Evidence map›Paper›PMID 38483450›Full record

ArticleJMIR cardio2024

Cardiac Rehabilitation During the COVID-19 Pandemic and the Potential for Digital Technology to Support Physical Activity Maintenance: Qualitative Study.

Linda G Park, Serena Chi, Susan Pitsenbarger, Julene K Johnson, Amit J Shah, Abdelaziz Elnaggar, Julia von Oppenfeld, Evan Cho, Arash Harzand, Mary A Whooley

Open access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Linda G ParkDepartment of Community Health Systems, University of California San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-9894-4039
Serena ChiDepartment of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, United States.ORCID https://orcid.org/0009-0001-3623-3370
Susan PitsenbargerBennett ReGen, Dearborn, MI, United States.ORCID https://orcid.org/0009-0000-8626-5509
Julene K JohnsonInstitute for Health & Aging, School of Nursing, University of California San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0003-3705-0784
Amit J ShahDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0001-9099-9687
Abdelaziz ElnaggarDepartment of Community Health Systems, University of California San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0003-2591-5955
Julia von OppenfeldVeterans Affairs Medical Center, San Francisco, CA, United States.ORCID https://orcid.org/0000-0003-1904-0152
Evan ChoCollege of Medicine, California Northstate University, Elk Grove, CA, United States.ORCID https://orcid.org/0000-0002-7865-7411
Arash HarzandDivision of Cardiology, School of Medicine, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0002-9192-9338
Mary A WhooleyVeterans Affairs Medical Center, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-5943-0078
San Francisco VA Medical Center · USEmory University · USCalifornia Northstate University · USUniversity of California, Berkeley · USUniversity of California, San Francisco · US

Funding

RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Torsten Brian Neilands · 1997 to 2026
$19.5M
NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

backgroundSocial distancing from the COVID-19 pandemic may have decreased engagement in cardiac rehabilitation (CR) and may have had possible consequences on post-CR exercise maintenance. The increased use of technology as an adaptation may benefit post-CR participants via wearables and social media. Thus, we sought to explore the possible relationships of both the pandemic and technology on post-CR exercise maintenance.

objectiveThis study aimed to (1) understand CR participation during the COVID-19 pandemic, (2) identify perceived barriers and facilitators to physical activity after CR completion, and (3) assess willingness to use technology and social media to support physical activity needs among older adults with cardiovascular disease.

methodsWe recruited participants aged 55 years and older in 3 different CR programs offered at both public and private hospitals in Northern California. We conducted individual interviews on CR experiences, physical activity, and potential for using technology. We used thematic analysis to synthesize the data.

resultsIn total, 22 participants (n=9, 41% female participants; mean age 73, SD 8 years) completed in-depth interviews. Themes from participants' feedback included the following: (1) anxiety and frustration about the wait for CR caused by COVID-19 conditions, (2) positive and safe participant experience once in CR during the pandemic, (3) greater attention needed to patients after completion of CR, (4) notable demand for technology during the pandemic and after completion of CR, and (5) social media networking during the CR program considered valuable if training is provided.

conclusionsIndividuals who completed CR identified shared concerns about continuing physical activity despite having positive experiences during the CR program. There were significant challenges during the pandemic and heightened concerns for safety and health. The idea of providing support by leveraging digital technology (wearable devices and social media for social support) resonated as a potential solution to help bridge the gap from CR to more independent physical activity. More attention is needed to help individuals experience a tailored and safe transition to home to maintain physical activity among those who complete CR.

Indexed as

anxietyCaliforniacardiac rehabcardiac rehabilitationcardiovascular diseaseCOVID-19CRdigital healthdigital technologyexercisegeriatricgeriatricsgerontologyhospitalinterviewmedical facilityolder adultspandemicphysical activityphysical activity maintenancesocial distancingsocial mediatechnologythematic analysiswearables

Identifiers

PMID38483450
PMCPMC10941834
OpenAlexW4392817503

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.