Perspectives on Contextual Information in Dutch Cardiac Rehab
Implications for Holistic Telemonitoring
Irina Bianca Șerban (Eindhoven University of Technology)
Steven Houben (Eindhoven University of Technology)
Sara Colombo (TU Delft - Industrial Design Engineering)
Aarnout Brombacher (Eindhoven University of Technology)
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Abstract
Cardiac telerehabilitation (CTR) relies heavily on telemonitoring, predominantly gathering automated biophysical or survey data for clinical decision-making. However, lifestyle change during and after cardiac rehabilitation (CR) outside hospitals is impacted by many contextual factors, including mental well-being or social support. Failure to acknowledge these factors in remote cardiac care could result in healthcare professionals (HCPs) offering standardized recommendations that hinder health management. To gain insights into the utilization of contextual information in clinical decision-making in Dutch CR, we conducted semi-structured interviews with seven HCPs and CR experts. Our data analysis highlights the importance of routine, physical, and psychosocial information during holistic clinical decision-making. We argue for a transition towards a holistic approach to telemonitoring in CTR, discussing implications for more inclusive and contextual data-gathering practices.