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Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life

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  • Helle Spindler

    (Department of Psychology and Behavioral Sciences, Aarhus University, 8000 Aarhus, Denmark)

  • Kasper Leerskov

    (SMI®, Department of Health Science and Technology, Aalborg University, 9200 Aalborg East, Denmark)

  • Katrine Joensson

    (Department of Micro- and Nanotechnology, The Technical University of Denmark, 2800 Kgs. Lyngby, Denmark)

  • Gitte Nielsen

    (Department of Cardiology, Vendsyssel Hospital, 9800 Hjoerring, Denmark)

  • Jan Jesper Andreasen

    (Department of Cardiothoracic Surgery, Aalborg University Hospital, 9000 Aalborg, Denmark
    Department of Clinical Medicine, Aalborg University, 9000 Aalborg, Denmark)

  • Birthe Dinesen

    (Laboratory of Welfare Technologies - Telehealth and Telerehabilitation, Department of Health Science and Technology, Aalborg University, 9200 Aalborg East, Denmark)

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.

Suggested Citation

  • Helle Spindler & Kasper Leerskov & Katrine Joensson & Gitte Nielsen & Jan Jesper Andreasen & Birthe Dinesen, 2019. "Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:512-:d:205057
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    References listed on IDEAS

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    1. Martin Cartwright & Shashivadan P Hirani & Lorna Rixon & Michelle Beynon & Helen Doll & Peter Bower & Martin Bardsley & Adam Steventon & Martin Knapp & Catherine Henderson & Anne Rogers & Caroline San, 2013. "Effect of telehealth on quality of life and psychological outcomes over 12 months (Whole Systems Demonstrator telehealth questionnaire study): nested study of patient reported outcomes in a pragmatic,," LSE Research Online Documents on Economics 49519, London School of Economics and Political Science, LSE Library.
    2. Carol C. Choo & Peter K. H. Chew & Shuet-Ming Lai & Shuenn-Chiang Soo & Cyrus S. Ho & Roger C. Ho & Raymond C. Wong, 2018. "Effect of Cardiac Rehabilitation on Quality of Life, Depression and Anxiety in Asian Patients," IJERPH, MDPI, vol. 15(6), pages 1-7, May.
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