Coronary disease & ACS

eHealth for maintenance cardiovascular rehabilitation: a systematic review and meta-analysis

Eur J Prev CardiolPublished Systematic review and meta-analysis

Authors' 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.

Study context

Population
Patients with coronary artery disease (CAD) in cardiovascular rehabilitation maintenance (phase III)
Participants
1,497 patients14 studies
Comparison
eHealth vs usual care in maintenance cardiovascular rehabilitation
Outcome
Health outcomes with eHealth: Physical activity (PA), exercise capacity, quality of life (QoL), SBP

Pooled result

As reported in the abstract

eHealth vs Usual careSMD (95% CI)P value
PA
0.35(0.02–0.70)
P = 0.04
Exercise capacity after 6 months
0.29(0.05–0.52)
P = 0.02
QoL
0.17(0.02–0.32)
P = 0.02
SBP after 6 months
−0.20(−0.40-0.00)
P = 0.046

Further pooled results

Behavioural change techniques

Substantial heterogeneity in adapted behavioural change techniques (BCTs) and type of intervention
Self-monitoring of behaviour and/or goal setting and feedback on behaviour most frequently included

Original publication

eHealth for maintenance cardiovascular rehabilitation: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 8 May 2023. doi:10.1093/eurjpc/zwad145

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