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Device-based 24-hour movement behaviours in adult phase III cardiac rehabilitation service-users during the COVID-19 pandemic: a mixed-methods prospective observational study
,
Kelly Mackintosh ,
C. S. G. Witcher
Disability and Rehabilitation, Pages: 1 - 12
Swansea University Authors:
Melitta McNarry , Kelly Mackintosh
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© 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License.
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DOI (Published version): 10.1080/09638288.2024.2397086
Abstract
Purpose: To examine changes in device-based 24-hour movement behaviours (MB), and facilitatorsand barriers to physical activity (PA) and exercise, during remotely-delivered cardiac rehabilitation(RDCR).Materials and methods: This prospective observational study used wrist-worn GENEActivaccelerometer...
| Published in: | Disability and Rehabilitation |
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| ISSN: | 0963-8288 1464-5165 |
| Published: |
Informa UK Limited
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa67839 |
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| Abstract: |
Purpose: To examine changes in device-based 24-hour movement behaviours (MB), and facilitatorsand barriers to physical activity (PA) and exercise, during remotely-delivered cardiac rehabilitation(RDCR).Materials and methods: This prospective observational study used wrist-worn GENEActivaccelerometers to assess MB of 10 service-users (63 ± 10 years) at the start, middle, and end ofthree-months of RDCR. Barriers and facilitators to PA and exercise were explored through self-reportdiaries and analysed using content analysis.Results: At start, service-users were sedentary for 12.6 ± 0.7 h day−1 and accumulated most PA at alight-intensity (133.52 ± 28.57 min day−1) – neither changed significantly during RDCR. Sleep efficiencysignificantly reduced from start (88.80 ± 4.2%) to the end (86.1 ± 4.76%) of CR, with values meetinghealth-based recommendations (≥85%). Barriers to RDCR exercise included exertional discomfort andcardiac symptoms, and reduced confidence when exercising alone. Setting meaningful PA goals,self-monitoring health targets, and having social support, facilitated PA and exercise during RDCR.Conclusions: Our RDCR programme failed to elicit significant changes in MB or sleep. To increase thelikelihood of successful RDCR, it is important to promote a variety of exercise and PA options, targetsedentary time, and apply theory to RDCR design, delivery, and support strategies. |
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| Keywords: |
Exercise; sedentary behaviour; physical inactivity; movement behaviours; remote-delivery; cardiac rehabilitation |
| College: |
Faculty of Science and Engineering |
| Funders: |
The funding was received from Andover Cardiac Rehabilitation,providing study resources, including contribution to equip-ment costs. |
| Start Page: |
1 |
| End Page: |
12 |