Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis

Rawstorn, Jonathan C., Gant, Nicholas, Direito, Artur, Beckmann, Christina and Maddison, Ralph 2016, Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis, Heart, vol. 102, no. 15, pp. 1183-1192, doi: 10.1136/heartjnl-2015-308966.

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Title Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis
Author(s) Rawstorn, Jonathan C.ORCID iD for Rawstorn, Jonathan C.
Gant, Nicholas
Direito, Artur
Beckmann, Christina
Maddison, RalphORCID iD for Maddison, Ralph
Journal name Heart
Volume number 102
Issue number 15
Start page 1183
End page 1192
Total pages 11
Publisher BMJ
Place of publication London, Eng.
Publication date 2016-08
ISSN 1468-201X
Keyword(s) telehealth
cardiac rehabilitation
Summary OBJECTIVE: Despite proven effectiveness, participation in traditional supervised exercise-based cardiac rehabilitation (exCR) remains low. Telehealth interventions that use information and communication technologies to enable remote exCR programme delivery can overcome common access barriers while preserving clinical supervision and individualised exercise prescription. This meta-analysis aimed to determine the benefits of telehealth exCR on exercise capacity and other modifiable cardiovascular risk factors compared with traditional exCR and usual care, among patients with coronary heart disease (CHD). METHODS: CINAHL, The Cochrane Library, Embase, MEDLINE, PubMed and PsycINFO were searched from inception through 31 May 2015 for randomised controlled trials comparing telehealth exCR with centre-based exCR or usual care among patients with CHD. Outcomes included maximal aerobic exercise capacity, modifiable cardiovascular risk factors and exercise adherence. RESULTS: 11 trials (n=1189) met eligibility criteria and were included in the review. Physical activity level was higher following telehealth exCR than after usual care. Compared with centre-based exCR, telehealth exCR was more effective for enhancing physical activity level, exercise adherence, diastolic blood pressure and low-density lipoprotein cholesterol. Telehealth and centre-based exCR were comparably effective for improving maximal aerobic exercise capacity and other modifiable cardiovascular risk factors. CONCLUSIONS: Telehealth exCR appears to be at least as effective as centre-based exCR for improving modifiable cardiovascular risk factors and functional capacity, and could enhance exCR utilisation by providing additional options for patients who cannot attend centre-based exCR. Telehealth exCR must now capitalise on technological advances to provide more comprehensive, responsive and interactive interventions.
Language eng
DOI 10.1136/heartjnl-2015-308966
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Author
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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