Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
CHOI CH (1), LI MK (2), FONG HC (2), NG SP (2), WONG MY (3), HO MW (3), CHAN CY (4), CHAN LP (4)
Affiliation :
(1) Department of Medicine & Geriatrics, (2) Department of Physiotherapy, (3) Department of Occupational Therapy, (4) Community Care Department, Pok Oi Hospital
Introduction :
CR was granted Class 1 recommendation for eligible patients by international guidelines with emphasis on session attendance. Modern CR provided program information at referral stage, maximal exercise testing and patient-centered approach on exercise training progression in moderate-to-high intensity zone with consent, and modifiable risk factors control as secondary prevention under medical supervision at delivery stage. However, resources limitation, rigid practice ignoring patient-reported experience, and program drop-out or low completion rate remain real-life management challenges.
Objectives :
To evaluate modern CR implementation on completion and drop-out rates of program-based outcome and satisfaction survey of PRO.
Methodology :
Retrospective study of POH CR Day Program starting 2-half-day-place service on 15/2/2023 following set-up completion to fulfil infection control to support maximal exercise testing and aerobic training for participants without wearing surgical mask. Eligible patients were offered program information factsheet ± promotion talk and referral was activated after obtaining preliminary consent. Follow-up phone confirmation for program participation was made after screening out unfit candidates with contraindications, poor expected adherence or response. Informed eConsents were signed for tailored-made exercise testing of cycle ergometer or treadmill mode and exercise training in high-intensity zone. Education materials were provided together with individualized consultation, education and counselling targeting personalized risk factors and behavior changes.
Result & Outcome :
Till the study end period on 14/12/2023, a total of 24 patients enrolled the program. Program completion rate was 79.2% and drop-out rate 0%. 19 participants (male=17; female=2) with 17 median session attendance (range: 11-29) finished all entry and exit (+ interim for 8 participants) exercise testing and evaluation.
For satisfaction survey of PRO, highest ratings were given to healthcare team (n=18, 94.7%), supervised exercise training (n=17, 89.5%) and health education (n=16, 84.3%). None rated average or below. 18 completers (94.7%) rated physical fitness as personal major gains and 16 (84.2%) chose diet improvement as personal major changes.
Conclusion
High completion rate and scorings on PRO with zero drop-out are achievable program quality measures through Modern CR implementation.
