Please use this identifier to cite or link to this item: http://dx.doi.org/10.25673/115092
Title: eHealth for maintenance cardiovascular rehabilitation : a systematic review and meta-analysis
Author(s): Heimer, Melina
Schmitz, SandraLook up in the Integrated Authority File of the German National Library
Teschler, Marc
Schäfer, HendrikLook up in the Integrated Authority File of the German National Library
Douma, Emma R.
Habibovic, Mirela
Kop, Willem J.
Meyer, ThorstenLook up in the Integrated Authority File of the German National Library
Mooren, Frank C.Look up in the Integrated Authority File of the German National Library
Schmitz, BorisLook up in the Integrated Authority File of the German National Library
Issue Date: 2023
Type: Article
Language: English
Abstract: Aims: To provide a quantitative analysis of eHealth-supported interventions on health outcomes in cardiovascular rehabilitation (CR) maintenance (phase III) in patients with coronary artery disease (CAD) and to identify effective behavioural change techniques (BCTs). Methods and results: A systematic review was conducted (PubMed, CINAHL, MEDLINE, and Web of Science) to summarize and synthesize the effects of eHealth in phase III maintenance on health outcomes including physical activity (PA) and exercise capacity, quality of life (QoL), mental health, self-efficacy, clinical variables, and events/rehospitalization. A meta-analysis following the Cochrane Collaboration guidelines using Review Manager (RevMan5.4) was performed. Analyses were conducted differentiating between short-term (≤6 months) and medium/long-term effects (>6 months). Effective behavioural change techniques were defined based on the described intervention and coded according to the BCT handbook. Fourteen eligible studies (1497 patients) were included. eHealth significantly promoted PA (SMD = 0.35; 95%CI 0.02–0.70; P = 0.04) and exercise capacity after 6 months (SMD = 0.29; 95%CI 0.05–0.52; P = 0.02) compared with usual care. Quality of life was higher with eHealth compared with care as usual (SMD = 0.17; 95%CI 0.02–0.32; P = 0.02). Systolic blood pressure decreased after 6 months with eHealth compared with care as usual (SMD = −0.20; 95%CI −0.40–0.00; P = 0.046). There was substantial heterogeneity in the adapted BCTs and type of intervention. Mapping of BCTs revealed that self-monitoring of behaviour and/or goal setting as well as feedback on behaviour were most frequently included. Conclusion: eHealth in phase III CR is effective in stimulating PA and improving exercise capacity in patients with CAD while increasing QoL and decreasing systolic blood pressure. Currently, data of eHealth effects on morbidity, mortality, and clinical outcomes are scarce and should be investigated in future studies.
URI: https://opendata.uni-halle.de//handle/1981185920/117048
http://dx.doi.org/10.25673/115092
Open Access: Open access publication
License: (CC BY-NC 4.0) Creative Commons Attribution NonCommercial 4.0(CC BY-NC 4.0) Creative Commons Attribution NonCommercial 4.0
Journal Title: European journal of preventive cardiology
Publisher: Oxford University Press
Publisher Place: Oxford
Volume: 30
Issue: 15
Original Publication: 10.1093/eurjpc/zwad145
Page Start: 1634
Page End: 1651
Appears in Collections:Open Access Publikationen der MLU

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