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Experience and Perceptions among Older Outpatients after Myocardial Infarction following an Exercise Intervention: A Qualitative Analysis from the PIpELINe Trial

Author

Listed:
  • Andrea Raisi

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy)

  • Tommaso Piva

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy)

  • Jonathan Myers

    (Division of Cardiology, VA Palo Alto Health Care System, Palo Alto, CA 94304, USA
    Department of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
    Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, University of Illinois at Chicago, Chicago, IL 60612, USA)

  • Valentina Zerbini

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy)

  • Simona Mandini

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy)

  • Tamara Zappaterra

    (Department of Humanities, University of Ferrara, 44121 Ferrara, Italy)

  • Gianni Mazzoni

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy
    Public Health Department, AUSL Ferrara, 44121 Ferrara, Italy)

  • Elisabetta Tonet

    (Cardiovascular Institute, Azienda Ospedaliero Universitaria di Ferrara, 44124 Ferrara, Italy)

  • Rita Pavasini

    (Cardiovascular Institute, Azienda Ospedaliero Universitaria di Ferrara, 44124 Ferrara, Italy)

  • Gianluca Campo

    (Cardiovascular Institute, Azienda Ospedaliero Universitaria di Ferrara, 44124 Ferrara, Italy)

  • Giovanni Grazzi

    (Center for Exercise Science and Sport, University of Ferrara, 44123 Ferrara, Italy
    Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, University of Illinois at Chicago, Chicago, IL 60612, USA
    Public Health Department, AUSL Ferrara, 44121 Ferrara, Italy)

  • Emilio Paolo Visintin

    (Department of Humanities, University of Ferrara, 44121 Ferrara, Italy)

Abstract

Traditional cardiac rehabilitation (CR) programs effectively improve physical performance and outcomes after myocardial infarction (MI). However, older patients are less likely to participate in such programs. The aim of this qualitative analysis was to investigate experiences and perceptions of cardiac outpatients enrolled in an innovative and exercise-based CR program and to identify possible barriers to improving adherence and quality of life. Semi-structured interviews were conducted on a sample of 31 patients (84% male; age 76 ± 6 years) from the Physical Activity Intervention in Elderly after Myocardial Infarction (PIpELINe) trial, after about six months of the event. Three main themes were identified: Personal feelings after the event; lifestyle change and perception of barriers; and relationships with familiars. Participants perceived sensations of fear at the time of their diagnosis and showed awareness of the importance of following specific health suggestions. They reported a significative change in previous habits and highlighted the need for periodic controls. Few of them felt insecure in carrying out daily activities or practicing exercise and reported an unnecessary protection from the family members. These findings will provide valuable insights for the development of a more feasible patient-centered CR model of intervention.

Suggested Citation

  • Andrea Raisi & Tommaso Piva & Jonathan Myers & Valentina Zerbini & Simona Mandini & Tamara Zappaterra & Gianni Mazzoni & Elisabetta Tonet & Rita Pavasini & Gianluca Campo & Giovanni Grazzi & Emilio Pa, 2023. "Experience and Perceptions among Older Outpatients after Myocardial Infarction following an Exercise Intervention: A Qualitative Analysis from the PIpELINe Trial," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2196-:d:1046858
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