McGowan Hannah, Gutenberg Johanna, Leitner Veronika, Mühlhauser Kathrin, Breda Aliz, Fischer Michael, Globits Sebastian, Grote Vincent, Kiesl David, Mayr Karl, Muntean Michael, Podolsky Andrea, Niebauer Josef, Crutzen Rik, Kulnik Stefan Tino
Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Digit Health. 2023 Dec 10;9:20552076231219437. doi: 10.1177/20552076231219437. eCollection 2023 Jan-Dec.
Digital health technologies offer great potential to improve access and adherence to cardiovascular disease secondary prevention measures such as regular physical activity (PA). However, the use and perceptions of digital technology (DT) among cardiac rehabilitation (CR) patients are not well understood. The aim of this study was therefore to explore the use of DT in former CR patients' daily lives, for PA and for health information; and to gain insight into patient perceptions of DT for PA, including barriers, facilitators and requested features.
A cross-sectional postal survey was conducted between May 2022 and January 2023. Five Austrian CR centres contacted 500 former patients who had completed a phase 2 CR programme from January 2019 onwards. One-hundred seventeen patients (mean [SD] age, 69 ± 10 years, 22% female) responded. Descriptive and thematic analyses were conducted for closed and open-ended questions, respectively.
Results indicated high DT usage for communication and informational aspects, and to a large extent also for PA and health information seeking. Main facilitators of DT use for PA were attributed to health and behavioural monitoring. Main barriers were lack of perceived need, lack of interest and poor usability. Most frequently requested features included pulse and blood pressure measurement, step count and compatibility to other devices.
Patients generally used and perceived DT as beneficial in daily life and for secondary prevention purposes such as PA. The survey identified facilitators, barriers and feature requests, which may inform the design and implementation of digital health interventions for CR patients.
数字健康技术在改善心血管疾病二级预防措施（如定期体育活动）的可及性和依从性方面具有巨大潜力。然而，心脏康复（CR）患者对数字技术（DT）的使用情况和看法尚不清楚。因此，本研究的目的是探讨DT在既往CR患者日常生活中用于体育活动和健康信息的情况；并深入了解患者对DT用于体育活动的看法，包括障碍、促进因素和所需功能。
2022年5月至2023年1月进行了一项横断面邮寄调查。五个奥地利CR中心联系了500名自2019年1月起完成第二阶段CR计划的既往患者。117名患者（平均[标准差]年龄，69±10岁，22%为女性）做出了回应。分别对封闭式和开放式问题进行了描述性分析和主题分析。
结果表明，DT在通信和信息方面的使用率很高，在很大程度上也用于体育活动和健康信息查询。DT用于体育活动的主要促进因素归因于健康和行为监测。主要障碍是缺乏感知需求、缺乏兴趣和可用性差。最常要求的功能包括脉搏和血压测量、步数计数以及与其他设备的兼容性。
患者通常在日常生活中使用DT，并认为其对体育活动等二级预防目的有益。该调查确定了促进因素、障碍和功能需求，这可能为CR患者数字健康干预措施的设计和实施提供参考。
