Perspectives on Contextual Information in Dutch Cardiac Rehab

Implications for Holistic Telemonitoring

Conference Paper (2025)
Author(s)

Irina Bianca Serban (Eindhoven University of Technology)

Steven Houben (Eindhoven University of Technology)

Sara Colombo (TU Delft - Human-Centred Artificial Intelligence)

Aarnout Brombacher (Eindhoven University of Technology)

Research Group
Human-Centred Artificial Intelligence
DOI related publication
https://doi.org/10.1007/978-3-031-85575-7_7
More Info
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Publication Year
2025
Language
English
Research Group
Human-Centred Artificial Intelligence
Bibliographical Note
Green Open Access added to TU Delft Institutional Repository as part of the Taverne amendment. More information about this copyright law amendment can be found at https://www.openaccess.nl. Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.@en
Pages (from-to)
121-147
ISBN (print)
978-3-031-85574-0
ISBN (electronic)
978-3-031-85575-7
Reuse Rights

Other than for strictly personal use, it is not permitted to download, forward or distribute the text or part of it, without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license such as Creative Commons.

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.

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