The purpose of this study is to develop and evaluate a web-based nursing intervention aimed at increasing physical activity in people aged 65 years and older with coronary heart disease.
This study aims to answer the following questions:
1. What are the needs of older adults living with coronary heart disease in terms of a web-based nursing intervention to help them increase their level of physical activity? 2. What is the acceptability (content, structure, usefulness) and feasibility (recruitment, retention, adherence, fidelity) of a web-based nursing intervention to support older adults living with coronary heart disease as they increase their level of physical activity? 3. What are the preliminary effects of the web-based nursing intervention on the physical activity level and quality of life of older adults living with coronary heart disease? 4. What are the qualitative impacts of the web-based nursing intervention as perceived by older adults on their physical activity level, quality of life, motivation, knowledge and self-efficacy? 5. How can the preliminary effects of a web-based nursing intervention, developed in response to the needs of older adults living with coronary heart disease, be illustrated by its impacts as perceived by older adults post-intervention?
A web-based nursing intervention was developed based on the needs of seniors living with coronary heart disease. 30 older adults living with heart disease will take part in the 8-week intervention. The effects of the intervention will be evaluated on the physical activity level, quality of life, knowledge, motivation and self-efficacy of older adults.
aged 65 years or older
agreement to participate in the study about 3 months post-hospitalization for a coronary bypass graft surgery or a percutaneous coronary intervention (as motivation to change behavior would be highest during this period)
no concurrent involvement in an intervention designed to increase their level of physical activity (e.g., a cardiac rehabilitation program, consultation with physical activity expert) during their participation in the project
an interest in increasing their level of physical activity post-hospitalization
None
Single group
Web-based nursing intervention : Ch@ngeons Ensemble
BehavioralThe web-based nursing intervention, named "Ch@ngeons Ensemble," was designed to increase physical activity and quality of life among older adults living with CHD. The intervention will be multicomponent, including educational content, videos, forums, goal planning, an electronic physical activity journal, and virtual written interactions with a nurse. An initial in-person meeting with the nurse will be provided to foster the older adult's commitment to the intervention and help build a relationship of trust. Throughout the intervention, the nurse will asynchronously provide counseling, feedback, and encouragement, and attempt to promote quality of life, knowledge, motivation, and self-efficacy among the older adults.
Physical activity level by the self-reported questionnaire "Electronic diary of physical activity".
Self-reported questionnaire that measures the amount of physical activity performed each week in minutes.
Motivation level by the digital analog scale "Motivation scale" from 1 to 10.
Digital analog scale from 1 to 10 to measure motivation levels. 1 = low motivation level, 10 = high motivation level.
Self-efficacy level by the digital analog scale "Self-efficacy level" from 1 to 10.
Digital analog scale from 1 to 10 to measure self-efficacy levels 1 = low self-efficacy level, 10 = high self-efficacy level.
Level of knowledge by a 5-questions multiple-choice quiz that measures knowledge of physical activity and coronary heart disease
Quiz on physical activity and coronary heart disease. High score = high level of knowledge.
Quality of life level by the SF-36 questionnaire
SF-36 questionnaire. High score = a more favorable health state.
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