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Use of mHealth Technology for Improving Exercise Adherence in Patients With Heart Failure: Systematic Review.
Pallav Deka1, Erin Salahshurian2, Teresa Ng1
1College of Nursing, Michigan State University, East Lansing, MI, United States.
Journal of Medical Internet Research
|January 9, 2025
Summary
Mobile health (mHealth) shows promise for improving exercise adherence in heart failure (HF) patients. However, more rigorous studies are needed to confirm its effectiveness and long-term impact.
Area of Science:
- Cardiology
- Digital Health
- Exercise Science
Background:
- Exercise offers known benefits for heart failure (HF) patients, but adherence remains a significant challenge.
- Mobile health (mHealth) technologies present a potential solution to improve exercise adherence in this population.
Approach:
- This systematic review analyzed 8 studies (RCTs and quasi-experimental) published between 2015 and 2022.
- Searches were conducted in PubMed, MEDLINE, and CINAHL, with a focus on mHealth interventions for exercise adherence in HF.
- Studies were assessed for risk of bias, and characteristics of interventions, participants, and outcomes were extracted.
Key Points:
- Interventions utilized videoconferencing or smartphone apps, with varied exercise programs (walking, cycling, yoga) and durations (4-26 weeks).
- Most studies were feasibility or pilot trials with moderate to high risk of bias.
- Data on the impact of demographics (age, sex, race) or HF classification on adherence was not reported.
Conclusions:
- mHealth technology demonstrates preliminary feasibility for enhancing exercise adherence in HF patients.
- There is a lack of theoretically grounded, adequately powered studies, particularly those including minoritized communities.
- The long-term sustainability of exercise adherence facilitated by mHealth remains undetermined.
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