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 .
Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial
Background Cardiac telerehabilitation has been introduced as an adjunct or alternative to conventional center-based cardiac rehabilitation to increase its long-term effectiveness . However , before large-scale implementation and reimbursement in current health care systems is possible , well- design ed studies on the effectiveness of this new additional treatment strategy are needed . Objective The aim of this trial was to assess the medium-term effectiveness of an Internet-based , comprehensive , and patient-tailored telerehabilitation program with short message service ( SMS ) texting support for cardiac patients . Methods This multicenter r and omized controlled trial consisted of 140 cardiac rehabilitation patients r and omized ( 1:1 ) to a 24-week telerehabilitation program in combination with conventional cardiac rehabilitation ( intervention group ; n=70 ) or to conventional cardiac rehabilitation alone ( control group ; n=70 ) . In the telerehabilitation program , initiated 6 weeks after the start of ambulatory rehabilitation , patients were stimulated to increase physical activity levels . Based on registered activity data , they received semiautomatic telecoaching via email and SMS text message encouraging them to gradually achieve predefined exercise training goals . Patient-specific dietary and /or smoking cessation advice was also provided as part of the telecoaching . The primary endpoint was peak aerobic capacity ( VO2 peak ) . Secondary endpoints included accelerometer-recorded daily step counts , self-assessed physical activities by International Physical Activity Question naire ( IPAQ ) , and health-related quality of life ( HRQL ) assessed by the HeartQol question naire at baseline and at 6 and 24 weeks . Results Mean VO2 peak increased significantly in intervention group patients ( n=69 ) from baseline ( mean 22.46 , SD 0.78 mL/[min*kg ] ) to 24 weeks ( mean 24.46 , SD 1.00 mL/[min*kg ] , P<.01 ) versus control group patients ( n=70 ) , who did not change significantly ( baseline : mean 22.72 , SD 0.74 mL/[min*kg ] ; 24 weeks : mean 22.15 , SD 0.77 mL/[min*kg ] , P=.09 ) . Between-group analysis of aerobic capacity confirmed a significant difference between the intervention group and control group in favor of the intervention group ( P<.001 ) . At 24 weeks , self-reported physical activity improved more in the intervention group compared to the control group ( P=.01 ) as did the global HRQL score ( P=.01 ) . Conclusions This study showed that an additional 6-month patient-specific , comprehensive telerehabilitation program can lead to a bigger improvement in both physical fitness ( VO2 peak ) and associated HRQL compared to center-based cardiac rehabilitation alone . These results are supportive in view of possible future implementation in st and ard cardiac care
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 .