Authors: (including presenting author): :
Li SW(1)(2), Yau TY(1)(2), Lee KMC(1)(2), Wong MKY(1)(2), Lau KM(1)
Affiliation: :
(1)Physiotherapy Department, Tung Wah Eastern Hospital, (2)Cardiac Rehabilitation and Resources Center, Tung Wah Eastern Hospital
Keyword 3: :
Cardiac rehabilitation
Introduction: :
Patient empowerment is essential in improving patients' self-efficacy and adherence to managing Coronary Artery Disease (CAD) and is crucial in cardiac rehabilitation. Traditional in-person education by physiotherapists is labor-intensive and lacks standardization. As the physiotherapist is occupied, it lowers the patient-therapist ratio for the training area, which is undesirable. This study evaluates an educational video as an alternative to enhance patient safety, standardized education, and optimize team workflow.
Objectives: :
To examine the effectiveness of a newly developed educational video in empowering patients at the Cardiac Rehabilitation and Resources Center (CRRC) improving self-efficacy and streamline clinical workflow.
Methodology: :
Patients with Myocardial Infarction (MI) or CAD were recruited, excluding those with moderate to high stratification, visual, hearing, or communication impairments. Participants were divided into two groups: one received physiotherapist-led education, the other viewed the educational video. Outcome measures included the Six-Minute Walk Test (6MWT) for physical endurance and the Cardiac Exercise Self-Efficacy Instrument (CESEI) for perceived exercise ability and confidence. Assessments were conducted at the first (pre-intervention) and twentieth (post-intervention) treatment sessions.
Result & Outcome: :
30 participants were enrolled, with 15 in each group. For the 6MWT, the Physiotherapist-led Group improved from a pre-measure of 403.47 meters to a post-measure of 454.47 meters, resulting in a difference of 51 meters. Similarly, the Video Group displayed a notable improvement, increasing from 317.9 meters pre-intervention to 369.3 meters post, with a difference of 51.4 meters. In terms of the CESEI, the Physiotherapist-led Group's score rose from 55.93 to 63.33, demonstrating a difference of 7.4 points. The Video Group also showed commendable progress, with a pre-score of 54.07 increasing to 61.6 for a difference of 7.53 points. These results highlight that both groups experienced significant improvements in their outcomes, suggesting that the Video Group's approach is comparably effective to that of the Physiotherapist-led Group, offering a viable alternative for enhancing patient mobility and self-efficacy. Video education also enhances patient care and safety while optimizing physiotherapist resources. Suitable for group or at-home use, it reduces physiotherapist time on new cases by 40%. Video-based education is an effective, scalable, and resource-efficient alternative that maintains patients’ outcomes and optimizes team resources without compromising safety.
