The Impact of the SARS-CoV-2 Virus (COVID-19) Pandemic and the Rapid Adoption of Telehealth for Cardiac Rehabilitation and Secondary Prevention Programs in Rural and Remote Australia: A Multi-Method Study

Champion, Stephanie; Clark, Robyn; Tirimacco, Rosy; Tideman, Philip; Gebremichael, Lemlem G; Du, Huiyun

doi:10.1016/j.hlc.2022.07.006

Cited by 12 publications

(9 citation statements)

References 42 publications

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“…Of the 58 included studies, Randomised Control Trial (RCT) was the most common study design ( n = 27, 46.6%), [ 35 , 37 – 39 , 43 – 45 , 52 , 54 – 56 , 58 , 59 , 61 , 65 , 69 – 73 , 79 – 81 , 95 – 97 ] followed by pre-post ( n = 11, 19.0%) [ 50 , 60 , 63 , 64 , 66 , 77 , 78 , 86 , 98 – 101 ]. Study design of remaining studies included cohort (retrospective and prospective) ( n = 7, 12.1%), [ 34 , 36 , 47 , 48 , 83 – 85 , 88 ] single arm trial ( n = 6, 10.3%), [ 40 , 41 , 46 , 67 , 82 , 89 , 92 , 102 , 103 ] case study ( n = 3, 5.2%), [ 57 , 104 , 105 ] pseudo-RCT ( n = 2, 3.4%), [ 42 , 51 ] non-inferiority trial ( n = 1, 1.7%) and qualitative ( n = 1, 1.7%) [ 49 , 76 ]. Study designs were categorised according to the NHMRC Evidence Hierarchy as level II ( n = 27, 46.6%), level III study ( n = 28, 50.9%), level IV ( n = 14, 24.2%) or not at all ( n = 1, 1.7%) see Additional files 3 and 5 ) [ 35 , 37 – 39 , 43 –…”

Section: Resultsmentioning

confidence: 99%

“…The majority of included studies were set in rural areas of the United States of America (USA) ( n = 43, 74.1%), [ 34 , 36 , 37 , 40 – 48 , 51 – 55 , 57 – 59 , 62 – 66 , 69 – 71 , 73 , 77 – 82 , 86 – 92 , 95 – 97 , 100 , 104 , 105 ] with the remaining set in rural areas of Canada ( n = 6, 11.5%), [ 35 , 50 , 60 , 67 , 68 , 75 , 76 , 99 ] Australia ( n = 6, 10.3%), [ 38 , 39 , 72 , 74 , 83 – 85 , 93 , 94 ] United Kingdom (UK) ( n = 2, 3.4%), [ 49 , 56 ] and Taiwan ( n = 1, 1.7%) (see Additional files 3 and 6 ). [ 61 ] A definition of rurality was reported in 19 (32.8%) studies.…”

Section: Resultsmentioning

confidence: 99%

“…[ 61 ] A definition of rurality was reported in 19 (32.8%) studies. [ 42 – 44 , 46 , 50 , 52 , 57 – 60 , 67 , 70 , 75 , 77 , 78 , 81 , 85 , 88 , 92 , 96 , 97 , 103 ] Nine studies (15.5%) used an official measure of rurality that was recognised by the country in which the study was conducted, and 10 studies (17.2%) reported an unofficial measure (see Additional files 6 and 7 ) [ 42 – 44 , 46 , 50 , 52 , 57 , 58 , 60 , 67 , 68 , 70 , 74 , 75 , 77 , 78 , 81 , 85 , 88 , 92 , 96 , 97 ].…”

Section: Resultsmentioning

confidence: 99%

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Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review

Herbert,

Schumacher,

Brown

et al. 2023

Int J Behav Nutr Phys Act

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Background Lifestyle behaviours related to smoking, alcohol, nutrition, and physical activity are leading risk factors for the development of chronic disease. For people in rural areas, access to individualised lifestyle services targeting behaviour change may be improved by using telehealth. However, the scope of literature investigating telehealth lifestyle behaviour change interventions for rural populations is unknown, making it difficult to ascertain whether telehealth interventions require adaptation for rural context via a systematic review. This scoping review aimed to address this gap, by mapping existing literature describing telehealth lifestyle interventions delivered to rural populations to determine if there is scope for systematic review of intervention effectiveness in this research topic. Methods The PRISMA extension for scoping review checklist guided the processes of this scoping review. A search of eight electronic databases reported in English language until June 2023 was conducted. Eligible studies included adults (18 years and over), who lived in rural areas of high-income countries and undertook at least one synchronous (video or phone consultation) telehealth intervention that addressed either addictive (smoking or alcohol), or non-addictive lifestyle behaviours (nutrition or physical activity). Studies targeting addictive and non-addictive behaviours were separated after full text screening to account for the involvement of addictive substances in smoking and alcohol studies that may impact behaviour change interventions described. Studies targeting nutrition and/or physical activity interventions are presented here. Results The search strategy identified 17179 citations across eight databases, with 7440 unique citations once duplicates were removed. Full texts for 492 citations were retrieved and screened for inclusion with 85 publications reporting on 73 studies eligible for data extraction and analysis. Of this, addictive behaviours were comprised of 15 publications from 13 studies. Non-addictive behaviours included 70 publications from 58 studies and are reported here. Most interventions were delivered within the United States of America (n = 43, 74.1%). The most common study design reported was Randomised Control Trial (n = 27, 46.6%). Included studies involved synchronous telehealth interventions targeting nutrition (11, 18.9%), physical activity (5, 8.6%) or nutrition and physical activity (41, 70.7%) and were delivered predominately via videoconference (n = 17, 29.3%). Conclusions Despite differences in intervention characteristics, the number of randomised control trials published suggests sufficient scope for future systematic reviews to determine intervention effectiveness related to nutrition and physical activity telehealth interventions for rural populations. Trial registration The scoping review protocol was not pre-registered.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review

Herbert,

Schumacher,

Brown

et al. 2023

Int J Behav Nutr Phys Act

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“…Potentially, telehealth modalities are exacerbating social, cultural, and economic barriers to access some population groups. While cardiac telerehabilitation provides promising opportunities to improve programme participation rates (especially for rural and remote patients), 19 the telerehabilitation programmes are often not being designed with equity in mind. Commonly, cardiac telerehabilitation trials exclude people with disability, sensory impairments, cognitive impairments, and English as a second language.…”

Section: Discussionmentioning

confidence: 99%

Expanding access to telehealth in Australian cardiac rehabilitation services: a national survey of barriers, enablers, and uptake

Thomas,

Cartledge,

Murphy

et al. 2023

European Heart Journal - Digital Health

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Background and Aims Cardiac rehabilitation (CR) is traditionally delivered in-person, however, the COVID-19 pandemic provided impetus for alternate offerings such as telehealth. We investigated uptake, barriers, and enablers in a national survey during the pandemic in Australia. Methods We surveyed CR programs between April-June 2021 using professional association networks. The anonymous online questionnaire addressed program characteristics, COVID-19 impacts, and barriers to and enablers of telehealth use. Open text responses were coded and presented as themes. Results In total 105 programs responded (33% response rate). All states and geographical areas were represented. Use of every modality of telehealth care (telephone, video conferencing, text messaging and web-based) increased significantly during and post-COVID with a strong preference for telephone (85% of services). Respondents perceived video (53%) and telephone (47%) formats as safe and effective for delivering CR. The most common barriers to telehealth were difficulties conducting assessments and reduced engagement with patients. Prominent enablers were increased reach and reduced patient barriers to CR access. Conclusions Telehealth use by CR programs increased during the peak pandemic period. However, additional support is required to ensure telehealth services can be maintained. There is considerable potential to increase the reach of CR by embedding telehealth into existing models of care.

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“…Center-based cardiac rehabilitation (CR) programs were integrated into telehealth modes (smartphone, telephone, web-based, or online) of delivery in regional and rural Australia during the COVID-19 public health emergency. Clinical guidelines recommend that all patients with acute coronary syndrome are important, with their self-care and self-prevention views increasing, and telehealth services facing an increased demand [ 6 ]. Green et al [ 7 ] described the rapid deployment of a telehealth system with real-time (RT) video conference on chiropractic services in response to COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Advanced Mobile Communication Techniques in the Fight against the COVID-19 Pandemic Era and Beyond: An Overview of 5G/B5G/6G

Lin,

Chang

2023

Sensors

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The coronavirus disease 2019 (COVID-19) pandemic has severely affected people’s lives worldwide in an unexpected manner. According to the World Health Organization (WHO), several viral epidemics continue to occur and pose a significant public health problem. Until May 2023, there have been 676 million cases of COVID-19 infections and over 6.8 million deaths, globally. This paper surveys the role and effectiveness of advanced fifth-generation (5G)/beyond 5G (B5G)/sixth-generation (6G) technologies, combined with mobile applications (apps) and the Internet of Medical Things (IoMT), in detecting, managing, and mitigating the spread of COVID-19 and designing smart healthcare infrastructures for future pandemics. Analyzing and summarizing the research of relevant scholars based on the impact of 5G/B5G/6G and other technologies on COVID-19. The study tabulates the technical characteristics and effectiveness of different technologies in the context of COVID-19, summarizing the research of previous scholars. Challenges and design issues in the implementation of advanced information and telecommunication systems were demonstrated. These technologies can inspire the design of smart healthcare infrastructures to combat future virus pandemics.

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The Impact of the SARS-CoV-2 Virus (COVID-19) Pandemic and the Rapid Adoption of Telehealth for Cardiac Rehabilitation and Secondary Prevention Programs in Rural and Remote Australia: A Multi-Method Study

Cited by 12 publications

References 42 publications

Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review

Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review

Expanding access to telehealth in Australian cardiac rehabilitation services: a national survey of barriers, enablers, and uptake

Advanced Mobile Communication Techniques in the Fight against the COVID-19 Pandemic Era and Beyond: An Overview of 5G/B5G/6G

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