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Device-based 24-hour movement behaviours in adult phase III cardiac rehabilitation service-users during the COVID-19 pandemic: a mixed-methods prospective observational study

S. J. Meredith, A. I. Shepherd, Z. L. Saynor, A. Scott, P. Gorczynski, M. Perissiou, M. Horne, Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo, C. S. G. Witcher

Disability and Rehabilitation, Pages: 1 - 12

Swansea University Authors: Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo

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DOI (Published version): 10.1080/09638288.2024.2397086

Abstract

Purpose: To examine changes in device-based 24-hour movement behaviours (MB), and facilitatorsand barriers to physical activity (PA) and exercise, during remotely-delivered cardiac rehabilitation(RDCR).Materials and methods: This prospective observational study used wrist-worn GENEActivaccelerometer...

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Published in: Disability and Rehabilitation
ISSN: 0963-8288 1464-5165
Published: Informa UK Limited 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67839
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Abstract: Purpose: To examine changes in device-based 24-hour movement behaviours (MB), and facilitatorsand barriers to physical activity (PA) and exercise, during remotely-delivered cardiac rehabilitation(RDCR).Materials and methods: This prospective observational study used wrist-worn GENEActivaccelerometers to assess MB of 10 service-users (63 ± 10 years) at the start, middle, and end ofthree-months of RDCR. Barriers and facilitators to PA and exercise were explored through self-reportdiaries and analysed using content analysis.Results: At start, service-users were sedentary for 12.6 ± 0.7 h day−1 and accumulated most PA at alight-intensity (133.52 ± 28.57 min day−1) – neither changed significantly during RDCR. Sleep efficiencysignificantly reduced from start (88.80 ± 4.2%) to the end (86.1 ± 4.76%) of CR, with values meetinghealth-based recommendations (≥85%). Barriers to RDCR exercise included exertional discomfort andcardiac symptoms, and reduced confidence when exercising alone. Setting meaningful PA goals,self-monitoring health targets, and having social support, facilitated PA and exercise during RDCR.Conclusions: Our RDCR programme failed to elicit significant changes in MB or sleep. To increase thelikelihood of successful RDCR, it is important to promote a variety of exercise and PA options, targetsedentary time, and apply theory to RDCR design, delivery, and support strategies.
Keywords: Exercise; sedentary behaviour; physical inactivity; movement behaviours; remote-delivery; cardiac rehabilitation
College: Faculty of Science and Engineering
Funders: The funding was received from Andover Cardiac Rehabilitation,providing study resources, including contribution to equip-ment costs.
Start Page: 1
End Page: 12

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