Evidence map›Paper›PMID 28107251›Full record

SynthesisThe Journal of cardiovascular nursing

Internet-Delivered Self-management Support for Improving Coronary Heart Disease and Self-management-Related Outcomes: A Systematic Review.

Jorge Palacios, Geraldine A Lee, Maria Duaso, Abigail Clifton, Ian J Norman, Derek Richards, Elizabeth Alexandra Barley

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  9. Effectiveness of Theory-Based Health Information Technology Interventions on Coronary Artery Disease Self-Management Behavior: A Clinical Randomized Waitlist-Controlled Trial.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021
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  10. Participation, Retention, and Utilization of a Web-Based Chronic Disease Self-Management Intervention Among Older Adults.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019
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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

7 authors.

Jorge PalaciosJorge Palacios, MD, MSc PhD Student, Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK. Geraldine A. Lee, PhD Senior Lecturer, Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK. Maria Duaso, PhD Lecturer, Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK. Abigail Clifton, BSc Research Assistant, Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK. Ian J. Norman, PhD Executive Dean, Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK. Derek Richards, PhD Director of Clinical Research and Innovation, Silvercloud Health, and School of Psychology, Trinity College Dublin, Ireland. Elizabeth Alexandra Barley, PhD, CPsychol Professor in Health and Wellbeing, College of Nursing, Midwifery and Healthcare, University of West London, UK.
Geraldine A Lee
Maria Duaso
Abigail Clifton
Ian J Norman
Derek Richards
Elizabeth Alexandra Barley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronary heart disease (CHD) is associated with significant morbidity and mortality, including mental health comorbidity, which is associated with poor outcomes. Self-management is key, but there is limited access to self-management support. Internet-delivered interventions may increase access.

objectiveThe aim of this study was to conduct a systematic review to (1) determine the effectiveness of Internet-delivered CHD self-management support for improving CHD, mood, and self-management related outcomes and (2) identify and describe essential components for effectiveness.

methodRandomized controlled trials that met prespecified eligibility criteria were identified using a systematic search of 3 healthcare databases (Medline, PsychINFO, and Embase).

resultsSeven trials, which included 1321 CHD patients, were eligible for inclusion. There was considerable heterogeneity between studies in terms of the intervention content, outcomes measured, and study quality. All 7 of the studies reported significant positive between-group effects, in particular for lifestyle-related outcomes. Personalization of interventions and provision of support to promote engagement may be associated with improved outcomes, although more data are required to confirm this. The theoretical basis of interventions was poorly developed though evidence-based behavior change interventions were used.

conclusionMore well-designed randomized controlled trials are needed. These should also explore how interventions work and how to improve participant retention and satisfaction and examine the role of personalization and support within interventions.

Indexed as

Coronary DiseaseFemaleHumansInternetMaleMedication AdherencePatient Education as TopicPatient ParticipationRandomized Controlled Trials as TopicSelf CareSelf-Management

Identifiers

PMID28107251
PMCPMC5469565

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.