{"id":{"repo_id":"sherbrooke","oai_identifier":"oai:usherbrooke.scholaris.ca:11143/23591"},"canonical_url":"https://search.dev.ndltd.org/etd/sherbrooke/oai:usherbrooke.scholaris.ca:11143/23591","repository":{"repo_id":"sherbrooke","name":"Université de Sherbrooke","base_url":"https://usherbrooke.scholaris.ca/server/oai/request"},"display":{"title":"Une réadaptation cardiaque hybride intégrant des séances en centre et à domicile : comparaison des effets à un programme traditionnel et exploration de l’expérience au programme hybride","abstract":"Introduction: Cardiac rehabilitation (CR) improves the quality of life and functional capacity of people with cardiovascular disease. However, the benefits tend to dissipate after six to twelve months. A CR program that integrates center-based and home-based sessions (a hybrid program) could help maintain these benefits. Objectives: 1) Compare the effectiveness of a hybrid CR model for people with cardiovascular disease to a traditional CR model (center-based only) and assess maintenance of gains six months after the two types of CR. 2) To explore patients’ perceptions and healthcare professionals’ perceptions of patients’ experiences with the hybrid CR. Methods: Objective 1. A pragmatic randomized clinical trial was conducted in nine centers. The traditional program consisted of twelve weeks of center-based exercise sessions. The hybrid program consisted of six weeks of center-based exercise sessions, followed by a gradual increase in home-based sessions for an additional six weeks. Physical activity levels, functional capacity, quality of life, and symptoms of anxiety and depression were assessed at baseline, discharge, and six months after the program. Objective 2. A descriptive qualitative study was conducted. Semi-structured interviews were conducted with sixteen patients and twelve healthcare professionals. The data were analyzed thematically and inductively. Results: Objective 1. Of the 295 participants recruited (146 hybrid and 149 traditional), 224 completed the discharge assessment (113 hybrid and 111 traditional), and 169 were followed up at six months (91 hybrid and 78 traditional). Both types of CR improved all dependent variables at discharge (p < 0.05) and maintained these improvements six months post-rehabilitation. Objective 2. The analysis revealed four main themes: the convenience of the hybrid CR program, bolstering of confidence and mental health, education on eating habits, and physical activity related behaviors. Conclusion: Since both types of CR are equally effective, the hybrid program's strength lies in its greater convenience and flexibility for patients.","abstract_html":"Introduction: Cardiac rehabilitation (CR) improves the quality of life and functional capacity of people with cardiovascular disease. However, the benefits tend to dissipate after six to twelve months. A CR program that integrates center-based and home-based sessions (a hybrid program) could help maintain these benefits. Objectives: 1) Compare the effectiveness of a hybrid CR model for people with cardiovascular disease to a traditional CR model (center-based only) and assess maintenance of gains six months after the two types of CR. 2) To explore patients’ perceptions and healthcare professionals’ perceptions of patients’ experiences with the hybrid CR. Methods: Objective 1. A pragmatic randomized clinical trial was conducted in nine centers. The traditional program consisted of twelve weeks of center-based exercise sessions. The hybrid program consisted of six weeks of center-based exercise sessions, followed by a gradual increase in home-based sessions for an additional six weeks. Physical activity levels, functional capacity, quality of life, and symptoms of anxiety and depression were assessed at baseline, discharge, and six months after the program. Objective 2. A descriptive qualitative study was conducted. Semi-structured interviews were conducted with sixteen patients and twelve healthcare professionals. The data were analyzed thematically and inductively. Results: Objective 1. Of the 295 participants recruited (146 hybrid and 149 traditional), 224 completed the discharge assessment (113 hybrid and 111 traditional), and 169 were followed up at six months (91 hybrid and 78 traditional). Both types of CR improved all dependent variables at discharge (p &lt; 0.05) and maintained these improvements six months post-rehabilitation. Objective 2. The analysis revealed four main themes: the convenience of the hybrid CR program, bolstering of confidence and mental health, education on eating habits, and physical activity related behaviors. Conclusion: Since both types of CR are equally effective, the hybrid program&#x27;s strength lies in its greater convenience and flexibility for patients.","abstract_has_math":false,"creators":["Tanguay, Pamela"],"institution":"Université de Sherbrooke","degree_name":"Ph. D.","degree_level":"Doctorat","degree_discipline":"Réadaptation","degree_department":null,"school":null,"contributors":[],"advisors":["Marquis, Nicole","Bélanger, Mathieu"],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-27T21:07:49Z","subjects":["Maladies cardiovasculaires","Réadaptation cardiaque","Recherche axée sur le patient","Cardiovascular disease","Cardiac rehabilitation","Patient-oriented research"],"languages":["fr","en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.71892/11143/1199"],"render_values":[{"text":"https://doi.org/10.71892/11143/1199","href":"https://doi.org/10.71892/11143/1199","code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/11143/23591","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Marquis, Nicole","Bélanger, Mathieu"]},{"key":"dc:creator","label":"Author","values":["Tanguay, Pamela"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-11-17T20:15:22Z"]},{"key":"dc:date.issued","label":"Date","values":["2025"]},{"key":"dc:publisher","label":"Institution","values":["Université de Sherbrooke"]},{"key":"dc:type","label":"Dc Type","values":["Thèse de doctorat"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Réadaptation"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctorat"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph. D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Université de Sherbrooke"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Maladies cardiovasculaires","Réadaptation cardiaque","Recherche axée sur le patient","Cardiovascular disease","Cardiac rehabilitation","Patient-oriented research"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["fr","en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.71892/11143/1199"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/11143/23591"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Introduction: Cardiac rehabilitation (CR) improves the quality of life and functional capacity of people with cardiovascular disease. However, the benefits tend to dissipate after six to twelve months. A CR program that integrates center-based and home-based sessions (a hybrid program) could help maintain these benefits. Objectives: 1) Compare the effectiveness of a hybrid CR model for people with cardiovascular disease to a traditional CR model (center-based only) and assess maintenance of gains six months after the two types of CR. 2) To explore patients’ perceptions and healthcare professionals’ perceptions of patients’ experiences with the hybrid CR. Methods: Objective 1. A pragmatic randomized clinical trial was conducted in nine centers. The traditional program consisted of twelve weeks of center-based exercise sessions. The hybrid program consisted of six weeks of center-based exercise sessions, followed by a gradual increase in home-based sessions for an additional six weeks. Physical activity levels, functional capacity, quality of life, and symptoms of anxiety and depression were assessed at baseline, discharge, and six months after the program. Objective 2. A descriptive qualitative study was conducted. Semi-structured interviews were conducted with sixteen patients and twelve healthcare professionals. The data were analyzed thematically and inductively. Results: Objective 1. Of the 295 participants recruited (146 hybrid and 149 traditional), 224 completed the discharge assessment (113 hybrid and 111 traditional), and 169 were followed up at six months (91 hybrid and 78 traditional). Both types of CR improved all dependent variables at discharge (p < 0.05) and maintained these improvements six months post-rehabilitation. Objective 2. The analysis revealed four main themes: the convenience of the hybrid CR program, bolstering of confidence and mental health, education on eating habits, and physical activity related behaviors. Conclusion: Since both types of CR are equally effective, the hybrid program's strength lies in its greater convenience and flexibility for patients.","Introduction : La réadaptation cardiaque (RC) améliore la qualité de vie et la capacité fonctionnelle des personnes atteintes de maladies cardiovasculaires, mais les bénéfices tendent à se dissiper après six à douze mois. Un programme de RC intégrant des séances en centre et à domicile (programme hybride) pourrait contribuer au maintien des bénéfices. Objectifs : 1) Comparer l’efficacité d’un modèle hybride de RC pour les personnes atteintes de maladies cardiovasculaires à un modèle traditionnel de RC (uniquement en centre) et évaluer le maintien des acquis six mois suivant les deux types de RC. 2) Explorer les perceptions des patients et des professionnels de la santé en lien avec l’expérience des utilisateurs du programme hybride. Méthodes : Objectif 1. Une étude clinique randomisée pragmatique dans neuf centres a été réalisée. Le programme traditionnel comporte des séances d’exercices en centre pendant douze semaines. Le programme hybride comporte des séances d’exercices au centre pendant six semaines, suivi d’une augmentation progressive des séances à domicile pendant six autres semaines. Le niveau d’activité physique, la capacité fonctionnelle, la qualité de vie, et les symptômes d’anxiété et de dépression ont été évalués au début du programme, à la fin du programme et six mois plus tard. Objectif 2. Une étude qualitative descriptive a été réalisée. Des entretiens semi-structurés ont été menés auprès de 16 patients et de 12 professionnels de la santé. Les données ont été analysées de manière thématique et inductive. Résultats : Objectif 1. Parmi les 295 participants recrutés (hybride : 146; traditionnel : 149), 224 ont complété l’évaluation de fin de programme (hybride : 113; traditionnel : 111) et 169 ont été suivis à six mois (hybride : 91; traditionnel : 78). Les deux types de RC améliorent toutes les variables dépendantes à la fin de l’intervention (p < 0,05) et les améliorations se maintiennent six mois post réadaptation. Objectif 2. L'analyse a révélé quatre thèmes principaux : la commodité du programme hybride, le renforcement de la confiance et de la santé mentale, l'éducation sur les habitudes alimentaires et les comportements liés à l'activité physique. Conclusion : Puisque les deux types de RC ont une efficacité similaire, la force du programme hybride réside dans sa plus grande commodité et flexibilité pour les patients."]},{"key":"dc:title","label":"Title","values":["Une réadaptation cardiaque hybride intégrant des séances en centre et à domicile : comparaison des effets à un programme traditionnel et exploration de l’expérience au programme hybride"]}]}],"canonical_facts":{"dc:contributor.advisor":["Marquis, Nicole","Bélanger, Mathieu"],"dc:creator":["Tanguay, Pamela"],"dc:date.accessioned":["2025-11-17T20:15:22Z"],"dc:date.issued":["2025"],"dc:description.abstract":["Introduction: Cardiac rehabilitation (CR) improves the quality of life and functional capacity of people with cardiovascular disease. However, the benefits tend to dissipate after six to twelve months. A CR program that integrates center-based and home-based sessions (a hybrid program) could help maintain these benefits. Objectives: 1) Compare the effectiveness of a hybrid CR model for people with cardiovascular disease to a traditional CR model (center-based only) and assess maintenance of gains six months after the two types of CR. 2) To explore patients’ perceptions and healthcare professionals’ perceptions of patients’ experiences with the hybrid CR. Methods: Objective 1. A pragmatic randomized clinical trial was conducted in nine centers. The traditional program consisted of twelve weeks of center-based exercise sessions. The hybrid program consisted of six weeks of center-based exercise sessions, followed by a gradual increase in home-based sessions for an additional six weeks. Physical activity levels, functional capacity, quality of life, and symptoms of anxiety and depression were assessed at baseline, discharge, and six months after the program. Objective 2. A descriptive qualitative study was conducted. Semi-structured interviews were conducted with sixteen patients and twelve healthcare professionals. The data were analyzed thematically and inductively. Results: Objective 1. Of the 295 participants recruited (146 hybrid and 149 traditional), 224 completed the discharge assessment (113 hybrid and 111 traditional), and 169 were followed up at six months (91 hybrid and 78 traditional). Both types of CR improved all dependent variables at discharge (p < 0.05) and maintained these improvements six months post-rehabilitation. Objective 2. The analysis revealed four main themes: the convenience of the hybrid CR program, bolstering of confidence and mental health, education on eating habits, and physical activity related behaviors. Conclusion: Since both types of CR are equally effective, the hybrid program's strength lies in its greater convenience and flexibility for patients.","Introduction : La réadaptation cardiaque (RC) améliore la qualité de vie et la capacité fonctionnelle des personnes atteintes de maladies cardiovasculaires, mais les bénéfices tendent à se dissiper après six à douze mois. Un programme de RC intégrant des séances en centre et à domicile (programme hybride) pourrait contribuer au maintien des bénéfices. Objectifs : 1) Comparer l’efficacité d’un modèle hybride de RC pour les personnes atteintes de maladies cardiovasculaires à un modèle traditionnel de RC (uniquement en centre) et évaluer le maintien des acquis six mois suivant les deux types de RC. 2) Explorer les perceptions des patients et des professionnels de la santé en lien avec l’expérience des utilisateurs du programme hybride. Méthodes : Objectif 1. Une étude clinique randomisée pragmatique dans neuf centres a été réalisée. Le programme traditionnel comporte des séances d’exercices en centre pendant douze semaines. Le programme hybride comporte des séances d’exercices au centre pendant six semaines, suivi d’une augmentation progressive des séances à domicile pendant six autres semaines. Le niveau d’activité physique, la capacité fonctionnelle, la qualité de vie, et les symptômes d’anxiété et de dépression ont été évalués au début du programme, à la fin du programme et six mois plus tard. Objectif 2. Une étude qualitative descriptive a été réalisée. Des entretiens semi-structurés ont été menés auprès de 16 patients et de 12 professionnels de la santé. Les données ont été analysées de manière thématique et inductive. Résultats : Objectif 1. Parmi les 295 participants recrutés (hybride : 146; traditionnel : 149), 224 ont complété l’évaluation de fin de programme (hybride : 113; traditionnel : 111) et 169 ont été suivis à six mois (hybride : 91; traditionnel : 78). Les deux types de RC améliorent toutes les variables dépendantes à la fin de l’intervention (p < 0,05) et les améliorations se maintiennent six mois post réadaptation. Objectif 2. L'analyse a révélé quatre thèmes principaux : la commodité du programme hybride, le renforcement de la confiance et de la santé mentale, l'éducation sur les habitudes alimentaires et les comportements liés à l'activité physique. Conclusion : Puisque les deux types de RC ont une efficacité similaire, la force du programme hybride réside dans sa plus grande commodité et flexibilité pour les patients."],"dc:identifier.doi":["https://doi.org/10.71892/11143/1199"],"dc:identifier.uri":["https://hdl.handle.net/11143/23591"],"dc:language.iso":["fr","en"],"dc:publisher":["Université de Sherbrooke"],"dc:subject":["Maladies cardiovasculaires","Réadaptation cardiaque","Recherche axée sur le patient","Cardiovascular disease","Cardiac rehabilitation","Patient-oriented research"],"dc:title":["Une réadaptation cardiaque hybride intégrant des séances en centre et à domicile : comparaison des effets à un programme traditionnel et exploration de l’expérience au programme hybride"],"dc:type":["Thèse de doctorat"],"thesis:degree_discipline":["Réadaptation"],"thesis:degree_level":["Doctorat"],"thesis:degree_name":["Ph. D."],"thesis:institution_name":["Université de Sherbrooke"]},"updated_at":"2026-07-27T21:07:49Z"}