Patient Follow Up Questionnaire Context The third strand of the Healthy Hearts in the West Initiative, Local provision of Cardiac Rehabilitation programmes (Phase 3 and Phase 4) and promotion of opportunities for progression links directly to the delivery of the Belfast health and Social Care Trust (BHSCT) Phase 3 Programme from the Maureen Sheehan Centre. Consequently evaluation of this Programme was included within the remit of the HHW Evaluator / Researcher. Following discussions with the Cardiac Rehabilitation (CR) Nurses it was agreed that it would be beneficial to carry out a formal follow-up process with patients once they have completed (or left) the Cardiac Rehabilitation Phase 3 Programme delivered at the Maureen Sheehan Centre. The aim was to gather feedback about the provision of the Programme within the community setting.
The CR Nurses asked ten patients who had participated in the Cardiac Rehabilitation Phase 3 Programme to participate in a telephone interview with the HHW Evaluator / Researcher. Eight telephone interviews were completed, each lasting approximately thirty minutes. It was agreed that the feedback received was valuable; and that the responses from the telephone interviews provided a valuable baseline from which to draft a Patient Follow-Up Satisfaction Questionnaire. This would be less time-consuming to administer than telephone interviews; and it would also meet one of the CR Standards listed within the Cardiovascular Service Framework. The Follow-Up Patient Questionnaire was drafted (based on other Cardiac Rehabilitation questionnaires used in the UK and on the eight telephone interviews); and first administered in July 2012. Copies of the Follow-Up Satisfaction Questionnaire were posted to those who had completed the Programme at the Maureen Sheehan Centre earlier in the year; and since the end of July 2012, all patients leaving the Programme are asked to complete the Questionnaire. The Maureen Sheehan team shared the Follow Up Patient Questionnaire with the Regional Cardiac Rehabilitation Network. All Trust Cardiac Rehabilitation Centres in Northern Ireland have subsequently asked patients to complete the Questionnaire. This could be adapted to seek feedback from patients and clients attending other programmes.
What did you find most useful during the What did you find least useful during the Do you have any suggestions for improvements to the Would you recommend the Cardiac-Rehab Phase 3 Yes Not sure No Please tell us why you gave this answer ie why you would or would not recommend the Overall, how would you rate the cardiac rehabilitation you received? Excellent Very good Good Fair Poor Is there anything else you would like to say about the Thank you for taking the time to complete this questionnaire
CARDIAC-REHAB PHASE 3 PROGRAMME FOLLOW-UP QUESTIONNAIRE All responses will be treated in confidence Your age and gender: Age:. Male Female When did you start and finish the Cardiac-Rehab Phase 3 Start date: / / End date: / / Date of discharge from hospital after your cardiac event? / / How did you hear about the Please tick one response for each item When in hospital In a telephone call from the Cardiac- Rehab Nurse In a letter from the Cardiac-Rehab Nurse From my doctor Yes No Not sure Did you receive enough information about the Programme before you started? Yes No Not sure If you answered no or not sure, what else would have been useful?......... If you had any concerns before starting the Programme, what were these?
Was the Maureen Sheehan Centre your first choice of venue for the Yes No Not sure If yes, what was the main reason for this choice? Please tick one response only The location is convenient to get to To meet up with local people The Centre is based in my community I did not want to attend the Programme in a hospital environment Other, please tell us How useful did you find the following elements of the Tick one response for each element Exercise sessions Access to the fitness suite Information on medication Advice about diet Advice about alcohol Help to stop smoking Help to cope with anxiety about heart disease Information on heart disease Advice on work or employment Very useful Somewhat useful Not useful Not relevant
Please tell us if you agree or disagree with each of the following statements about the Programme. Tick one response for each statement Exercise classes were well supervised I felt that exercise was tailored to my needs I felt safe at all times I felt able to ask questions or raise concerns Staff were considerate and understanding Educational material was presented clearly I received enough written information The written information provided was useful I enjoyed the Programme Agree Not sure Disagree Did you attend all the classes that you were advised to? Yes No If not, why was this?......... Did you receive any additional support whilst attending the Tick all that apply Counselling Complementary Therapy Other:.......... If you received any additional support, was it useful? No Yes Please say in what way it was / was not useful:......... How do you feel now compared to when you started the
My energy levels are My independence levels are My self-confidence levels are My ability to manage stress is My general health is My overall quality of life is Much better Better Not changed Worse Much worse As a result of the Programme have you made any lifestyle changes? Tick all that apply Improved diet and eating habits Lost weight Given up smoking Reduced alcohol intake Exercise more regularly Go to the Leisure Centre or Gym Joined a sports club (eg bowls, walking, swimming) Yes No Not relevant Other:..