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 .
Nurse and patient communication profiles in a home-based telehealth intervention for heart failure management.
OBJECTIVE This study compared differences in  nurse and patient communication profiles between two telehealth modes : telephone and videophone , and evaluated longitudinal changes in communication , nurse perceptions , and patient satisfaction . METHODS Subjects were enrolled in a r and omized controlled clinical trial evaluating a 90-day home-based intervention for heart failure . Telephone ( n=14 ) and videophone ( n=14 ) interactions were audio taped and analyzed using the  Roter Interaction Analysis System .  RESULTS Nurses were more likely to use open-ended questions , back-channel responses , friendly jokes , and checks for underst and ing on the telephone compared to videophone .  Compliments given and partnership were more common on the videophone .  Patients were more likely to give lifestyle information and approval comments on the telephone , and used more closed-ended questions on the videophone .  Nurses perceptions of the interactions were not different between the telephone and videophone , nor did their perceptions change significantly over the course of the intervention . There were no significant differences in patient satisfaction between the telephone and videophone . CONCLUSIONS The results of this study did not support use of a videophone over the telephone . PRACTICE IMPLICATION S It is critical to match technologies to patient needs and use the least complex technology possible . When considering use a videophone , health care providers should critically examine the trade-offs between additional complexities with the added value of the visual interaction
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 .