Home-based telehealth exercise training program in Chinese patients with heart failure

Peng, Xingchen; Yuan, Shuping; Hu, Zhonghua; Sun, Xiye; Li, Xiaoping; Dolansky, Mary A.; Qu, Moying; Hu, Xiaolin

doi:10.1097/md.0000000000012069

Cited by 94 publications

(201 citation statements)

References 20 publications

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“…Of the 9 studies reporting blood pressure as an outcome of digital interventions versus conventional CR, 3 studies showed noninferiority [ 18 , 29 , 41 ], 4 found no significant impact on blood pressure [ 19 , 28 , 31 , 39 ], and 2 reported a better control of blood pressure in the control group as compared to the digital intervention group [ 25 , 35 ]. Similarly, although the majority of studies assessing mood as an outcome reported that digital interventions were noninferior to conventional CR in improving mood [ 22 , 25 , 29 , 30 , 33 ], 4 studies reported no significant improvement in anxiety or depression [ 19 , 24 , 25 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…In total, 5 studies reported a positive effect on mood in the intervention group [ 22 , 25 , 29 , 30 , 33 ]. A total of 4 studies found that digital interventions had no significant impact on mood [ 19 , 24 , 25 , 42 ]. In total, 2 studies found no significant change in the psychological status between digital intervention and usual care groups [ 35 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…In total, 10 studies reported an improvement in QoL in the intervention group [ 15 , 17 , 22 , 24 , 25 , 27 , 29 , 33 , 39 , 42 ]. A total of 6 studies found no significant difference in QoL measures between the digital intervention and usual care groups [ 17 , 21 , 27 , 35 , 38 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

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Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review

Wongvibulsin¹,

Habeos²,

Huynh³

et al. 2021

J Med Internet Res

108

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Background Cardiovascular disease (CVD) is the leading cause of death worldwide. Despite strong evidence supporting the benefits of cardiac rehabilitation (CR), over 80% of eligible patients do not participate in CR. Digital health technologies (ie, the delivery of care using the internet, wearable devices, and mobile apps) have the potential to address the challenges associated with traditional facility-based CR programs, but little is known about the comprehensiveness of these interventions to serve as digital approaches to CR. Overall, there is a lack of a systematic evaluation of the current literature on digital interventions for CR. Objective The objective of this systematic literature review is to provide an in-depth analysis of the potential of digital health technologies to address the challenges associated with traditional CR. Through this review, we aim to summarize the current literature on digital interventions for CR, identify the key components of CR that have been successfully addressed through digital interventions, and describe the gaps in research that need to be addressed for sustainable and scalable digital CR interventions. Methods Our strategy for identifying the primary literature pertaining to CR with digital solutions (defined as technology employed to deliver remote care beyond the use of the telephone) included a consultation with an expert in the field of digital CR and searches of the PubMed (MEDLINE), Embase, CINAHL, and Cochrane databases for original studies published from January 1990 to October 2018. Results Our search returned 31 eligible studies, of which 22 were randomized controlled trials. The reviewed CR interventions primarily targeted physical activity counseling (31/31, 100%), baseline assessment (30/31, 97%), and exercise training (27/31, 87%). The most commonly used modalities were smartphones or mobile devices (20/31, 65%), web-based portals (18/31, 58%), and email-SMS (11/31, 35%). Approximately one-third of the studies addressed the CR core components of nutrition counseling, psychological management, and weight management. In contrast, less than a third of the studies addressed other CR core components, including the management of lipids, diabetes, smoking cessation, and blood pressure. Conclusions Digital technologies have the potential to increase access and participation in CR by mitigating the challenges associated with traditional, facility-based CR. However, previously evaluated interventions primarily focused on physical activity counseling and exercise training. Thus, further research is required with more comprehensive CR interventions and long-term follow-up to understand the clinical impact of digital interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review

Wongvibulsin¹,

Habeos²,

Huynh³

et al. 2021

J Med Internet Res

108

View full text Add to dashboard Cite

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“…In addition, CPET, a gold standard with convenient and safe operation, was adopted for assessing patients’ exercise tolerance and developing exercise prescriptions [ 11 ]. With an intervention period of 6 months, which was much longer than the intervention period of other telemonitored intervention studies nationwide [ 27 , 28 ], this study can provide reference for telemonitored cardiac rehabilitation practice in China.…”

Section: Discussionmentioning

confidence: 99%

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Song

Ren

Liu

et al. 2019

J. of Cardiovasc. Trans. Res.

117

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The aim of this study was to investigate the effects of telemonitored exercise rehabilitation on patients with coronary heart disease (CHD) in China. Ninety-six patients with stable CHD were included and analyzed (48 in telemonitored group and 48 in control group). All patients received routine follow-up, and patients in telemonitored group participated in smartphone-based telemonitored cardiac rehabilitation. Patients' demographic information, medical history, diagnosis and treatment of CHD, and laboratory results were collected. The difference of cardiopulmonary exercise testing (CPET), blood test, and echocardiographic parameters; exercise habits; control rate of blood lipid and blood glucose; and incidence of adverse events between the two groups during 6 months of follow-up was analyzed. After intervention, the subjects in the telemonitored group performed significantly better in VO 2peak , exercise compliance, and some other parameters than those in the control group. Telemonitored exercise rehabilitation is an effective rehabilitation mode for CHD patients in China.

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“…Âèêîðèñòàííÿ òåëåìîí³òîðèíãó òà òåëåðåàá³-ë³òàö³¿ º â³äíîñíî íîâèì, àëå äóaeå ïåðñïåêòèâíèì íàïðÿìîì â êàðä³îðåàá³ë³òàö³¿. Ïîð³âíÿíî ç ì³aeäèñöèïë³íàðíèìè ïðîãðàìàìè âòðó÷àííÿ, ðåà-ë³çàö³¿ ÿêèõ ÷àñòî ïåðåøêîäaeàþòü åêîíîì³÷í³, ãåîãðàô³÷í³ òà áþðîêðàòè÷í³ áàð'ºðè, íå³íâàçèâíèé äèñòàíö³éíèé ìîí³òîðèíã ìîaeå áóòè ð³øåííÿì äëÿ ïðîäîâaeåííÿ ðåàá³ë³òàö³éíî¿ ïðîãðàìè â äîìàøí³õ óìîâàõ òà ñïðèÿííÿ äîãëÿäó çà ïàö³ºíòàìè ïðîòÿãîì òðèâàëîãî ÷àñó [7,8,14].…”

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Застосування Сучасних Інформаційних Технологій У Кардіореабілітації: Огляд Зарубіжного Досвіду

Костенко¹,

Балаж²

2020

СМФТтЕ

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Резюме. Мета. За даними літературних джерел розглянути сучасні підходи до можливості застосування інформаційних технологій у кардіореабілітації хворих на ішемічну хворобу серця. Методи. Аналіз та узагальнення даних наукової та науково-методичної літератури. Результати. В Україні абсолютна більшість кардіологічних пацієнтів після виписування зі стаціонару не отримують переваг кардіореабілітації. Розвиток інформаційних технологій спонукав до використання телемоніторингу та впровадження програм телекардіореабілітації, які можуть бути ефективним рішенням для продовження реабілітаційної програми в домашніх умовах та сприяння догляду за пацієнтами протягом тривалого часу. Висновки. Недостатнє впровадження сучасних програм кардіореабілітації є нагальною проблемою в Україні. Засобом підвищення ефективності кардіореабілітаційних програм може бути впровадження новітніх інформаційних технологій у практику охорони здоров'я, що дозволить продовжувати реабілітацію хворих на ІХС на амбулаторному етапі в домашніх умовах та збільшити прихильність пацієнтів до участі в реабілітаційних програмах. Ключові слова: кардіореабілітація, ішемічна хвороба серця, фізична терапія, інформаційні технології, телереабілітація. The use of modern information technology in cardiac rehabilitation: a review of foreign experience

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Home-based telehealth exercise training program in Chinese patients with heart failure

Abstract: The results reveal that telehealth exercise training is an effective alternative method for cardiac rehabilitation, especially under the conditions in China.

Cited by 94 publications

References 20 publications

Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review

Digital Health Interventions for Cardiac Rehabilitation: Systematic Literature Review

Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease

Застосування Сучасних Інформаційних Технологій У Кардіореабілітації: Огляд Зарубіжного Досвіду

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