Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.3390/jcm11164838 http://hdl.handle.net/11449/242252 |
Resumo: | This mixed-method study aimed to compare physical activity (PA) patterns of a cross-over cardiac rehabilitation (CR) cohort with a center-based CR cohort and to explore barriers and facilitators of participants transitioning and engaging in virtual CR. It included the retrospective self-reported PA of a cross-over CR cohort (n = 75) and a matched center-based CR cohort (n = 75). Some of the participants included in the cross-over cohort (n = 12) attended semi-structured focus group sessions and results were interpreted in the context of the PRECEDE-PROCEED model. Differences between groups were not observed (p > 0.05). The center-based CR cohort increased exercise frequency (p = 0.002), duration (p = 0.007), and MET/minutes (p = 0.007) over time. The cross-over cohort increased exercise duration (p = 0.04) with no significant change in any other parameters. Analysis from focus groups revealed six overarching themes classified under predisposing factors (knowledge), enabling factors (external support, COVID-19 restrictions, mental health, personal reasons/preferences), and reinforcing factors (recommendations). These findings suggest an improvement of the PA levels of center-based CR cohort participants pre-pandemic and mitigated improvement in those who transitioned to a virtual CR early in the pandemic. Improving patients’ exercise-related knowledge, provider endorsements, and the implementation of group videoconferencing sessions could help overcome barriers to participation in virtual CR. |
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Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Studycardiac rehabilitationCOVID-19mixed methodsphysical activityThis mixed-method study aimed to compare physical activity (PA) patterns of a cross-over cardiac rehabilitation (CR) cohort with a center-based CR cohort and to explore barriers and facilitators of participants transitioning and engaging in virtual CR. It included the retrospective self-reported PA of a cross-over CR cohort (n = 75) and a matched center-based CR cohort (n = 75). Some of the participants included in the cross-over cohort (n = 12) attended semi-structured focus group sessions and results were interpreted in the context of the PRECEDE-PROCEED model. Differences between groups were not observed (p > 0.05). The center-based CR cohort increased exercise frequency (p = 0.002), duration (p = 0.007), and MET/minutes (p = 0.007) over time. The cross-over cohort increased exercise duration (p = 0.04) with no significant change in any other parameters. Analysis from focus groups revealed six overarching themes classified under predisposing factors (knowledge), enabling factors (external support, COVID-19 restrictions, mental health, personal reasons/preferences), and reinforcing factors (recommendations). These findings suggest an improvement of the PA levels of center-based CR cohort participants pre-pandemic and mitigated improvement in those who transitioned to a virtual CR early in the pandemic. Improving patients’ exercise-related knowledge, provider endorsements, and the implementation of group videoconferencing sessions could help overcome barriers to participation in virtual CR.Toronto Rehabilitation Institute University Health NetworkLawrence S. Bloomberg Faculty of Nursing University of TorontoFaculty of Kinesiology and Physical Education University of TorontoSchool of Technology and Sciences São Paulo State University, SPSchool of Technology and Sciences São Paulo State University, SPUniversity Health NetworkUniversity of TorontoUniversidade Estadual Paulista (UNESP)Vanzella, Lais ManataGhisi, Gabriela Lima de MeloColella, Tracey Jacqueline FitchettLarkin, JillianVanderlei, Luiz Carlos Marques [UNESP]Marzolini, SusanThomas, ScottOh, Paul2023-03-02T12:25:50Z2023-03-02T12:25:50Z2022-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.3390/jcm11164838Journal of Clinical Medicine, v. 11, n. 16, 2022.2077-0383http://hdl.handle.net/11449/24225210.3390/jcm111648382-s2.0-85137379852Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Clinical Medicineinfo:eu-repo/semantics/openAccess2024-06-18T18:44:42Zoai:repositorio.unesp.br:11449/242252Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T23:35:09.078315Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
title |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
spellingShingle |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study Vanzella, Lais Manata cardiac rehabilitation COVID-19 mixed methods physical activity |
title_short |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
title_full |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
title_fullStr |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
title_full_unstemmed |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
title_sort |
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study |
author |
Vanzella, Lais Manata |
author_facet |
Vanzella, Lais Manata Ghisi, Gabriela Lima de Melo Colella, Tracey Jacqueline Fitchett Larkin, Jillian Vanderlei, Luiz Carlos Marques [UNESP] Marzolini, Susan Thomas, Scott Oh, Paul |
author_role |
author |
author2 |
Ghisi, Gabriela Lima de Melo Colella, Tracey Jacqueline Fitchett Larkin, Jillian Vanderlei, Luiz Carlos Marques [UNESP] Marzolini, Susan Thomas, Scott Oh, Paul |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
University Health Network University of Toronto Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Vanzella, Lais Manata Ghisi, Gabriela Lima de Melo Colella, Tracey Jacqueline Fitchett Larkin, Jillian Vanderlei, Luiz Carlos Marques [UNESP] Marzolini, Susan Thomas, Scott Oh, Paul |
dc.subject.por.fl_str_mv |
cardiac rehabilitation COVID-19 mixed methods physical activity |
topic |
cardiac rehabilitation COVID-19 mixed methods physical activity |
description |
This mixed-method study aimed to compare physical activity (PA) patterns of a cross-over cardiac rehabilitation (CR) cohort with a center-based CR cohort and to explore barriers and facilitators of participants transitioning and engaging in virtual CR. It included the retrospective self-reported PA of a cross-over CR cohort (n = 75) and a matched center-based CR cohort (n = 75). Some of the participants included in the cross-over cohort (n = 12) attended semi-structured focus group sessions and results were interpreted in the context of the PRECEDE-PROCEED model. Differences between groups were not observed (p > 0.05). The center-based CR cohort increased exercise frequency (p = 0.002), duration (p = 0.007), and MET/minutes (p = 0.007) over time. The cross-over cohort increased exercise duration (p = 0.04) with no significant change in any other parameters. Analysis from focus groups revealed six overarching themes classified under predisposing factors (knowledge), enabling factors (external support, COVID-19 restrictions, mental health, personal reasons/preferences), and reinforcing factors (recommendations). These findings suggest an improvement of the PA levels of center-based CR cohort participants pre-pandemic and mitigated improvement in those who transitioned to a virtual CR early in the pandemic. Improving patients’ exercise-related knowledge, provider endorsements, and the implementation of group videoconferencing sessions could help overcome barriers to participation in virtual CR. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-01 2023-03-02T12:25:50Z 2023-03-02T12:25:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.3390/jcm11164838 Journal of Clinical Medicine, v. 11, n. 16, 2022. 2077-0383 http://hdl.handle.net/11449/242252 10.3390/jcm11164838 2-s2.0-85137379852 |
url |
http://dx.doi.org/10.3390/jcm11164838 http://hdl.handle.net/11449/242252 |
identifier_str_mv |
Journal of Clinical Medicine, v. 11, n. 16, 2022. 2077-0383 10.3390/jcm11164838 2-s2.0-85137379852 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Clinical Medicine |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808129532709830656 |