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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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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 &#xB1; 0.7 h day&#x2212;1 and accumulated most PA at alight-intensity (133.52 &#xB1; 28.57 min day&#x2212;1) &#x2013; neither changed significantly during RDCR. Sleep efficiencysignificantly reduced from start (88.80 &#xB1; 4.2%) to the end (86.1 &#xB1; 4.76%) of CR, with values meetinghealth-based recommendations (&#x2265;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. 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spelling 2025-02-20T13:07:44.7851897 v2 67839 2024-09-26 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 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2024-09-26 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. Journal Article Disability and Rehabilitation 0 1 12 Informa UK Limited 0963-8288 1464-5165 Exercise; sedentary behaviour; physical inactivity; movement behaviours; remote-delivery; cardiac rehabilitation 11 9 2024 2024-09-11 10.1080/09638288.2024.2397086 COLLEGE NANME COLLEGE CODE Swansea University Another institution paid the OA fee The funding was received from Andover Cardiac Rehabilitation,providing study resources, including contribution to equip-ment costs. 2025-02-20T13:07:44.7851897 2024-09-26T10:36:35.7356735 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences S. J. Meredith 1 A. I. Shepherd 2 Z. L. Saynor 3 A. Scott 4 P. Gorczynski 5 M. Perissiou 6 M. Horne 7 Melitta McNarry 0000-0003-0813-7477 8 Kelly Mackintosh 0000-0003-0355-6357 9 C. S. G. Witcher 10 67839__31457__f3181fae33744116b8ede17cedbf1fc2.pdf 67839.pdf 2024-09-26T10:40:14.9162174 Output 1953812 application/pdf Version of Record true © 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License. true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title 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
spellingShingle 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
Melitta McNarry
Kelly Mackintosh
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
author_id_str_mv 062f5697ff59f004bc8c713955988398
bdb20e3f31bcccf95c7bc116070c4214
author_id_fullname_str_mv 062f5697ff59f004bc8c713955988398_***_Melitta McNarry
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
author Melitta McNarry
Kelly Mackintosh
author2 S. J. Meredith
A. I. Shepherd
Z. L. Saynor
A. Scott
P. Gorczynski
M. Perissiou
M. Horne
Melitta McNarry
Kelly Mackintosh
C. S. G. Witcher
format Journal article
container_title Disability and Rehabilitation
container_volume 0
container_start_page 1
publishDate 2024
institution Swansea University
issn 0963-8288
1464-5165
doi_str_mv 10.1080/09638288.2024.2397086
publisher Informa UK Limited
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 1
active_str 0
description 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.
published_date 2024-09-11T08:24:06Z
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