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Updated: Jul 12, 2025
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Main Mechanisms of Remote Monitoring Programs for Cardiac Rehabilitation and Secondary Prevention: A SYSTEMATIC
Alexander M Clark1, Bailey J Sousa, Chantal F Ski
1Faculty of Health Disciplines, Athabasca University, Edmonton, Canada (Dr Clark); Office of the Provost and VP Academic, University of Alberta, Edmonton, Canada (Ms Sousa); Integrated Care Academy, University of Suffolk, Ipswich, England (Dr Ski); Faculty of Medicine and Health, The University of Sydney, Sydney, Australia (Dr Redfern); School of Health and Social Care, Edinburgh Napier University, Edinburgh, Scotland (Dr Neubeck); School of Nursing, Western University, London, Ontario, Canada (Dr Allana), Eastern Health Clinical School, Monash University, Melbourne, Australia (Ms Peart); Canadian Agency for Drugs and Technologies in Health, Ottawa, Canada (Ms MacDougall); and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland (Dr Thompson).
Purpose:
The objective of this report was to identify the main mechanisms of home-based remote monitoring programs for cardiac rehabilitation (RM CR) and examine how these mechanisms vary by context.
Methods:
This was a systematic review using realist synthesis. To be included, articles had to be published in English between 2010 and November 2020 and contain specific data related to mechanisms of effect of programs. MEDLINE All (1946-) via Ovid, Embase (1974-) via Ovid, APA PsycINFO (1806-), CINAHL via EBSCO, Scopus databases, and gray literature were searched.
Results:
From 13 747 citations, 91 focused on cardiac conditions, with 23 reports including patients in CR. Effective RM CR programs more successfully adapted to different patient home settings and broader lives, incorporated individualized patient health data, and had content designed specifically for patients in cardiac rehabilitation. Relatively minor but common technical issues could significantly reduce perceived benefits. Patients and families were highly receptive to the programs and viewed themselves as fortunate to receive such services. The RM CR programs could be improved via incorporating more connectivity to other patients. No clear negative effects on perceived utility or outcomes occurred by patient age, ethnicity, or sex. Overall, the programs were seen to best suit highly motivated patients and consolidated rather than harmed existing relationships with health care professionals and teams.
Conclusions:
Remote monitoring CR programs are perceived by patients to be beneficial and attractive. Future RM CR programs should consider adaptability to different home settings, incorporate individualized health data, and contain content specific to patient needs.
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