The effectiveness of interactive cardiac rehabilitation web applications versus usual care on programme completion in patients with cardiovascular disease: A systematic review and meta-analysis of randomised controlled trials

Katie Nesbitt, Stephanie Champion, Vincent Pearson, Lemlem G. Gebremichael, Hila Dafny, Joyce S. Ramos, Orathai Suebkinorn, Maria A. Pinero de Plaza, Aarti Gulyani, Huiyun Du, Robyn A. Clark, Alline Beleigoli, On behalf of the NHMRC Country Heart Attack Prevention (CHAP) Partnership Project Team

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Although available evidence demonstrates positive clinical outcomes for patients attending and completing cardiac rehabilitation, the effectiveness of interactive cardiac rehabilitation web applications on programme completion has not been systematically examined.

Methods: This JBI systematic review of effects included studies measuring effectiveness of interactive cardiac rehabilitation web applications compared to telephone, and centre-based programmes. Outcome data were pooled under programme completion and clinical outcomes (body mass index, low-density lipoproteins, and blood pressure). Databases including MEDLINE (via Ovid), Cochrane Library, Scopus (via Elsevier) and CINAHL (via EBSCO) published in English were searched. Articles were screened and reviewed by two independent reviewers for inclusion, and the JBI critical appraisal tool and Grading of Recommendations Assessment, Development and Evaluation tool were applied to appraise and assess the certainty of the findings of the included studies. A meta-analysis of the primary and secondary outcomes used random effects models.

Results: In total, nine studies involving 1175 participants who participated in web-based cardiac rehabilitation to usual care were identified. The mean critical appraisal tool score was 76 (standard deviation: 9.7) with all (100%) studies scoring >69%, and the certainty of evidence low. Web-based programmes were 43% more likely to be completed than usual care (risk ratio: 1.43; 95% confidence interval: 0.96, 2.13) There was no difference between groups for clinical outcomes.

Discussion: Despite the relatively small number of studies, high heterogeneity and the limited outcome measures, the results appeared to favour web-based cardiac rehabilitation with regard to programme completion.

Original languageEnglish
Number of pages12
JournalJournal of Telemedicine and Telecare
Early online date28 Sept 2023
DOIs
Publication statusE-pub ahead of print - 28 Sept 2023

Keywords

  • Telehealth
  • online health
  • eHealth
  • cardiovascular disease
  • cardiac rehabilitation
  • self care
  • systematic review

Fingerprint

Dive into the research topics of 'The effectiveness of interactive cardiac rehabilitation web applications versus usual care on programme completion in patients with cardiovascular disease: A systematic review and meta-analysis of randomised controlled trials'. Together they form a unique fingerprint.

Cite this