Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients

A Comparison of Motivation, Psychological Distress, and Quality of Life

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Abstract

Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients ( n = 136) were randomly assigned to a TR or CR group. The TR group was provided with relevant health care technology for a period of three months, and both groups filled in questionnaires on their motivation for lifestyle changes and self-care psychological distress, and quality of life at 0, 3, 6, and 12 months. Patients in both groups were found to be equally motivated for lifestyle changes and self-care ( p < 0.05) and they experienced similar levels of psychological distress and quality of life. TR is comparable to conventional rehabilitation in motivating patients, preventing psychological distress and improving quality of life. Although we observed an initial increase in autonomous motivation in the telerehabilitation group, this positive difference in motivation does not last over time. As such, neither rehabilitation format seems able to ensure long-term motivation. Therefore, TR may serve as a viable replacement for conventional rehabilitation when considered relevant. Further research is needed to enhance long-term motivation, and maybe telerehabilitation can help to achieve this.

Original languageEnglish
Article number512
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number3
Number of pages15
ISSN1660-4601
DOIs
Publication statusPublished - 12 Feb 2019

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Motivation
Rehabilitation
Quality of Life
Psychology
Self Care
Life Style
Therapeutics
Biomedical Technology
Telerehabilitation
Research

Keywords

  • anxiety
  • cardiac rehabilitation
  • depression
  • motivation
  • psychological distress
  • telerehabilitation
  • Humans
  • Middle Aged
  • Heart Diseases/rehabilitation
  • Male
  • Motivation
  • Time Factors
  • Quality of Life
  • Stress, Psychological
  • Female
  • Surveys and Questionnaires
  • Telerehabilitation
  • Self Care

Cite this

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title = "Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life",
abstract = "Telerehabilitation (TR) has gained attention as a promising rehabilitation format. Our study examined how patients responded to TR and whether it provided adequate support for their lifestyle changes and self-care efforts when compared to conventional rehabilitation (CR). Cardiac patients ( n = 136) were randomly assigned to a TR or CR group. The TR group was provided with relevant health care technology for a period of three months, and both groups filled in questionnaires on their motivation for lifestyle changes and self-care psychological distress, and quality of life at 0, 3, 6, and 12 months. Patients in both groups were found to be equally motivated for lifestyle changes and self-care ( p < 0.05) and they experienced similar levels of psychological distress and quality of life. TR is comparable to conventional rehabilitation in motivating patients, preventing psychological distress and improving quality of life. Although we observed an initial increase in autonomous motivation in the telerehabilitation group, this positive difference in motivation does not last over time. As such, neither rehabilitation format seems able to ensure long-term motivation. Therefore, TR may serve as a viable replacement for conventional rehabilitation when considered relevant. Further research is needed to enhance long-term motivation, and maybe telerehabilitation can help to achieve this.",
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