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Open AccessArticle

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

1
Department of Psychology and Behavioral Sciences, Aarhus University, 8000 Aarhus, Denmark
2
SMI®, Department of Health Science and Technology, Aalborg University, 9200 Aalborg East, Denmark
3
Department of Micro- and Nanotechnology, The Technical University of Denmark, 2800 Kgs. Lyngby, Denmark
4
Department of Cardiology, Vendsyssel Hospital, 9800 Hjoerring, Denmark
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Department of Cardiothoracic Surgery, Aalborg University Hospital, 9000 Aalborg, Denmark
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Department of Clinical Medicine, Aalborg University, 9000 Aalborg, Denmark
7
Laboratory of Welfare Technologies - Telehealth and Telerehabilitation, Department of Health Science and Technology, Aalborg University, 9200 Aalborg East, Denmark
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(3), 512; https://doi.org/10.3390/ijerph16030512
Received: 8 January 2019 / Revised: 3 February 2019 / Accepted: 9 February 2019 / Published: 12 February 2019
(This article belongs to the Special Issue Global Advances in Telehealth Practice)
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. View Full-Text
Keywords: telerehabilitation; cardiac rehabilitation; anxiety; depression; psychological distress; motivation telerehabilitation; cardiac rehabilitation; anxiety; depression; psychological distress; motivation
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MDPI and ACS Style

Spindler, H.; Leerskov, K.; Joensson, K.; Nielsen, G.; Andreasen, J.J.; Dinesen, B. Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life. Int. J. Environ. Res. Public Health 2019, 16, 512. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16030512

AMA Style

Spindler H, Leerskov K, Joensson K, Nielsen G, Andreasen JJ, Dinesen B. Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life. International Journal of Environmental Research and Public Health. 2019; 16(3):512. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16030512

Chicago/Turabian Style

Spindler, Helle; Leerskov, Kasper; Joensson, Katrine; Nielsen, Gitte; Andreasen, Jan J.; Dinesen, Birthe. 2019. "Conventional Rehabilitation Therapy Versus Telerehabilitation in Cardiac Patients: A Comparison of Motivation, Psychological Distress, and Quality of Life" Int. J. Environ. Res. Public Health 16, no. 3: 512. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16030512

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