Novel Virtual World-Based Cardiac Rehabilitation Program to Broaden Access to Underserved Populations: A Patient Perspective

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Case Reports

. 2022 Jul 20;4(14):911-914.


doi: 10.1016/j.jaccas.2022.05.027.

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Case Reports

 

Virginia G Content et al.

 


JACC Case Rep.


.

Abstract

This report describes Destination Rehab, a novel virtual world-based cardiac rehabilitation program, which aims to increase cardiac rehabilitation access to underserved populations. We highlight the experience of a cardiac patient whose successful participation in the program allowed her to overcome significant psychosocial and access barriers to cardiac rehabilitation.


Keywords:

CBCR, center-based cardiac rehabilitation; CR, cardiac rehabilitation; CV, cardiovascular; VW, virtual world; VWCR, virtual world-based cardiac rehabilitation; cardiac rehabilitation; cardiovascular disease; health disparities; secondary prevention; social determinants of health.

Conflict of interest statement

This study was supported by the Mayo Clinic Center for Innovation, Mayo Clinic Center for Translational Science Activities (UL1TR000135), Mayo Clinic Department of Cardiovascular Medicine, and Mayo Clinic Center for Health Equity and Community Engagement Research. Ms. Content has been supported by the Mayo Clinic Post-Baccalaureate Research Education Program (NIGMS 5R25GM075148-15) and Mayo Clinic Center for Regenerative Medicine and Michael S. and Mary Sue Shannon Foundation. The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures


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Graphical abstract


Figure 1
 


Figure 1

Virtual World-Based Cardiac Rehabilitation Platform Mrs W (left) and her avatar (right) in the virtual world–based cardiac rehabilitation platform Destination Rehab during a peer support group session.

References

    1. Thomas R.J., Beatty A.L., Beckie T.M., et al. Home-based cardiac rehabilitation: a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;74(1):133–153.

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    1. Mathews L., Brewer L.C. A review of disparities in cardiac rehabilitation: EVIDENCE, DRIVERS, AND SOLUTIONS. J Cardiopulm Rehabil Prev. 2021;41(6):375–382.

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    1. Brewer L.C., Kaihoi B., Schaepe K., et al. Patient-perceived acceptability of a virtual world-based cardiac rehabilitation program. Digit Health. 2017;3

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    1. Brewer L.C., Kaihoi B., Zarling K.K., et al. The use of virtual world-based cardiac rehabilitation to encourage healthy lifestyle choices among cardiac patients: intervention development and pilot study protocol. JMIR Res Protoc. 2015;4(2):e39.

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    1. Brewer L., Abraham H., Kaihoi B., et al. Community-informed virtual world-based cardiac rehabilitation program as an extension of center-based cardiac rehabilitation: mixed methods analysis of a multicenter pilot study. J Cardiopulm Rehabil Prev. 2022 doi: 10.1097/HCR.0000000000000705. In press.

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