Traditional Cardiac Rehabilitation |
Non-referral by treating clinicians |
Yes |
Training in effective patient communication; Avoiding clinician turnover. |
Lack of endorsement of clinicians effectiveness |
Yes |
Training in effective patient communication |
Lower socio-economic status |
No |
/ |
Lack of interest |
Yes |
Implement health education and psychoeducation pathways |
Inadequate physical condition |
No |
/ |
Geographical distance |
No |
/ |
Smoking |
No |
/ |
Poor functional capacity |
No |
/ |
Increased body mass index |
No |
/ |
History of cardiovascular accident |
No |
/ |
Reduced frequency of activity |
No |
/ |
|
|
|
|
Remote Heart Failure Monitoring |
Lack of confidence in telehealth approaches |
Yes |
Training on methods and purpose of programs before recruitment |
Preference for direct contact with clinician |
Yes |
Implement synchronous contacts with a team of referring clinicians |
Inability or unwillingness to use technology |
Yes |
Define simple and intuitive usability |
Technology unreliable (including too slow, or interrupted) |
Yes |
Verify network reliability through periodic testing |
Technology too difficult to use (user interface design, accessibility features, complexity of procedures, integration with other devices) |
Yes |
Define simple and intuitive usability |
Poor integration of the telehealth support role with wider team and service roles |
Yes |
Implement synchronous contacts with a team of referring clinicians |
Lack of timely feedback on the success of the service |
Yes |
Introduce immediate visual feedback to confirm correct data submission |