Dimitris; Finlay, Dewar D.; Daras, Petros; Walsh, Deirdre; Budts, Werner; Woods, Catherine; Moran, Kieran; Buys, Roselien

Abstract:

Background Exercise-based cardiac rehabilitation (CR) favorable and independently alters the clinical course of cardiovascular diseases resulting in a significant reduction in all-cause and cardiac mortality. However, only 15-30% of all eligible patients participate in a phase 2 ambulatory program. Uptake rates of community based programs following phase 2 CR are even lower and adherence to long-term CR is extremely poor. Newer care models, involving programs that are delivered remotely such as telehealth programs, show considerable promise for increasing adherence. In this view, PATHway (Physical Activity Towards Health) is being developed and needs to be evaluated on feasibility and potential clinical benefit. Methods In a multicentre randomized controlled pilot trial, 120 patients (m/f, age 40-80yrs) completing a phase 2 ambulatory CR program will be randomized on a 1:1 basis to PATHway or usual care. PATHway involves a complex comprehensive, internet-enabled, sensor-based home ...

http://doras.dcu.ie/21308/

Mark

Technology-enabled cardiac rehabilitation through PATHway. Design and rationale for the investigation of its feasibility, clinical effectiveness and cost-effectiveness (2016)

Cornelissen, Véronique; Moyna, Niall; Claes, Jomme; Briggs, Andrew; McDermott, Clare M....

Technology-enabled cardiac rehabilitation through PATHway. Design and rationale for the investigation of its feasibility, clinical effectiveness and cost-effectiveness (2016)

Abstract:

Background. Exercise-based cardiac rehabilitation (CR) favorable and independently alters the clinical course of cardiovascular diseases resulting in a significant reduction in all-cause and cardiac mortality. However, only 15-30% of all eligible patients participate in a phase 2 ambulatory program. Uptake rates of community based programs following phase 2 CR are even lower and adherence to long-term CR is extremely poor. Newer care models, involving programs that are delivered remotely such as telehealth programs, show considerable promise for increasing adherence. In this view, PATHway (Physical Activity Towards Health) is being developed and needs to be evaluated on feasibility and potential clinical benefit. Methods. In a multicentre randomized controlled pilot trial, 120 patients (m/f, age 40-80yrs) completing a phase 2 ambulatory CR program will be randomized on a 1:1 basis to PATHway or usual care. PATHway involves a complex comprehensive, internet-enabled, sensor-based hom...

http://doras.dcu.ie/21927/

Mark

The development and co-design of the PATHway intervention: a theory-driven eHealth platform for the self-management of cardiovascular disease. (2017)

Walsh, Deirdre; Moran, Kieran; Cornelissen, Véronique; Buys, Roselien; McDermott, Lauri...

The development and co-design of the PATHway intervention: a theory-driven eHealth platform for the self-management of cardiovascular disease. (2017)

Walsh, Deirdre; Moran, Kieran; Cornelissen, Véronique; Buys, Roselien; McDermott, Lauri; Claes, Jomme; Zampognaro, Paolo; Melillo, Fabio; Malglaveras, N.; Chouvarda, Ioanna; Triantafyllidis, Andreas; Filos, Dimitris; Woods, Catherine

Abstract:

Background Cardiovascular diseases (CVD) are a leading cause of premature death and disability and an economic burden worldwide. International guidelines recommend routine availability and delivery of all phases of cardiac rehabilitation (CR). Uptake of traditional cardiac rehabilitation remains suboptimal, as attendance at formal hospital-based CR programmes is low, with community-based CR rates and individual long-term exercise maintenance even lower. Home-based CR programs have been shown to be equally effective in clinical and health-related quality of life outcomes, and yet are not readily available. Purpose The aim of the current study was to develop the PATHway intervention (Physical Activity Towards Health) for the self-management of cardiovascular disease. Increasing physical activity in individuals with CVD was the primary behaviour. Methods The PATHway intervention was theoretically informed by the Behaviour Change Wheel (BCW) and Social Cognitive Theory (SCT). All re...

http://doras.dcu.ie/22088/