Alternative Models of Cardiac Rehabilitation to Promote Secondary Prevention in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention

Ahmed Mohammed Almoghairi; Jane O'Brien; Mukhlid Alshammari; Jed Duff

doi:10.1097/JCN.0000000000001179

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Alternative Models of Cardiac Rehabilitation to Promote Secondary Prevention in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention

Journal article

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Peer reviewed

Alternative Models of Cardiac Rehabilitation to Promote Secondary Prevention in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention

Ahmed Mohammed Almoghairi, Jane O'Brien, Mukhlid Alshammari and Jed Duff

The Journal of Cardiovascular Nursing, Vol.40(6), pp.E462-E471

2025

DOI: https://doi.org/10.1097/JCN.0000000000001179

PMID: 39932682

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Abstract

cardiac rehabilitation

coronary disease

percutaneous coronary intervention

secondary prevention

Background Although cardiac rehabilitation (CR) is an effective secondary prevention strategy, it remains underutilized worldwide. Barriers to accessibility and adherence to traditional hospital-based programs have led to the development of alternative models, such as home-based CR, to improve healthcare delivery and patient outcomes. Objective In this study, we aimed to map and synthesize evidence of effective home-based CR models for promoting secondary prevention in patients with coronary heart disease after percutaneous coronary intervention. Methods Following the Joanna Briggs Institute methodology, we conducted a scoping review across 7 databases: Cochrane, CINAHL, Scopus, MEDLINE, Embase, PubMed, and Web of Science, and gray literature sources. The search included primary English-language articles published in the last decade, with an update extending to October 2024. Reviewers independently assessed eligibility, and data extraction followed the Template for Intervention Description and Replication and PRISMA guidelines. Results Among the 3296 initially identified articles, 23 met the inclusion criteria. The identified home-based CR models varied in duration (6 weeks to 6 months) and used a range of technological tools, such as Internet platforms and telecommunication, for exercise supervision and patient communication. These programs include supplementary equipment and educational resources to enhance patient self-efficacy and cardiovascular disease awareness. Conclusions All identified home-based CR models showed positive patient outcomes, with high program enrollment and adherence to secondary prevention measures. Further research is needed to compare different home-based CR models and assess their feasibility in diverse settings.

Details

Title: Alternative Models of Cardiac Rehabilitation to Promote Secondary Prevention in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention
Authors: Ahmed Mohammed Almoghairi (Corresponding Author) - Queensland University of Technology
Jane O'Brien - Queensland University of Technology
Mukhlid Alshammari - University of Hafr Al-Batin
Jed Duff - Queensland University of Technology
Publication details: The Journal of Cardiovascular Nursing, Vol.40(6), pp.E462-E471
Publisher: Lippincott Williams & Wilkins
Date published: 2025
DOI: 10.1097/JCN.0000000000001179
ISSN: 1550-5049
PMID: 39932682
Copyright note: This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
Grant note: The authors would like to thank the Deanship of Scientific Research at Shaqra University for supporting this work.
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991212662402621
Output Type: Journal article

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