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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Patient Focused internet-based approaches to cardiovascular rehabilitation - a systematic review
Author(s): Munro, Julie
Angus, Neil J
Leslie, Stephen
Issue Date: Sep-2013
Citation: Munro J, Angus NJ & Leslie S (2013) Patient Focused internet-based approaches to cardiovascular rehabilitation - a systematic review, Journal of Telemedicine and Telecare, 19 (6), pp. 347-353.
Abstract: Cardiac rehabilitation (CR) has been shown to improve health behaviours and risk factors and the evidence suggests that home CR is as effective as hospital-based CR. Telemedicine offers the potential for more patients to engage in CR. We reviewed the evidence for patient focused Internet-based approaches to cardiovascular rehabilitation. Searches were performed in PubMed, EMBASE, Scopus and the Cochrane Controlled Trials Register (CCTR). In total, 9 studies involving 830patients with heart disease that compared Internet-based cardiac rehabilitation to usual care were identified. The quality of trials was assessed using the Jadad scale. Outcome data were pooled under four subheadings: compliance; physical activity outcomes; clinical outcomes; psychosocial outcomes. Compliance rates were high but dropped over time in all studies. Physical activity measures were generally improved, as were clinical outcomes. Changes in psychosocial measures were positive, with two studies noting no change. No interventions noted a negative effect on outcomes. Despite the relatively small number of trials and the limited outcome measures, the results appeared to be positive with regard to patient outcomes and patient feedback. However, none had progressed to a clinical service.
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Rights: Publisher policy allows this work to be made available in this repository. Published in Journal of Telemedicine and Telecare, September 2013 vol. 19 no. 6 347-353 by SAGE with the following policy: Once the article has been accepted for publication, the author may post the accepted version (version 2) of the article on own personal website, department' s website or the repository of author's institution without any restrictions.

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