Evidence map›Paper›PMID 31299903›Full record

SynthesisBMC cardiovascular disorders2019

The effect of mobile applications for improving adherence in cardiac rehabilitation: a systematic review and meta-analysis.

Linqi Xu, Feng Li, Changli Zhou, Jinwei Li, Chengcheng Hong, Qian Tong

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 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

44 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  3. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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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

6 authors.

Linqi XuSchool of Nursing, Jilin University, Changchun, 130000, China.
Feng LiSchool of Nursing, Jilin University, Changchun, 130000, China.
Changli ZhouSchool of Nursing, Jilin University, Changchun, 130000, China.
Jinwei LiSchool of Nursing, Jilin University, Changchun, 130000, China.
Chengcheng HongSchool of Health Sciences University of Manchester, M13 9PL, Manchester, UK.
Qian TongThe First Hospital of Jilin University, No 71, Xin Min Avenue, Changchun, 130000, China. tongqian187@aliyun.com.ORCID 0000-0002-5899-7910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite of the established effectiveness, the acceptance and adherence of cardiac rehabilitation (CR) remains sub-optimal. Mobile technologies are increasingly used in promoting CR without any firm evidence of their safety and efficacy. This systematic review and meta-analysis were aimed to assess the effect of mobile applications as an intervention for improving adherence to CR.

methodsRelevant studies were searched in PubMed, the Cochrane Library, Embase and Web of Science from inception to 29th December 2018. Eligible studies were the ones which used mobile applications as a stand-alone intervention or as the primary component for the intervention directed at improving CR adherence, without any limitations on outpatient or home-based CR.

resultsEight studies were eligible for the systematic review including four randomized controlled trials (RCTs) as well as four before-after studies of which only one had control group. Four RCTs and 185 patients in experimental group were included in meta-analysis, which had evaluated the effect of mobile health applications on CR completion and had reported that the adherence of patients using mobile applications was 1.4 times higher than the control group (RR = 1.38; CI 1.16 to 1.65; P = 0.0003). Moreover, we also found mixed results in exercise capacity, mental health and quality of life.

conclusionThe use of mobile applications for improving the adherence of the CR might be effective. However, it appears to be in the initial stage of implementing mobile applications in CR and more research is essential to validate their effectiveness.

Indexed as

Mobile ApplicationsPatient ComplianceSmartphoneAdultAgedAttitude to ComputersCardiac RehabilitationFemaleHealth Knowledge, Attitudes, PracticeHeart DiseasesHumansMaleMiddle AgedRandomized Controlled Trials as TopicTelemedicineTreatment OutcomeAdherenceCardiac rehabilitation (CR)Mobile application

Identifiers

PMID31299903
PMCPMC6625064

What OpenQuestion holds

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Registered trials

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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.