Evidence map›Paper›PMID 31182100›Full record

SynthesisBMC health services research2019

Modes of e-Health delivery in secondary prevention programmes for patients with coronary artery disease: a systematic review.

Gunhild Brørs, Trond Røed Pettersen, Tina B Hansen, Bengt Fridlund, Linn Benjaminsen Hølvold, Hans Lund, Tone M Norekvål

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 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.

NCT05587855 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of eCulinary Medicine Emphasizing Herbs and Spices to Increase Vegetable Consumption Among Adults With Hypertension

TypeinterventionalSponsorTexas Tech UniversityRan2021 to 2023Enrolled18ConditionsHypertension, Diet, Healthy, Culinary MedicineArmsE-group
NCT06759805 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

eCardiacRehab - a Pragmatic Trial on a Home-based Patient-centered e-Health Programme With Tailored Solutions - Feasibility Study

TypeinterventionalSponsorHaukeland University HospitalRan2025 to 2035Enrolled80ConditionsCoronary Artery Disease, Cardiac Rehabilitation, Ethics, Continuity of Patient CareArmseCardiacRehab
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Supporting Physical Activity and Quality of Life in Older Adults with Coronary Heart Disease: Development of a Web-Based Nursing Intervention.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
    Trial
  6. Trial
  7. Trial
  8. Trial
  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
    Trial
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. 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

7 authors.

Gunhild BrørsDepartment of Heart Disease, St. Olavs University Hospital, Postbox 3250 Torgarden, 7006, Trondheim, Norway.
Trond Røed PettersenDepartment of Heart Disease, Haukeland University Hospital, Postbox 1400, 5021, Bergen, Norway.
Tina B HansenCardiovascular Department, Zealand University Hospital, Sygehusvej 10, 4000, Roskilde, Denmark.
Bengt FridlundDepartment of Heart Disease, Haukeland University Hospital, Postbox 1400, 5021, Bergen, Norway.
Linn Benjaminsen HølvoldNamsos Hospital Nord-Trøndelag Hospital Trust, Postbox, 333 7601, Levanger, Norway.
Hans LundFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Postbox 7030, 5020, Bergen, Norway.
Tone M NorekvålDepartment of Heart Disease, Haukeland University Hospital, Postbox 1400, 5021, Bergen, Norway. tone.merete.norekval@helse-bergen.no.ORCID http://orcid.org/0000-0001-7302-4490

Funding

Helse Nord-Trøndelag 18/3742Helse Vest 912184
6 · The paper itself

Abstract

backgroundElectronic health (e-Health) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the effectiveness of different modes of delivery and components in e-Health secondary prevention programmes on adherence to treatment, modifiable CAD risk factors and psychosocial outcomes for patients with CAD.

methodA systematic review was carried out based on articles found in MEDLINE, CINAHL, and Embase. Studies evaluating secondary prevention e-Health programmes provided through mobile-Health (m-Health), web-based technology or a combination of m-Health and web-based technology were eligible. The main outcomes measured were adherence to treatment, modifiable CAD risk factors and psychosocial outcomes. The quality appraisal of the studies included was conducted using the Joanna Briggs Institute critical appraisal tool for RCT. The results were synthesised narratively.

resultA total of 4834 titles were identified and 1350 were screened for eligibility. After reviewing 123 articles in full, 24 RCTs including 3654 participants with CAD were included. Eight studies delivered secondary prevention programmes through m-Health, nine through web-based technology, and seven studies used a combination of m-Health and web-based technology. The majority of studies employed two or three secondary prevention components, of which health education was employed in 21 studies. The m-Health programmes reported positive effects on adherence to medication. Most studies evaluating web-based technology programmes alone or in combination with m-Health also utilised traditional CR, and reported improved modifiable CAD risk factors. The quality appraisal showed a moderate methodological quality of the studies.

conclusionEvidence exists that supports the use of e-Health interventions for improving secondary prevention of CAD. However, a comparison across studies highlighted a wide variability of components and outcomes within the different modes of delivery. High quality trials are needed to define the most efficient mode of delivery and components capable of addressing a favourable outcome for patients.

trial registrationNot applicable.

Indexed as

TelemedicineCardiac RehabilitationCoronary Artery DiseaseHealth PromotionHumansProspective StudiesSecondary PreventionCoronary artery diseaseE-healthM-healthSecondary prevention programmeSystematic review

Identifiers

PMID31182100
PMCPMC6558849

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.