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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Digital Health Interventions for Cardiometabolic Health Outcomes in Rural and Remote Australia: A Systematic Review.

Cheru Tesema Leshargie1, Meless Gebrie Bore1, Hazel Dalton1

  • 1Rural Health Research Institute, Charles Sturt University, Orange, New South Wales, Australia.

The Australian Journal of Rural Health
|December 26, 2025
PubMed
Summary

Digital health interventions improve cardiometabolic health in rural Australia. While effective and feasible, challenges like technology access and sustained patient engagement persist.

Keywords:
cardiometabolic outcomesdigital health interventionsrural and remote Australiasystematic reviewtelehealthtelemedicine

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Area of Science:

  • Digital Health
  • Cardiometabolic Health
  • Rural Health

Background:

  • Cardiometabolic diseases present significant health challenges in rural and remote Australian populations.
  • Digital health technologies offer a scalable solution to improve healthcare accessibility and patient self-management.

Purpose of the Study:

  • To systematically review the effectiveness, feasibility, and acceptability of digital health interventions for improving cardiometabolic health outcomes.
  • Focus on applications within rural and remote Australian contexts.

Main Methods:

  • Comprehensive literature search across major databases (PubMed, MEDLINE, Embase, Scopus, CINAHL).
  • Inclusion of interventional, observational, and qualitative studies on digital interventions for cardiometabolic conditions.
  • Narrative synthesis due to study heterogeneity; meta-analysis not performed.

Main Results:

  • Seventeen studies evaluated diverse digital interventions (telehealth, apps, wearables).
  • Telemonitoring showed significant HbA1c reduction (-5.5%); telephone support yielded modest results.
  • Telestroke programs reduced stroke mortality; interventions were feasible and acceptable, especially when culturally tailored.
  • Cost-effective interventions like tele-endocrinology improved outcomes and quality of life.
  • Identified challenges: limited physical assessments, technical barriers, and declining engagement.

Conclusions:

  • Digital health technologies effectively enhance cardiometabolic outcomes in underserved areas.
  • Key barriers to widespread implementation include technology access and maintaining long-term patient engagement.