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. 2024 Jun 26;12(13):1271. doi: 10.3390/healthcare12131271

Table 5.

Behavioral antecedents and proposed improvement.

Type of Intervention Antecedent Modifiable Exclusively by Clinicians How to Change
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