Stakeholder perceptions of factors contributing to effective implementation of exercise cardiac telerehabilitation in clinical practice.
Aims Cardiac exercise telerehabilitation is effective and can be cost-effective for managing ischaemic heart disease, but implementation of evidence-based interventions in clinical practice remains a challenge. We aimed to identify factors that cardiac rehabilitation stakeholders perceived could inf...
| Publicado en: | European Journal of Cardiovascular Nursing Vol. 24; no. 1; pp. 116 - 126 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183031028&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183031028 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14745151 KJC jtl: European Journal of Cardiovascular Nursing issn: 14745151 maglogo: N pubinfo: dt: Jan2025 vid: 24 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 183031028 183031028 183031028 10.1093/eurjcn/zvae127 183031028 ppf: 116 ppct: 10 formats: tig: atl: Stakeholder perceptions of factors contributing to effective implementation of exercise cardiac telerehabilitation in clinical practice. aug: au: Rawstorn, Jonathan C Subedi, Narayan Koorts, Harriet Evans, Luke Cartledge, Susie Wallen, Matthew P Grace, Fergal M Islam, Sheikh Mohammed Shariful Maddison, Ralph affil: Institute for Physical Activity and Nutrition, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia sug: subj: Cardiovascular Diseases Prevention and Control Rehabilitation, Cardiac Telerehabilitation Medical Practice, Evidence-Based Therapeutic Exercise Quality of Health Care Implementation Science Monitoring, Physiologic Attitude of Health Personnel Evaluation Patient Attitudes Evaluation Outcome Assessment Human Australia Conceptual Framework Thematic Analysis Funding Source Purposive Sample Descriptive Statistics Male Female Adult Middle Age Aged Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Aims Cardiac exercise telerehabilitation is effective and can be cost-effective for managing ischaemic heart disease, but implementation of evidence-based interventions in clinical practice remains a challenge. We aimed to identify factors that cardiac rehabilitation stakeholders perceived could influence the effectiveness of implementing an evidence-based, real-time remotely monitored cardiac exercise telerehabilitation intervention (REMOTE-CR). Methods and results Online interviews and focus groups were conducted with cardiac rehabilitation consumers (n = 16, 5 female, 61.1 ± 10.0 years), practitioners (n = 20, 14 female; 36.6 ± 11.8 years), and health service managers (n = 11, 7 female; 46.2 ± 9.2 years) recruited from one metropolitan and three inner-regional healthcare services in Western Victoria, Australia. Discussions were guided by two theoretical frameworks (Non-adoption, Abandonment, Scale-up, Spread, and Sustainability; Consolidated Framework for Implementation Research), and analysed thematically. Factors perceived to influence effective implementation of REMOTE-CR spanned all domains of the theoretical frameworks, related to six major themes (resources, change management, stakeholder targeting, knowledge, intervention design, security) and were largely consistent across study sites; however, the relative importance of each factor may vary between sites. Conclusion Effective implementation of exercise telerehabilitation interventions like REMOTE-CR will require a coordinated context-specific approach that considers factors across all levels of the healthcare system and implementation science frameworks. Key requirements include prioritizing resources, managing change, selecting target stakeholders, developing digital health capabilities, and selecting fit-for-purpose technologies that enable programme delivery objectives. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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