Evidence map›Paper›PMID 24161003›Full record

Trial reportTelemedicine journal and e-health : the official journal of the American Telemedicine Association2014

Feasibility and effectiveness of remote, telephone-based delivery of cardiac rehabilitation.

Bonnie Wakefield, Kariann Drwal, Melody Scherubel, Thomas Klobucar, Skyler Johnson, Peter Kaboli

Abstract readClinical Trial
In one paragraph

Trial report in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Cardiac Rehabilitation Among Veterans: A Narrative Review.Journal of cardiopulmonary rehabilitation and prevention · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Evaluation of Telephone-Based Cardiac Rehabilitation Services Delivered to Adults 65 and Older During the Early Months of the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  11. Article
  12. Cardiac Rehab in the COVID-19 Pandemic.The American journal of medicine · 2021
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. The Design and Implementation of a Home-Based Cardiac Rehabilitation Program.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2017
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Bonnie Wakefield1 Iowa City VA Healthcare System, Veterans Rural Health Resource Center-Central Region , VA Office of Rural Health, Iowa City, Iowa.
Kariann Drwal
Melody Scherubel
Thomas Klobucar
Skyler Johnson
Peter Kaboli
Iowa City VA Health Care System · USUnited States Department of Veterans Affairs · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiac rehabilitation (CR) provides significant benefit for persons with cardiovascular disease. However, access to CR services may be limited by driving distance, costs, need for a driver, time away from work, or being a family primary caregiver. The primary aim of the project was to test the reach (i.e., patient and provider uptake), effectiveness (safety and clinical outcomes), and implementation (time and costs) of a remote telephone-based Phase 2 CR program. A secondary aim was to compare outcomes between patients attending the remote program (home-CR) and those attending an on-site program (comparison group). SUBJECTS AND

methodsSubjects were given a choice of the remote or face-to-face program. Remote CR participants (n=48) received education and assessment during 12 weekly by telephone calls. Data were compared with those for face-to-face CR program participants (n=14). Independent t tests and chi-squared tests were used for continuous and categorical variables, respectively. Repeated-measures analysis of covariance models were used to assess differences in outcomes. Costs were analyzed using a cost-minimization analysis.

resultsOf 107 eligible patients, 45 refused participation, 5 dropped out, and 1 died unrelated to the study. Participants had a mean age of 64 (standard deviation 7.5) years. Remote CR participants were highly satisfied with their care and had a higher completion rate (89% of authorized sessions versus 73% of face-to-face). Costs for each program were comparable. There were no significant changes over time in any measured outcome between groups at 12 weeks except medication adherence, which decreased over time in both groups; face-to-face patients reported a greater decrease (p=0.05).

conclusionsThis is the first study to test a remote CR program in a population of older Veterans. Many hospitals do not provide comprehensive CR services on-site; thus remote CR is a viable alternative to bring services closer to the patient.

Indexed as

TelephoneAgedCardiac Surgical ProceduresCosts and Cost AnalysisFemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient Education as TopicTime Factors

Identifiers

PMID24161003
PMCPMC3880057
OpenAlexW1978508079

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.