The m-Health programmes reported positive effects on adherence to medication .
Conclusion Evidence exists that supports the use of e-Health interventions for improving secondary prevention of CAD .
However , a comparison across studies highlighted a wide variability of components and outcomes within the different modes of delivery .
Background Electronic health ( e-Health ) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease ( CAD ) .
The aim of this study was to describe the effectiveness of different modes of delivery and components in e-Health secondary prevention programmes on adherence to treatment , modifiable CAD risk factors and psychosocial outcomes for patients with CAD .
Improving access to cardiac rehabilitation using the internet: a randomized trial.
Cardiac rehabilitation ( CR ) is essential for secondary prevention , yet only 10%-30 % of eligible patients attend as geographical proximity is a major barrier . We evaluated a ' virtual ' CR program ( vCRP ) delivered by the Internet to patients in small urban and rural areas . In our study , in- patients ( n=78 ) with acute coronary syndrome or post-revascularization were r and omized to usual care ( UC ) or vCRP . The vCRP was a four-month program that included heart rate monitoring ; physiologic data capture ; education sessions ; ask-an-expert sessions ; and chat sessions with a nurse , exercise specialist and dietitian . Participants were assessed at baseline and four months , and followed for another 12 months . The primary outcome was change in maximal time on the treadmill stress test ( MTT ) between groups adjusted for age , sex , diabetes status and Internet use for health information . The vCRP result ed in a greater increase in MTT by 45.7 seconds ( 95 % CI : 1.0 , 90.5 ) compared to usual care ( p=0.045 ) . Cholesterol levels and dietary quality improved in the vCRP compared to the UC group . Participants perceived the vCRP to be an accessible , convenient and effective way to received healthcare . Eleven ( 30 % ) and 6 ( 18 % ) participants in the UC and vCRP groups , respectively , had cardiovascular-related events ( p=0.275 ) . In conclusion , the vCRP was safe and effective and result ed in sustainable risk reduction without the requirement of face-to-face visits and directly monitored exercise
The m-Health programmes reported positive effects on adherence to medication .
Conclusion Evidence exists that supports the use of e-Health interventions for improving secondary prevention of CAD .
However , a comparison across studies highlighted a wide variability of components and outcomes within the different modes of delivery .
Background Electronic health ( e-Health ) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease ( CAD ) .
The aim of this study was to describe the effectiveness of different modes of delivery and components in e-Health secondary prevention programmes on adherence to treatment , modifiable CAD risk factors and psychosocial outcomes for patients with CAD .