PATIENT PERSPECTIVES ON TELEHEALTH CARDIAC REHABILITATION AFTER MYOCARDIAL INFARCTION

Abstract

Background: Despite the proven benefits of cardiac rehabilitation (CR) post-myocardial infarction (MI), participation rates remain low due to logistical, geographical, and psychosocial barriers. Telehealth-delivered CR offers a promising solution, especially in resource-constrained settings. However, limited qualitative evidence exists on how patients experience and perceive tele-CR, particularly in the South Asian context.

Objective: To explore patient experiences, satisfaction, and perceived barriers regarding telehealth-delivered cardiac rehabilitation following myocardial infarction.

Methods: A qualitative study was conducted over eight months in Lahore, Pakistan, involving in-depth semi-structured interviews with 30 post-MI patients who completed a minimum six-week tele-CR program. Participants were selected using purposive sampling. Interviews were transcribed, translated, and analyzed thematically using Braun and Clarke’s framework. NVivo software was used for data management. Themes and subthemes were identified to capture the breadth of patient experiences. Ethical approval was obtained from the Institutional Review Board of the relevant institute.

Results: Five major themes emerged: (1) perceived convenience and accessibility, including time flexibility and reduced travel burden; (2) patient-provider communication, highlighting emotional support and instructional clarity; (3) technological and logistical challenges, such as digital literacy and device issues; (4) emotional and psychological impact, including isolation and self-motivation difficulties; and (5) suggestions for improvement, including hybrid delivery models and more interactive content. Participants appreciated the convenience of tele-CR but expressed the need for enhanced human connection and support.

Conclusion: Telehealth cardiac rehabilitation is a feasible and acceptable approach for post-MI patients, improving access and flexibility. To optimize outcomes, interventions must address technological and emotional barriers and incorporate patient-centered adaptations.