A novel referral strategy to enhance the enrollment of patients with heart failure in cardiac rehabilitation: A feasibility study
Rattachement africain : dk. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background and Aims: Rehabilitation targeting patients with cardiac conditions are evident and acknowledged in clinical guidelines. However, participation rates remain suboptimal, with only 50% of all patients with cardiac conditions participating in these programs across Europe. Considering the well-documented effects of rehabilitation, increasing the referral rate to cardiac rehabilitation would be desirable. This study aimed to evaluate the feasibility of a novel referral strategy that could potentially enhance enrollment in cardiac rehabilitation for patients with heart failure. Methods: This prospective feasibility study incorporating both quantitative and qualitative methods was conducted in an outpatient heart failure clinic and a municipal health care center. 106 patients with heart failure were referred to the heart failure clinic from September 2021 through July 2022. A 15-20 min face-to-face physiotherapy consultation was incorporated into usual care, evaluating patients' habitual and actual level of functioning, disability, and physical activity and assessing their potential need and motivation for cardiac rehabilitation. Three predefined quantitative feasibility outcomes: reach, referral rate, and data completeness were assessed. Additionally, semi-structured interviews explored acceptability among patients and health care professionals at the municipal health care center and the hospital. Finally, the potential effect was assessed based on the enrollment rate. Results: Physiotherapy consultations were offered to 86% of eligible patients; of these, 52% were referred to cardiac rehabilitation. Ninety-one percent data completeness was achieved. The intervention was well-accepted by patients and health care professionals. The enrollment rate reached 79%. Conclusion: The novel referral strategy proved feasible concerning reach and data completeness, although the referral rate suggested that further refinements are required before a full-scale trial. The novel referral strategy was well-accepted, and enrollment rate approached an acceptable level.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A novel referral strategy to enhance the enrollment of patients with heart failure in cardiac rehabilitation: A feasibility study
- Date Crossref
- 01/03/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Regionshospitalet Silkeborg pays non établi dans la noticeÉtablissement de santé
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University of Southern Denmark pays non établi dans la noticeUniversité ou école supérieure
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Slagelse Hospital Department of Physiotherapy and Occupational Therapy pays non établi dans la noticeÉtablissement de santé
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Aarhus University Department of Physiotherapy and Occupational Therapy pays non établi dans la noticeUniversité ou école supérieure
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Aarhus University Hospital pays non établi dans la noticeÉtablissement de santé
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Medical Diagnostic Center University Research Clinic for Innovative Patient Pathways Silkeborg Denmark Medical Diagnostic Center pays non établi dans la noticeUniversité ou école supérieure
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Diagnostic Center Silkeborg Regional Hospital Denmark Department of Physio‐ and Occupational Therapy pays non établi dans la noticeÉtablissement de santé
Regionshospitalet Silkeborg, University of Southern Denmark et Department of Physiotherapy and Occupational Therapy — Slagelse Hospital, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.