The primary aim of this study was to test the causal structure of the model of therapeutic engagement (MTE) for the first time, to examine whether the model assists in understanding the process of patient engagement in cardiac rehabilitation (CR) programs. This study used a prospective design, following up patients from the Gold Coast University Hospital Cardiology ward who attended Robina Cardiac Rehabilitation Clinic. A structural equation model of the interactions among the proposed variables within the three stages of the MTE (intention to engage in CR programs, CR initiation, and sustained engagement) revealed significant relationships among these variables in a dataset of 101 patients who attended a CR program. However, no relationship was discerned between outcome expectancies and patient intention to engage in CR. Patients’ willingness to consider the treatment also mediated the relationship between perceived self-efficacy and patient intention to engage in CR. These findings help clarify the process proposed by Lequerica and Kortte (2010) in the context of patient engagement in CR programs. The findings also reveal information on how patients engage in CR programs. Importantly, this provides new information for healthcare providers, enabling them to more effectively engage patients according to their stage of engagement.

中文翻译：

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患者参与门诊心脏康复计划的过程

本研究的主要目的是首次测试治疗参与模型 (MTE) 的因果结构，以检验该模型是否有助于理解患者参与心脏康复 (CR) 计划的过程。本研究采用前瞻性设计，对来自黄金海岸大学医院心脏病病房的患者进行了随访，这些患者参加了 Robina 心脏康复诊所。在 MTE 的三个阶段（参与 CR 计划、CR 启动和持续参与）中提出的变量之间相互作用的结构方程模型揭示了在参加 CR 计划的 101 名患者的数据集中这些变量之间的显着关系. 然而，在结果预期和患者参与 CR 的意愿之间没有发现任何关系。患者考虑治疗的意愿也介导了自我效能感与患者参与 CR 的意愿之间的关系。这些发现有助于阐明 Lequerica 和 Kortte (2010) 在患者参与 CR 计划的背景下提出的过程。研究结果还揭示了有关患者如何参与 CR 计划的信息。重要的是，这为医疗保健提供者提供了新信息，使他们能够根据患者的参与阶段更有效地与患者互动。