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8. Preliminary Effects of a Structured Educational Program in Cardiac Patients at Different Stages of Enrollment in Cardiovascular Rehabilitation.

Author

Zulianello dos Santos, Rafaella, Scheafer Korbes, Andrea, Batista Bonin, Christiani D., Marques Vieira, Ariany, Karsten, Marlus, Benetti, Magnus, Oh, Paul, and Ghisi, Gabriela L. d. M.

Subjects
PATIENT education, HEALTH literacy, CARDIOVASCULAR diseases, RESEARCH funding, EXERCISE, FOOD consumption, SELF-efficacy, DATA analysis, T-test (Statistics), EVALUATION of human services programs, REHABILITATION, EDUCATIONAL outcomes, FUNCTIONAL assessment, FUNCTIONAL status, CHI-squared test, MANN Whitney U Test, DESCRIPTIVE statistics, SURVEYS, PRE-tests & post-tests, LONGITUDINAL method, RESEARCH methodology, STATISTICS, DATA analysis software, SOCIODEMOGRAPHIC factors, PHYSICAL activity, MEDICAL referrals, PATIENT participation, NONPARAMETRIC statistics
Abstract

This quasi-experimental study investigated the preliminary effects of a structured education intervention in a pooled sample of cardiovascular rehabilitation (CR) patients in Brazil. Recently enrolled (RE) and long-term enrolled (LTE) patients attended 12 weekly education sessions in addition to three weekly exercise sessions. Patients completed surveys assessing disease-related knowledge, physical activity, food intake, self-efficacy, and health literacy. Functional capacity was assessed by the 6-minutes walking test. All outcomes were assessed at pre-,post-CR, and 6-months follow-up. Bonferroni correction was applied. In total, 69 (69.7%) patients completed all three assessments. There were significant improvements in knowledge pre-to post-test in both subgroups (p < 0.001), and in functional capacity (p ≤ 0.001) and food intake (p ≤ 0.001) pre-to post-test in the RE subgroup. Post-test knowledge was correlated to physical activity, functional capacity and health literacy. This preliminary study suggests the importance of structured education for CR patients. A larger study using a randomized controlled design is needed to determine efficacy. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Impacto da COVID-19 nos Programas de Reabilitação Cardiovascular no Brasil: Um Estudo Transversal Baseado em uma Pesquisa Online

Author

Jardim, Iara, Milani, Mauricio, Castro, Isac, HANSEN, Dominique, Karsten, Marlus, Cahalin, Lawrence, Cipriano, Graziella, Cipriano, Gerson, Jardim, Iara, Milani, Mauricio, Castro, Isac, HANSEN, Dominique, Karsten, Marlus, Cahalin, Lawrence, Cipriano, Graziella, and Cipriano, Gerson

Subjects
COVID-19, Research, Surveys and Questionnaires, Inquéritos e Questionários, Reabilitação Cardíaca, Pesquisa, Inquéritos e Questionários, Reabilitação Cardíaca, Telerreabilitação, Pesquisa, Telerehabilitation
Abstract

Resumo Fundamento A pandemia da COVID-19 teve um impacto sobre os programas de reabilitação cardiovasculares (RC) no Brasil. Objetivos Descrever características dos programas de RC no Brasil, os impactos da primeira onda epidemiológica da COVID-19 (primeiros 60 dias) sobre os programas, e apresentar as iniciativas usadas para superar esses impactos. Métodos Este estudo transversal e retrospectivo usou um questionário online específico. Os participantes eram coordenadores de programas de RC. As variáveis foram apresentadas por região geográfica do Brasil, como as seguintes categorias: característica demográficas, clínicas e operacionais. O nível de significância estatística foi definido em 5%. Resultados Cinquenta e nove programas de RC atendiam 5349 pacientes, dos quais somente 1817 eram pacientes após eventos cardiovasculares agudos, o que correspondia a 1,99% dos pacientes internados no mês anterior à pesquisa (n=91.231). O maior impacto foi a suspensão das atividades presenciais, o que ocorreu de maneira similar em áreas com as taxas mais altas e áreas com as taxas mais baixas de COVID-19 no período. Quarenta e quatro (75%) programas foram interrompidos de forma breve, e três (5%) foram encerrados. Todos os 42 programas que já utilizavam estratégias de reabilitação remota notaram aumento substancial nas atividades, baseadas principalmente no uso da mídia e chamadas por vídeo. Somente três (5%) consideraram seguro atender pacientes durante os primeiros 60 dias. Conclusões Houve redução no número de programas de RC devido a pandemia da COVID-19. Atividades de telerreabilitação aumentaram durante os primeiros dois meses da pandemia da COVID-19, mas que não foi suficiente para superar a redução nas atividades dos programas de RC no Brasil. Abstract Background The COVID-19 pandemic had an impact on cardiovascular rehabilitation (CR) programs in Brazil. Objectives To describe the characteristics of CR programs in Brazil, the impacts of the first epidemiological wave of COVID-19 (first 60 days) on the programs and present the initiatives used to overcome the impacts. Method This cross-sectional and retrospective study utilized a specific online survey. Participants were coordinators of CR programs. Variables were presented by Brazilian geographic region and as the following categories: demographic, clinical and operational characteristics. The significance level for statistical analysis was set at 5%. Results Fifty-nine CR programs were responsible for 5,349 patients, of which only 1,817 were post-acute cardiovascular events, which corresponded to 1.99% of hospitalized patients in the month prior to the survey (n=91,231). The greatest impact was the suspension of on-site activities, which occurred similarly in areas with the highest and the lowest rates of COVID-19 in the period. Forty-five programs (75%) were shortly interrupted, while three (5%) were ended. All 42 programs that already used remote rehabilitation strategies noticed a substantial increase in activities, based primarily on the use of media and video calling. Only three (5%) considered safe to see patients during the first 60 days. Conclusions There was a reduction in the number of CR programs with the COVID-19 pandemic. Telerehabilitation activities increased during the first two months of the COVID-19 pandemic, but this was not enough to overcome the reduction in CR program activities across Brazil.

Published
2023

22. Percepções dos Participantes de Reabilitação Cardíaca sobre seus Comportamentos em Saúde e Necessidades de Informação durante a Pandemia COVID-19 no Brasil

Author

Ghisi, Gabriela L.M, Santos, Rafaella Z., Korbes, Andrea S., Souza, Cícero Augusto de, Karsten, Marlus, Oh, Paul, and Benetti, Magnus

Subjects
Cardiac Rehabilitation, Surveys and Questionnaires, Determinação de Necessidades de Cuidados de Saúde, Inquéritos e Questionários, Reabilitação Cardíaca, COVID-19, Needs Assessment, Letramento em Saúde, Health Literacy
Abstract

Resumo Fundamento A COVID-19 afetou como as pessoas recebem atendimento de saúde para várias doenças, inclusive doenças cardiovasculares. Objetivos Examinar as percepções dos participantes de reabilitação cardíaca (RC) sobre seus comportamentos em saúde e necessidades de informação durante a pandemia da COVID-19 no Brasil. Métodos Neste estudo transversal, um questionário de 27 itens elaborado pelos investigadores foi administrado online a participantes de dois programas de RC. As perguntas incluíam letramento em saúde (LS; usando a Brief Health Literacy Screening Tool - Breve ferramenta de triagem de letramento em saúde), uso de tecnologia, percepções antes e durante a pandemia da COVID-19, e necessidades de informações. Foram usados coeficiente de correlação de Pearson, testes t pareados e ANOVA, conforme apropriado. Um p

Published
2022

27. Supplemental Material - Preliminary Effects of a Structured Educational Program in Cardiac Patients at Different Stages of Enrollment in Cardiovascular Rehabilitation

Author

Zulianello dos Santos, Rafaella, Scheafer Korbes, Andrea, Batista Bonin, Christiani D., Marques Vieira, Ariany, Karsten, Marlus, Benetti, Magnus, Oh, Paul, and Ghisi, Gabriela L. d. M.

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material for Preliminary Effects of a Structured Educational Program in Cardiac Patients at Different Stages of Enrollment in Cardiovascular Rehabilitation by Rafaella Zulianello dos Santos, Andrea Scheafer Korbes, Christiani D. Batista Bonin, Ariany Marques Vieira, Marlus Karsten, Magnus Benetti, Paul Oh, and Gabriela L. d. M. Ghisi in Community Health Equity Research and Policy

Published
2022
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32. Application and Measurement Properties of the Talk Test in Cardiopulmonary Patients: A Systematic Review.

Author

Marques Vieira, Ariany, Martins, Edgar Manoel, Althoff, Amanda, Aparecida Rech, Daiana, dos Santos Ribeiro, Gustavo, Matte, Darlan Laurício, and Karsten, Marlus

Abstract

Background: The talk test (TT) evaluates the exercise intensity by measuring speech comfort level during aerobic exercise. There are several application protocols available to assess individuals with cardiopulmonary diseases. However, the measurement properties of the TT were not systematically reviewed yet. Methods: A systematic review was developed, registered (CRD420181068930), and reported according to PRISMA Statement. Randomized clinical trials, cross-sectional studies, or series cases were identified through multiple databases and were selected if they presented concomitant speech provocation and an exercise test. Included studies were evaluated based on methodological quality (adapted New Castle-Ottawa Scale), descriptive quality (STROBE Statement), and risk of bias (COSMIN bias risk scale). Results: Ten studies were included. Seven studies presented moderate to high quality and the majority presented good scores according to the STROBE statement. Four hundred and fourteen subjects performed the TT, the majority being patients with coronary artery disease. The test validity was supported by the included studies. Talk Test reliability was considered satisfactory, although only one study presented an adequate reliability analysis. The studies found a correlation between the last positive stage of the TT with the first ventilatory threshold. Workload, oxygen uptake, and heart rate in the last positive stage of the TT were not different from the same parameters related to the first ventilatory threshold. Conclusions: The evidence indicates that the TT is suitable as an alternative tool for the assessment and prescription of exercise in individuals with cardiovascular diseases. The stage when the individual is still able to speak comfortably is suggested as the intensity for aerobic exercise prescription. As there is still no well-defined and fully explored TT protocol, caution is required when interpreting the TT results. [ABSTRACT FROM AUTHOR]

Published
2022
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35. Avaliação e intervenção para a reabilitação cardiopulmonar de pacientes recuperados da COVID-19

Author

Cacau, Lucas de Assis Pereira, Mesquita, Rafael, Furlanetto, Karina Couto, Borges, Daniel Lago Silva, Forgiarini Júnior, Luiz Alberto, Maldaner, Vinícius, Souza, Yves de, Cipriano Júnior, Gerson, Carvalho, Celso, Nogueira, Ingrid Correia, Tomazi, Laura, Karsten, Marlus, and Comitê COVID-19 da ASSOBRAFIR

Subjects
COVID-19, Fisioterapia, Reabilitação cardiopulmonar
Abstract

Submitted by DSpace Unilasalle (dspace@unilasalle.edu.br) on 2021-09-13T21:04:24Z No. of bitstreams: 1 Avaliação e intervenção para a reabilitação cardiopulmonar.pdf: 1029006 bytes, checksum: 29a8feb0127488575485bfa455ae9d85 (MD5) Made available in DSpace on 2021-09-13T21:04:24Z (GMT). No. of bitstreams: 1 Avaliação e intervenção para a reabilitação cardiopulmonar.pdf: 1029006 bytes, checksum: 29a8feb0127488575485bfa455ae9d85 (MD5) Previous issue date: 2020

Published
2020

44. Indicação e uso da ventilação não-invasiva e da cânula nasal de alto fluxo, e orientações sobre manejo da ventilação mecânica invasiva no tratamento da insuficiência respiratória aguda na COVID-19

Author

Martinez, Bruno Prata, primary, Andrade, Flávio Maciel Dias de, additional, Roncalli, Ângelo, additional, Martins, Jocimar Avelar, additional, Ribeiro, Daniel Da Cunha, additional, Pianezzola, Ezequiel Mânica, additional, Forgiarini Júnior, Luiz Alberto, additional, Lima, Wildberg Alencar, additional, Cavalheiro, Leny Vieira, additional, Matte, Darlan Laurício, additional, and Karsten, Marlus, additional

Published
2020
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45. Avaliação e intervenção para a reabilitação cardiopulmonar de pacientes recuperados da COVID-19

Author

Cacau, Lucas De Assis Pereira, primary, Mesquita, Rafael, additional, Furlanetto, Karina Couto, additional, Borges, Daniel Lago Silva, additional, Forgiarini Junior, Luiz Alberto, additional, Maldaner, Vinicius, additional, Souza, Yves De, additional, Cipriano Júnior, Gerson, additional, Carvalho, Celso, additional, Nogueira, Ingrid Correia, additional, Tomazi, Laura, additional, and Karsten, Marlus, additional

Published
2020
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50. Bilateral heel-rise test performance and physiological response are influenced by cadence and ankle posi.

Author

Santos da Silveira, Lucas, Moreira Mortimer, Felipe, Alves de Oliveira Roque, Ana Beatriz, Manoel Martins, Edgar, Sonza, Anelise, and Karsten, Marlus

Subjects
MUSCLE fatigue, OXYHEMOGLOBIN, DORSIFLEXION, HEART rate monitoring, TWO-way analysis of variance
Abstract

Copyright of Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia is the property of Journal of Physiotherapy Research / Revista Pesquisa em Fisioterapia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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