Randomized trial of an internet-based computer-tailored expert system for physical activity in patients with heart disease

Reid, Robert D.; Morrin, Louise; Beaton, Louise J.; Papadakis, Sophia; Kocourek, Jana; McDonnell, Lisa; D’Angelo, Monika E. Slovinec; Tulloch, Heather; Suskin, Neville; Unsworth, K.; Blanchard, Chris M.; Pipe, Andrew

doi:10.1177/1741826711422988

Cited by 125 publications

(252 citation statements)

References 21 publications

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“…98,97,[100][101][102][103]106,107,109 Overall, the technology that was used most often to increase physical activity was the Internet through Web sites, online tutorials, or networking opportunities. Many of the programs that used the Internet also used other forms of technology, including pedometers and feedback messages via e-mail.…”

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

“…Of the 9 studies that used the Internet as the main intervention component, 5 reported significant differences between groups in increasing physical activity. 98,100,102,106,107 The outcomes differed in each study and included increases in step counts, increases in moderately vigorous physical activity, increases in moderate physical activity, and increases in minutes per week of physical activity. Two of the 14 studies examined the use of SMS, 103,109 and both reported significant differences between the intervention and control or comparative conditions.…”

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

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Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

486

389

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A lthough mortality for cardiovascular disease (CVD) has declined for several decades, heart disease and stroke continue to be the leading causes of death, disability, and high healthcare costs. Unhealthy behaviors related to CVD risk (eg, smoking, sedentary lifestyle, and unhealthful eating habits) remain highly prevalent. The high rates of overweight, obesity, and type 2 diabetes mellitus (T2DM); the persistent presence of uncontrolled hypertension; lipid levels not at target; and the ≈18% of adults who continue to smoke cigarettes pose formidable challenges for achieving improved cardiovascular health.1,2 It is apparent that the performance of healthful behaviors related to the management of CVD risk factors has become an increasingly important facet of the prevention and management of CVD. 3In 2010, the American Heart Association (AHA) made a transformative shift in its strategic plan and added the concept of cardiovascular health.2 To operationalize this concept, the AHA targeted 4 health behaviors in the 2020 Strategic Impact Goals: reduction in smoking and weight, healthful eating, and promotion of regular physical activity. Three health indicators also were included: glucose, blood pressure (BP), and cholesterol. On the basis of the AHA Life's Simple 7 metrics for improved cardiovascular health, <1% of adults in the United States follow a healthful eating plan, only 32% have a normal body mass index, and > 30% have not reached the target levels for lipids or BP. National Health and Nutrition Examination Survey (NHANES) data revealed that people who met ≥6 of the cardiovascular health metrics had a significantly better risk profile (hazard ratio for all-cause mortality, 0.49) compared with individuals who had achieved only 1 metric or none.2 The studies reviewed in this statement targeted these behaviors (ie, smoking, physical activity, healthful eating, and maintaining a healthful weight) and cardiovascular health indicators (ie, blood glucose, lipids, BP, body mass index) as the primary outcomes in the clinical trials testing mobile health (mHealth) interventions.eHealth, or digital health, is the use of emerging communication and information technologies, especially the Internet, to improve health and health care 4 (Table 1). mHealth, a subsegment of eHealth, is the use of mobile computing and communication technologies (eg, mobile phones, wearable sensors) for health services and information.4,5 mHealth technology uses techniques and advanced concepts from an array of disciplines, for example, computer science, electrical and

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Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

486

389

View full text Add to dashboard Cite

show abstract

“…Studies were conducted in Canada,22 31 34 Australia,33 Belgium,25 Brazil,32 France,27 Korea,29 the Netherlands,28 New Zealand30 and the USA,26 and published between 2002 and 2014. Sample sizes varied from 1534 to 242 22.…”

Section: Resultsmentioning

confidence: 99%

Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis

Rawstorn

Gant

Direito

et al. 2016

Heart

295

242

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Telehealth exCR appears to be at least as effective as centre-based exCR for improving modifiable cardiovascular risk factors and functional capacity, and could enhance exCR utilisation by providing additional options for patients who cannot attend centre-based exCR. Telehealth exCR must now capitalise on technological advances to provide more comprehensive, responsive and interactive interventions.

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“…Traditionally, these programs began as group sessions based in outpatient centers or hospitals, but subsequent variations have emerged over the last 2 decades, including individual home-based models of care using information manuals, case-managers, phone and Internet support. [7][8][9][10][11] The evolution of and variation in what is meant by cardiac rehabilitation therefore highlights the need for clear and precise reporting of the exact intervention used.…”

mentioning

confidence: 99%

Reporting and Replicating Trials of Exercise-Based Cardiac Rehabilitation

Abell

Glasziou

Hoffmann

2015

Circ: Cardiovascular Quality and Outcomes

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Background-Complete reporting of all components of complex interventions is essential for translation of research evidence into clinical practice. Previous work has highlighted deficiencies in the reporting of nonpharmacological interventions; however, the reporting quality of exercise-based interventions for coronary heart disease has not been examined. Methods and Results-A systematic search strategy was used to identify randomized controlled trials of exercise-based cardiac rehabilitation published until December 2013. Fifty-seven trials were included, reporting on 74 interventions. Intervention description completeness was assessed using the Template for Intervention Description and Replication checklist. Missing intervention details were then sought from additional published material and also by emailing corresponding authors. Only 6 interventions (8%) sufficiently described all required items within the main publication; this increased to 11 (15%) after searching for additional published material and 32 (43%) after contacting trial authors. Although location/setting and duration were consistently well reported in publications, complete descriptions of the exercise schedule, as well as details about its tailoring and progression, were missing for over half of interventions (complete for 42% and 36% of interventions, respectively). Although some authors (25/61) were able to provide missing intervention details when contacted, others could not be located (20)

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Randomized trial of an internet-based computer-tailored expert system for physical activity in patients with heart disease

Abstract: Patients with CHD using an Internet-based activity prescription with online coaching were more physically active at follow up than those receiving usual care. Use of the CardioFit program could extend the reach of rehabilitation and secondary-prevention services.

Cited by 125 publications

References 21 publications

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis

Reporting and Replicating Trials of Exercise-Based Cardiac Rehabilitation

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