JMIR Publications

ABSTRACT

Background:

Social distancing from the COVID-19 pandemic may have decreased engagement in cardiac rehabilitation (CR) and may have had possible consequences on post-CR exercise maintenance. The increased use of technology as an adaptation may benefit post-CR participants via wearables and social media.

Objective:

Explore the possible relationships of both the pandemic and technology on post-CR exercise maintenance. This study aimed to: a) understand CR participation during the COVID-19 pandemic; b) identify perceived barriers and facilitators to physical activity after CR completion; and c) assess willingness to use technology and social media to support physical activity needs among older adults with cardiovascular disease.

Methods:

We recruited participants 55 years of age and older in 3 different CR programs offered at both public and private hospitals in the Northern California. We conducted individual interviews on CR experiences, physical activity, and potential for using technology. We used thematic analysis to synthesize the data.

Results:

Twenty-two participants (mean age 73 ± 8, 41% female) completed in-depth interviews. Themes from participants' feedback included: 1) Covid conditions caused anxiety and frustration about the wait for CR; 2) Positive and safe participant experience once in CR during the pandemic; 3) Greater attention needed to patients after CR completion; 4) Notable demand for technology during the pandemic and after CR completion; and 5) Social media networking during the CR program considered valuable if training is provided.

Conclusions:

Individuals who completed CR identified shared concerns about continuing physical activity despite having positive experiences during the CR program. There were significant challenges during the pandemic and heightened concerns for safety and health. The idea of providing support by leveraging digital technology (wearable devices, social media for social support) resonated as a potential solution to help bridge the gap from CR to more independent physical activity. More attention is needed to help individuals experience a tailored and safe transition to home to maintain physical activity among those who complete CR.