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The Process of Patient Engagement in Cardiac Rehabilitation: A Model-Centric Systematic Review

Published online by Cambridge University Press:  13 November 2018

Sepideh Jahandideh Open the ORCID record for Sepideh Jahandideh [Opens in a new window] ,
Elizabeth Kendall ,
Samantha Low-Choy ,
Kenneth Donald  and
Rohan Jayasinghe
Sepideh Jahandideh*
Affiliation:
School of School of Human Services and Social Work & Menzies Health Institute Queensland, Gold Coast Campus, Griffith University, Brisbane, Queensland, Australia
Elizabeth Kendall
Affiliation:
School of Human Services and Social Work, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
Samantha Low-Choy
Affiliation:
Griffith Social and Behavioral Research College, Griffith University, Brisbane, Queensland, Australia
Kenneth Donald
Affiliation:
School of Medicine, Gold Coast Campus, Griffith University, Gold Coast, Queensland, Australia
Rohan Jayasinghe
Affiliation:
Medical Director, Cardiology Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia
*
Correspondence author: Sepideh Jahandideh, School of Medicine & Menzies Health Institute Queensland, G40 Griffith Health Centre, Level 8.86 Gold Coast Campus, Griffith University QLD 4222, Australia. Email: sepideh.jahandideh@griffithuni.edu.au
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Abstract

This study aimed to compile existing evidence about the proposed relationships among variables at three stages of the model of therapeutic engagement (MTE): patient intention to engage in cardiac rehabilitation (CR), CR initiation, and sustained engagement. This model has not been tested in any rehabilitation setting. Therefore, this systematic literature review is key to future research and application of MTE to predict and enhance patient engagement in CR. Model-centric systematic literature reviews have been conducted for each stage of the MTE. A coherent approach to understanding and monitoring the process of patient engagement in CR is absent. Few relevant studies included in the model-centric reviews met the criteria: eight in stage 1, four in stage 2, and six in stage 3 of the MTE. In total, the tenets of the MTE were supported in patient intention to engage in CR. However, there was less evidence quantifying the proposed relationships among variables that impact on CR initiation and sustained engagement. There is a scarcity of research examining rehabilitation engagement in depth to better understand the complicated process contributing to behavioural outcomes. No decision-support models currently exist to alert patients and healthcare provider to the factors that influence non-engagement.

Keywords

intention to engagecardiac rehabilitation initiationpatient engagementmodel of therapeutic engagementcardiac rehabilitation
Type
Review Article
Information
Behaviour Change , Volume 35 , Issue 4 , December 2018 , pp. 185 - 202
Copyright
Copyright © The Author(s) 2018 

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