People with coronary heart disease (CHD) often feel more stressed, which can increase the risk of having another heart problem. Cardiac rehabilitation (CR) is a common treatment for those with CHD, focusing on changing lifestyles and managing the disease. However, it often does not address stress management adequately. There is also a lack of psychological therapy and involvement of mental health professionals in online CR programs. Because traditional CR programs have low participation rates, online platforms are becoming more popular for providing rehabilitation support. This is important because more than half of people with CHD report high stress levels, which can cause or worsen heart problems. To address this issue, the proposed study will test an online CR program that includes mindfulness to help manage stress for CHD patients.
diagnosed with CHD (within the past 6 months),
undergone conservative treatment, such as percutaneous coronary intervention (PCI) and/ or medication,
currently under stable medication regimen and discharged to home.
aged 18 years or older,
diagnosis of acute psychotic disease;
presence of a life-limiting condition;
prescribed contradictions to physical activity; and,
presence of hearing, visual, or ambulatory disorders
Parallel
eHealth cardiac rehabilitation
BehavioralA face-to-face interview for goal setting and action planning, as well as learning the use of CR website and accelerometer.
Perceived stress level
The Perceived Stress Scale (PSS-10), with total scores ranging from 0 to 40 and higher scores indicating higher psychological stress
Anxiety level
Generalized Anxiety Disorder 7-item, seven items ranges from 0 to 21 scores. 0-4: minimal anxiety. 5-9: mild anxiety. 10-14: moderate anxiety. 15-21: severe anxiety.
Depression level
Patient Health Questionnaire (PHQ-9) with total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.
Physical activity
Daily steps measured by accelerometer
Sleep
Sleep time measured by accelerometer
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