Abstract
Background: While Cardiac Rehabilitation (CR) programs have demonstrated efficacy in enhancing cardiac outcomes, there exists a gap in understanding how patients perceive and adapt to these interventions. Additionally, alternative delivery modes for CR, which have garnered positive participant evaluations, remain underexplored despite their potential to augment CR uptake. Objectives: This study aimed to explore the patient experience in CR programmes following Acute Myocardial Infarction (AMI) and describe their adaptive processing. Patients and Methods: This qualitative study was conducted at a nationally certified centre in China between July 2021 and September 2022, encompassing three stages: in-hospital, centre-based, and home-based CR programs. Purposive sampling was used to select eligible AMI patients for in-depth semi-structured interviews. The interview outline and analytical framework were aligned with the key concepts derived from the middle-range theory of adaptation to chronic illness and the normalization process theory. The findings were reported following the Consolidated Criteria for Reporting Qualitative Research checklist. Results: Forty AMI patients were recruited, and 44 interviews were conducted. Four main themes delineating the process of normalizing CR interventions among AMI patients emerged: (1) experiencing CR service driving by role’s responsibilities, (2) engaging in collaborative relationship based on interpersonal trust, (3) exploring a personalized rehabilitation plan by complex integration, and (4) expecting a promised outcome to shape decision-making. Conclusion: Integrated care interventions for AMI patients could benefit from a collaborative co-designed approach to ensure that CR interventions are normalized and fit into patients' daily lives. Organizational-level CR services should align with patients' rehabilitation needs, adaptation dynamics, and expectations.
Sigma Membership
Unknown
Lead Author Affiliation
Roy Adaptation Association-International, Los Angeles, California, USA,Shanghai Jiao Tong University, Shanghai, China
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Phenomenology
Research Approach
Qualitative Research
Keywords:
Cardiac Rehabilitation, Acute Myocardial Infarction, Adaptive Tasks, Adaptation Theory
Recommended Citation
Wang, Xiyi and Xu, Li, "Understanding adaptive tasks in cardiac rehabilitation among patients with acute myocardial infarction: A qualitative study" (2024). General Submissions: Presenations (Oral and Poster). 9.
https://www.sigmarepository.org/gen_sub_presentations/2024/presentations/9
Conference Name
RAA-I Annual Workshops and Conference
Conference Host
Roy Adaptation Association-International (RAA-I)
Conference Location
Los Angeles, California, USA
Conference Year
2024
Creative Commons License
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Self-submission
Understanding adaptive tasks in cardiac rehabilitation among patients with acute myocardial infarction: A qualitative study
Los Angeles, California, USA
Background: While Cardiac Rehabilitation (CR) programs have demonstrated efficacy in enhancing cardiac outcomes, there exists a gap in understanding how patients perceive and adapt to these interventions. Additionally, alternative delivery modes for CR, which have garnered positive participant evaluations, remain underexplored despite their potential to augment CR uptake. Objectives: This study aimed to explore the patient experience in CR programmes following Acute Myocardial Infarction (AMI) and describe their adaptive processing. Patients and Methods: This qualitative study was conducted at a nationally certified centre in China between July 2021 and September 2022, encompassing three stages: in-hospital, centre-based, and home-based CR programs. Purposive sampling was used to select eligible AMI patients for in-depth semi-structured interviews. The interview outline and analytical framework were aligned with the key concepts derived from the middle-range theory of adaptation to chronic illness and the normalization process theory. The findings were reported following the Consolidated Criteria for Reporting Qualitative Research checklist. Results: Forty AMI patients were recruited, and 44 interviews were conducted. Four main themes delineating the process of normalizing CR interventions among AMI patients emerged: (1) experiencing CR service driving by role’s responsibilities, (2) engaging in collaborative relationship based on interpersonal trust, (3) exploring a personalized rehabilitation plan by complex integration, and (4) expecting a promised outcome to shape decision-making. Conclusion: Integrated care interventions for AMI patients could benefit from a collaborative co-designed approach to ensure that CR interventions are normalized and fit into patients' daily lives. Organizational-level CR services should align with patients' rehabilitation needs, adaptation dynamics, and expectations.