Perception of Tele-Rehabilitation Among Phase III Cardiac Patients

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Dr. Yumna Ilyas
Dr. Hareem Ahmed (PT)
Dr Zulekha Shahzad
Dr. Syed Fahad Raza Kazmi
Shaista Babar
Dr Syed Wasif Ali

Abstract

Background: Telerehabilitation may provide a flexible approach to supporting cardiac rehabilitation, but its successful implementation depends partly on patients’ awareness, familiarity, and perceptions of remote rehabilitation services. Objective: To assess awareness and perception of telerehabilitation among Phase III cardiac rehabilitation patients and examine their associations with age, gender, and cardiac rehabilitation enrollment. Methods: A cross-sectional questionnaire-based study was conducted among 86 adults aged 46–65 years recruited through non-probability convenience sampling from tertiary cardiac care settings in Karachi, Pakistan. Awareness and perception-related responses were summarized as frequencies and percentages, and categorical associations were assessed using Pearson’s chi-square test. Results: Thirty-three participants (38.4%) reported a positive awareness response and 24 (27.9%) reported previous telerehabilitation use. Positive perceptions were reported for reduced physiotherapy-clinic visits by 44 participants (51.2%), easier communication with healthcare professionals by 43 (50.0%), caregiver monitoring by 40 (46.5%), and enhanced access to care by 34 (39.5%). Perceived caregiver-monitoring benefit differed by age group, with agreement among 24/41 (58.5%) participants aged 56–65 years compared with 16/45 (35.6%) aged 46–55 years (χ²=10.24, df=2, p=0.006; Cramér’s V=0.35). Conclusion: Awareness and previous exposure to telerehabilitation were limited, although several practical aspects were perceived favorably. Age was associated with perceptions of caregiver-monitoring benefit

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How to Cite

[1]
Dr. Yumna Ilyas et al. 2026. Perception of Tele-Rehabilitation Among Phase III Cardiac Patients. Journal of Health, Wellness and Community Research. 4, 6 (Mar. 2026), 1–8. DOI:https://doi.org/10.61919/7wk16w34.

References

1. Zhong W, Fu C, Xu L, Sun X, Wang S, He C, et al. Effects of home-based cardiac telerehabilitation programs in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2023;23:101. doi:10.1186/s12872-023-03120-2.

2. Sari DM, Wijaya LCG. Cardiac rehabilitation via telerehabilitation in COVID-19 pandemic situation. Egypt Heart J. 2021;73(1):31. doi:10.1186/s43044-021-00156-7.

3. Theodoros D, Russell T. Telerehabilitation: current perspectives. Stud Health Technol Inform. 2008;131:191-209.

4. Brennan DM, Mawson S, Brownsell S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform. 2009;145:231-48.

5. Batalik L, Filakova K, Batalikova K, Dosbaba F. Remotely monitored telerehabilitation for cardiac patients: a review of the current situation. World J Clin Cases. 2020;8(10):1818-31. doi:10.12998/wjcc.v8.i10.1818.

6. Buabbas AJ, Albahrouh SE, Alrowayeh HN, Alshawaf H. Telerehabilitation during the COVID-19 pandemic: patients and physical therapists' experiences. Med Princ Pract. 2022;31(2):156-64. doi:10.1159/000523775.

7. Melholt C, Joensson K, Spindler H, Hansen J, Andreasen JJ, Nielsen G, et al. Cardiac patients' experiences with a telerehabilitation web portal: implications for eHealth literacy. Patient Educ Couns. 2018;101(5):854-61. doi:10.1016/j.pec.2017.12.017.

8. Fernandes LG, Oliveira RFF, Barros PM, Fagundes FRC, Soares RJ, Saragiotto BT. Physical therapists and public perceptions of telerehabilitation: an online open survey on acceptability, preferences, and needs. Braz J Phys Ther. 2022;26(6):100464. doi:10.1016/j.bjpt.2022.100464.

9. Bhatti U, Sangrasi SA, Shaikh W, Memon SG, Ahmadani R, Effendi S. Awareness of tele rehabilitation among physiotherapy students of a teaching university: a cross-sectional study. Pak J Med Health Sci. 2022;16(5):435-7. doi:10.53350/pjmhs22165435.

10. Sidelil H, Demissie A, Demissie GD, Fikade B, Hailegebreal S, Tilahun B. Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia. Inform Med Unlocked. 2023;36:101145. doi:10.1016/j.imu.2022.101145.

11. Dadgar H, Maroufizadeh S, Bakhtiyari J, Vosoughi A. Feasibility, satisfaction with, and attitude toward telerehabilitation during COVID-19 pandemic: experience of Iranian rehabilitation professionals. Iran Rehabil J. 2021;19(4):399-406. doi:10.32598/irj.19.4.1491.1.

12. Wongvibulsin S, Habeos EE, Huynh PP, Xun H, Shan R, Porosnicu Rodriguez KA, et al. Digital health interventions for cardiac rehabilitation: systematic literature review. J Med Internet Res. 2021;23(2). doi:10.2196/18773.

13. Avila A, Claes J, Goetschalckx K, Buys R, Azzawi M, Vanhees L, Cornelissen V. Home-based rehabilitation with telemonitoring guidance for patients with coronary artery disease (short-term results of the TRiCH study): randomized controlled trial. J Med Internet Res. 2018;20(6). doi:10.2196/jmir.9943.

14. Batalik L, Dosbaba F, Hartman M, Konecny V, Batalikova K, Spinar J. Long-term exercise effects after cardiac telerehabilitation in patients with coronary artery disease: 1-year follow-up results of the randomized study. Eur J Phys Rehabil Med. 2021;57(5):807-14. doi:10.23736/S1973-9087.21.06653-3.