MY DATA
Description
This study hypothesizes that a blended learning approach integrating traditional cardiac rehabilitation (CR) with in-person training sessions and remote assistance through an app based on the Knowledge, Attitude, and Practice (KAP) model will improve medication adherence and self-efficacy among patients undergoing coronary artery bypass graft (CABG) surgery compared to traditional CR alone. Participants: 70 patients referred to the cardiac rehabilitation program, randomized 1:1 into intervention and control groups (35 patients each). Intervention: Four in-person training sessions and three months of app-based follow-up support, in addition to traditional CR. Assessments: Medication adherence and self-efficacy were measured pre-CR, after 1 month, and 3 months post-CR. Baseline: No significant demographic differences between the intervention and control groups. Outcomes: The intervention group showed significant and sustained improvements in medication adherence and self-efficacy compared to the control group (p<0.001). These improvements were observed from the first month and continued throughout the study period. Enhanced Self-Efficacy: Blended learning may provide patients with more comprehensive education and support, boosting their confidence in managing their health post-surgery. Improved Medication Adherence: Continuous support and follow-up via the app likely contributed to better adherence to medication regimens. Blended learning in cardiac rehabilitation positively impacts medication adherence and self-efficacy for CABG patients. This approach should be further explored and potentially integrated into standard CR programs to enhance patient outcomes.
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Steps to reproduce
The Medication Adherence Report Scale (MARS), Cardiac Self-Efficacy Questionnaire, and Demographic Information Questionnaire were used to collect data. SPSS version 16 software was used to analyze the data, and chi-square tests, Fisher's exact test, independent t-tests, and repeated measures tests were employed.