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dc.contributor.authorAnttila, Marjo-Riitta
dc.contributor.authorSoderlund, Anne
dc.contributor.authorPaajanen, Teemu
dc.contributor.authorKivistö, Heikki
dc.contributor.authorKokko, Katja
dc.contributor.authorSjögren, Tuulikki
dc.date.accessioned2021-12-01T13:24:24Z
dc.date.available2021-12-01T13:24:24Z
dc.date.issued2021
dc.identifier.citationAnttila, M.-R., Soderlund, A., Paajanen, T., Kivistö, H., Kokko, K., & Sjögren, T. (2021). Biopsychosocial Profiles of Patients With Cardiac Disease in Remote Rehabilitation Processes : Mixed Methods Grounded Theory Approach. <i>JMIR Rehabilitation and Assistive Technologies</i>, <i>8</i>(4), Article e16864. <a href="https://doi.org/10.2196/16864" target="_blank">https://doi.org/10.2196/16864</a>
dc.identifier.otherCONVID_102291068
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/78861
dc.description.abstractBackground: Digital development has caused rehabilitation services and rehabilitees to become increasingly interested in using technology as a part of rehabilitation. This study was based on a previously published study that categorized 4 groups of patients with cardiac disease based on different experiences and attitudes toward technology (e-usage groups): feeling outsider, being uninterested, reflecting benefit, and enthusiastic using. Objective: This study identifies differences in the biopsychosocial profiles of patients with cardiac disease in e-usage groups and deepen the understanding of these profiles in cardiac rehabilitation. Methods: Focus group interviews and measurements were conducted with 39 patients with coronary heart disease, and the mean age was 54.8 (SD 9.4, range 34-77) years. Quantitative data were gathered during a 12-month rehabilitation period. First, we used analysis of variance and Tukey honestly significant difference test, a t test, or nonparametric tests—Mann–Whitney and Kruskal–Wallis tests—to compare the 4 e-usage groups—feeling outsider, being uninterested, reflecting benefit, and enthusiastic using—in biopsychosocial variables. Second, we compared the results of the 4 e-groups in terms of recommended and reference values. This analysis contained 13 variables related to biomedical, psychological, and social functioning. Finally, we formed biopsychosocial profiles based on the integration of the findings by constant comparative analysis phases through classic grounded theory. Results: The biomedical variables were larger for waistline (mean difference [MD] 14.2; 95% CI 1.0-27.5; P=.03) and lower for physical fitness (MD −0.72; 95% CI −1.4 to −0.06; P=.03) in the being uninterested group than in the enthusiastic using group. The feeling outsider group had lower physical fitness (MD −55.8; 95% CI −110.7 to −0.92; P=.047) than the enthusiastic using group. For psychosocial variables, such as the degree of self-determination in exercise (MD −7.3; 95% CI −13.5 to −1.1; P=.02), the being uninterested group had lower values than the enthusiastic using group. Social variables such as performing guided tasks in the program (P=.03) and communicating via messages (P=.03) were lower in the feeling outsider group than in the enthusiastic using group. The feeling outsider and being uninterested groups had high-risk lifestyle behaviors, and adherence to the web-based program was low. In contrast, members of the being uninterested group were interested in tracking their physical activity. The reflecting benefit and enthusiastic using groups had low-risk lifestyle behavior and good adherence to web-based interventions; however, the enthusiastic using group had low self-efficacy in exercise. These profiles showed how individuals reflected their lifestyle risk factors differently. We renamed the 4 groups as building self-awareness, increasing engagement, maintaining a healthy lifestyle balance, and strengthening self-confidence. Conclusions: The results facilitate more effective and meaningful personalization guidance and inform the remote rehabilitation. Professionals can tailor individual web-based lifestyle risk interventions using these biopsychosocial profiles.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherJMIR Publications Inc.
dc.relation.ispartofseriesJMIR Rehabilitation and Assistive Technologies
dc.rightsCC BY 4.0
dc.subject.othercoronary disease
dc.subject.otherexperience
dc.subject.otherbiopsychosocial model
dc.subject.otherdigital cardiac rehabilitation
dc.subject.othermixed methods grounded theory
dc.subject.otherweb-based program
dc.subject.otherphysical activity
dc.subject.otherself-efficacy
dc.subject.otherquality of life
dc.titleBiopsychosocial Profiles of Patients With Cardiac Disease in Remote Rehabilitation Processes : Mixed Methods Grounded Theory Approach
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202112015860
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiainePhysiotherapyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn2369-2529
dc.relation.numberinseries4
dc.relation.volume8
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysoliikuntahoito
dc.subject.ysokuntoutus
dc.subject.ysosydäntaudit
dc.subject.ysoteleterveydenhuolto
dc.subject.ysominäpystyvyys
dc.subject.ysopsykososiaaliset tekijät
dc.subject.ysofyysinen kunto
dc.subject.ysoelämänlaatu
dc.subject.ysofyysinen aktiivisuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p7811
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p2710
jyx.subject.urihttp://www.yso.fi/onto/yso/p24515
jyx.subject.urihttp://www.yso.fi/onto/yso/p39320
jyx.subject.urihttp://www.yso.fi/onto/yso/p4391
jyx.subject.urihttp://www.yso.fi/onto/yso/p7384
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.2196/16864
dc.type.okmA1


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