Background: Newer models of cardiac rehabilitation (CR) delivery are promising but depend upon patient participation and ability to use technological media including Internet and smart devices.
Aim: To explore the availability of smart devices, current utilization and proficiency of use among older CR program attendees.
Methods: Study participants were enrolled from four CR programs in Omaha, Nebraska United States and completed a questionnaire of 28 items.
Results: Of 376 participants approached, 169 responded (45%). Mean age was 71.1 (SD ± 10) years. Demographics were 73.5% males, 89.7% Caucasians, 52% with college degree and 56.9%, with income of 40K$ or more. Smart device ownership was 84.5%; desktop computer was the most preferred device. Average Internet use was 1.9 h/d (SD ± 1.7); 54.3% of participants indicating for general usage but only 18.4% pursued health-related purposes. Utilization of other health information modalities was low, 29.8% used mobile health applications and 12.5% used wearable devices. Of all participants, 72% reported no barriers to using Internet. Education and income were associated positively with measures of utilization and with less perceived barriers.
Conclusion: Among an older group of subjects attending CR, most have access to smart devices and do not perceive significant barriers to Internet use. Nonetheless, there was low utilization of health-related resources suggesting a need for targeted education in this patient population.
Keywords: Cardiac rehabilitation; Internet; Perceived barriers; Smart devices.
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.