PTPilotFrontiers in rehabilitation sciences2024

Enhancing cardiovascular patients' knowledge of air pollution: a pilot study evaluating the impact of an educational intervention in cardiac rehabilitation.

Marta Supervia, Ana Paula Delgado Bomtempo, Eduardo Gómez and 3 others

PMID 39649374

WHAT IT FOUND

In 43 cardiac rehabilitation patients, self-reported knowledge about air quality, pollutants, and protective steps was higher after a 1-hour lecture with PowerPoint and a leaflet.

It did not test behavior or cardiovascular events.

Key findings

01Self-reported familiarity with the Air Quality Index was higher after the session, from 61% to 81%, and 79% correctly identified what it measures.

02Self-reported awareness of information sources was higher after the session: online portals from 19% to 60%, public institutions from 22% to 73%, and mobile applications from 11% to 52%.

03Self-reported preference for N95 masks was higher after the session, from 65% to 79%, while preference for disposable surgical masks was lower, from 32% to 12%.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study had no control group, so knowledge changes could not be separated from other cardiac rehabilitation content or from simply attending a session. It used a convenience sample from one cardiac rehabilitation program, so results may not apply to other patients or settings. The sample was small and mostly male, with only 5 female participants. The questionnaire was designed by the research team, was not psychometrically validated, and relied on self-reported answers. The paper gives conflicting rules about which surveys were analysed: one sentence says only participants who completed both questionnaires were included, while another says all initiated surveys with at least one response were included. Face-to-face and online participants completed the post-questionnaire at different times, so immediate and retained knowledge may not be comparable. The study measured knowledge and intentions, not actual behavior change, long-term retention, or cardiovascular events.

Declared interests

The authors state that no financial support was received for the research, authorship, or publication.

The easy way to misread this

Do not conclude that this educational session improves cardiovascular outcomes or changes patients' behavior. It measured short-term self-reported knowledge in a small pilot with no control group.

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