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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Effectiveness of Cardiac Rehabilitation With mHealth Through Smartphone Functionalities: A Systematic Review Protocol
Marília Costa Paiva1, Antonio A M Castro2, Polyagna Ferreira Carvalho1
1Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
CJC Open
|May 6, 2024
Summary
Mobile health (mHealth) using smartphones offers a promising approach for home-based cardiac rehabilitation, aiding patient self-management and improving outcomes for cardiovascular diseases. This review evaluates mHealth modalities for effectiveness in enhancing exercise capacity, quality of life, and compliance.
Area of Science:
- Cardiology
- Digital Health
- Rehabilitation Medicine
Background:
- Cardiovascular diseases (CVDs) are a primary global cause of mortality, necessitating effective management strategies.
- Home-based cardiac rehabilitation (HBCR) is a viable option but relies heavily on patient self-management and behavioral change.
- Mobile health (mHealth) technologies, particularly smartphones, present novel avenues for delivering cardiac rehabilitation interventions.
Purpose of the Study:
- To systematically review mHealth modalities for home-based cardiac rehabilitation.
- To identify the most effective smartphone-based interventions for improving patient outcomes.
- To assess the impact of mHealth on exercise capacity, quality of life, and patient compliance in cardiac patients.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) published between 1994 and 2022.
- Inclusion of studies on adults with coronary artery disease or heart failure undergoing home-based cardiac rehabilitation using mHealth.
- Searches across major databases (MEDLINE, CENTRAL, EMBASE, LILACS, PEDro) and grey literature, including ongoing/completed studies.
Main Results:
- Analysis of various smartphone-based cardiac rehabilitation modalities.
- Assessment of effectiveness in improving key patient-reported and functional outcomes.
- Evaluation of patient adherence and engagement with mHealth interventions.
Conclusions:
- mHealth interventions show potential for enhancing home-based cardiac rehabilitation delivery.
- Further research is needed to identify optimal mHealth strategies for diverse patient populations.
- Smartphone-based cardiac rehabilitation may improve exercise capacity, quality of life, and compliance.
