Accepted for/Published in: JMIR Human Factors
Date Submitted: Nov 21, 2019
Date Accepted: Apr 12, 2020
Patients and professionals perspectives on information and education after myocardial infarction: exploring the role of Mixed Reality.
ABSTRACT
Background:
Patient education is crucial in secondary prevention of cardiovascular disease. Novel technologies like Mixed Reality expand the possibilities for visual support in this process. However, research on this technology in the patient domain is scarce.
Objective:
To understand how patients perceive information provided after myocardial infarction and examine if Mixed Reality can be supportive in this process.
Methods:
Twelve post-myocardial infarction (MI) patients and six healthcare professionals were enrolled. Clinical data as well as qualitative data were obtained, with a main focus on patient experiences within the hospital and the knowledge they gained about the disease. These data were used to map a susceptible timeframe to identify how MR can contribute to Patient Information and Education (PIE).
Results:
Knowledge transfer after myocardial infarction is perceived by patients as too extensive, not personal and inconsistent. Noticeably, anatomy- and medication-knowledge is minimal, but also not recognized as crucial by patients, whereas professionals state the opposite. A patient journey indicated four critical phases of knowledge transfer; at hospital discharge, at the first outpatient visit, during rehabilitation and during all follow-up outpatient visits. Important patient goals are: understanding the event in relation to daily life and its implications on resuming daily life. During follow-up, understanding physical limitations and coping with the condition and medication side effects in daily life are most important. Professional’s goals are to improve recovery, enhance medication adherence and offer coping support.
Conclusions:
There is a remarkable difference between patient and professionals’ goals regarding information and education after myocardial infarction. Mixed Reality may be a practical tool to unite perspectives of patients and professionals on the disease in a more evenly manner, and thus optimize knowledge transfer after MI. Medication understanding seems a feasible target for MR. However, to create durable methods for education on medication through MR, this needs to be researched further. Clinical Trial: N/a
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