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. 2018 Dec;101(12):2162-2169.
doi: 10.1016/j.pec.2018.07.010. Epub 2018 Jul 11.

Patient preferences for the delivery of cardiac rehabilitation

Mary Boyde  1 , Jenny Rankin  2 , Jennifer A Whitty  3 , Robyn Peters  4 , Julie Holliday  5 , Charmaine Baker  6 , Rita Hwang  7 , Donna Lynagh  8 , Dariusz Korczyk  9
Affiliations

Patient preferences for the delivery of cardiac rehabilitation

Mary Boyde et al. Patient Educ Couns. 2018 Dec.

Abstract

Objective: To elicit patients' preferences for cardiac rehabilitation(CR).

Methods: A Discrete Choice Experiment was used to quantify patients' preferences for the delivery of CR. This survey-based method elicited the relative importance of different characteristics of a program.

Results: 200 in-patients eligible to attend CR completed the survey. Over half of the patients strongly preferred a centre-based compared to a home-based program. Many but not all preferred a program starting within two rather than six weeks of discharge and exercise delivered in a group rather than individual setting, with exercise via the internet using telehealth strongly disliked. Some respondents preferred lifestyle information delivered one-to-one by a health professional, and there was an overall preference against delivery by smart phone Apps. Some preferred a program out of rather than within working hours and a shorter program (four weeks compared to eight weeks).

Conclusions: This study provides further insight into patient preferences for a CR program. Although the strongest preferences were for centre-based programs with healthcare professionals facilitating exercise classes and one-on-one education, it is important to offer flexible delivery as one approach will not suit everyone.

Practice implications: There is the potential to improve CR programs by focusing on patient preferences.

Keywords: Cardiac rehabilitation; Discrete choice experiment; Patient preferences.

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Comment in

  • Rejoinder to "Patient preferences for the delivery of cardiac rehabilitation".
    Rawstorn JC, Cartledge S, Islam SMS, Maddison R. Rawstorn JC, et al. Patient Educ Couns. 2019 Feb;102(2):394-395. doi: 10.1016/j.pec.2018.10.018. Epub 2018 Oct 24. Patient Educ Couns. 2019. PMID: 30377006 No abstract available.
  • Author's response.
    Boyde M, Whitty J, Peters R, Holliday J, Baker C, Hwang R, Lynagh D, Korczyk D. Boyde M, et al. Patient Educ Couns. 2019 Feb;102(2):396-397. doi: 10.1016/j.pec.2019.01.012. Patient Educ Couns. 2019. PMID: 30765049 No abstract available.

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