Institute of Medicine, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SE-405 30, Sweden.
Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
BMC Health Serv Res. 2024 Sep 2;24(1):1012. doi: 10.1186/s12913-024-11374-5.
Patient education programmes focusing on risk factor modification and lifestyle changes are well established as part of cardiac rehabilitation in patients with coronary artery disease (CAD). As participation rates are low, digital patient education programmes (DPE) are interesting alternatives to increase access. Understanding patients' perceptions of DPE are important in terms of successful implementation in clinical practice but are not well known. Therefore, the aim of this study was to assess patients' perceptions of using a DPE in terms of end-user acceptance and usability, perceived significance for lifestyle changes and secondary preventive goal fulfilment in patients with CAD.
This was a cross-sectional survey-based study. The survey was distributed to all 1625 patients with acute coronary syndrome or chronic CAD with revascularisation, who were registered users of the DPE between 2020 and 2022 as part of cardiac rehabilitation. The survey contained 64 questions about e.g., acceptance and usability, perceived significance for making lifestyle changes and secondary preventive goal fulfilment. Patients who had never logged in to the DPE received questions about their reasons for not logging in. Data were analysed descriptively.
A total of 366 patients (mean age: 69.1 ± 11.3 years, 20% female) completed the survey and among those 207 patients (57%) had used the DPE. Patients reported that the DPE was simple to use (80%) and improved access to healthcare (67-75%). A total of 69% of the patients were generally satisfied with the DPE, > 60% reported that the DPE increased their knowledge about secondary preventive treatment goals and approximately 60% reported having a healthy lifestyle today. On the other hand, 35% of the patients would have preferred a hospital-based education programme. Among the 159 patients (43%) who had never used the DPE, the most reported reason was a perceived need for more information about how to use the DPE (52%).
This study shows an overall high level of patient acceptance and usability of the DPE, which supports its continued development and long-term role in cardiac rehabilitation in patients with CAD. Future studies should assess associations between participation in the DPE and clinical outcomes, such as secondary preventive goal fulfilment and hospitalisation.
以改变风险因素和生活方式为重点的患者教育计划已被确立为冠心病（CAD）患者心脏康复的重要组成部分。由于参与率较低，数字患者教育计划（DPE）是增加参与度的有趣选择。了解患者对 DPE 的看法对于成功实施临床实践非常重要，但目前尚不清楚。因此，本研究旨在评估患者对 DPE 的看法，包括终端用户接受度和可用性、对生活方式改变的感知重要性以及对 CAD 患者二级预防目标的实现。
这是一项基于横断面调查的研究。该调查分发给所有在 2020 年至 2022 年期间作为心脏康复的一部分，使用 DPE 的 1625 名急性冠状动脉综合征或慢性 CAD 伴血运重建患者。该调查包含 64 个问题，例如接受度和可用性、对改变生活方式的感知重要性以及二级预防目标的实现。从未登录过 DPE 的患者收到关于未登录的原因的问题。数据进行了描述性分析。
共有 366 名患者（平均年龄：69.1±11.3 岁，20%为女性）完成了调查，其中 207 名患者（57%）使用过 DPE。患者报告说 DPE 使用简单（80%），并且改善了获得医疗保健的途径（67-75%）。共有 69%的患者对 DPE 总体满意，超过 60%的患者报告说 DPE 增加了他们对二级预防治疗目标的了解，约 60%的患者报告说现在有健康的生活方式。另一方面，35%的患者更喜欢基于医院的教育计划。在从未使用过 DPE 的 159 名患者（43%）中，最常见的原因是认为需要更多关于如何使用 DPE 的信息（52%）。
本研究显示患者对 DPE 的总体接受度和可用性较高，这支持了其在 CAD 患者心脏康复中的持续发展和长期作用。未来的研究应评估参与 DPE 与二级预防目标的实现和住院等临床结果之间的关联。
