@文章{info:doi/10.2196/34974，作者="Keessen, Paul和van Duijvenbode, Ingrid CD和Latour, Corine HM和Kraaijenhagen, Roderik A和Janssen, Veronica R和J{\o}rstad, Harald T和Scholte op Reimer, Wilma JM和Visser, Bart"，标题="设计远程指导程序，以弥合从医院出院到心脏康复的差异:干预制图研究"，期刊="JMIR Cardio"，年="2022"，月=" 5"，日="25"，卷="6"，数="1"，页数="e34974"，关键词="冠状动脉疾病;干预映射法;信息需求;支持需求;电子健康;心脏康复;远程指导;背景:远程指导可能适合于为冠心病(CAD)患者在出院和心脏康复(CR)之间的脆弱阶段提供信息和支持。目的:本研究的目的是探索和总结CAD患者的信息和支持需求，并开发一个早期远程指导程序，提供量身定制的信息和支持。 Methods: We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies. Results: Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can't do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program. Conclusions: This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR. ", issn="2561-1011", doi="10.2196/34974", url="https://cardio.www.mybigtv.com/2022/1/e34974", url="https://doi.org/10.2196/34974", url="http://www.ncbi.nlm.nih.gov/pubmed/35612879" }