Similarly , there was no clear evidence of effect for cardiovascular risk factors , although again the number of studies reporting these was small .
There was some evidence for beneficial effects on HRQOL , dietary outcomes , and physical activity , although firm conclusions can not yet be made .
The effects on healthcare utilisation and cost-effectiveness are also inconclusive , and trials are yet to measure the impact of  Internet interventions on compliance with medication .
BACKGROUND The Internet could provide a means of delivering secondary prevention programmes to people with coronary heart disease ( CHD ) .
OBJECTIVES To determine the effectiveness of Internet-based interventions targeting lifestyle changes and medicines management for the secondary prevention of CHD .
Enabling healthy choices: is ICT the highway to health improvement?
The White Paper Choosing health acknowledges that there is no lack of information in the system about healthy lifestyles , but the manner of communication of risk and the level of support for lifestyle change need improvement . Action also has to be taken to address inequalities in health and to focus on securing better access to healthier choices for people in disadvantaged groups or areas . Accordingly , this r and omized controlled trial examined whether access to a purpose -built health portal for heart disease could enable patients to manage better their heart conditions . We recruited 108 men and women aged 50—74 from coronary heart disease registries from a deprived area of Greater Manchester . Every participant received a new computer and one-year broadb and subscription ; however , only the experimental group received access to the Hearts of Salford health portal . Our results indicate that the experimental group changed their diet significantly . Specifically , they reported eating ` bad foods ' ( such as chips , sweets , crisps , fried foods , ready meals and cakes/biscuits ) significantly less often compared to the controls
Similarly , there was no clear evidence of effect for cardiovascular risk factors , although again the number of studies reporting these was small .
There was some evidence for beneficial effects on HRQOL , dietary outcomes , and physical activity , although firm conclusions can not yet be made .
The effects on healthcare utilisation and cost-effectiveness are also inconclusive , and trials are yet to measure the impact of  Internet interventions on compliance with medication .
BACKGROUND The Internet could provide a means of delivering secondary prevention programmes to people with coronary heart disease ( CHD ) .
OBJECTIVES To determine the effectiveness of Internet-based interventions targeting lifestyle changes and medicines management for the secondary prevention of CHD .