ArticleBMC cardiovascular disorders2023
Effects of a patient-centered digital health intervention in patients referred to cardiac rehabilitation: the Smart HEART clinical trial.
Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02791685 (Smartphone Delivered In-home Cardiopulmonary Rehabilitation), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Smartphone Delivered In-home Cardiopulmonary Rehabilitation
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Smartphone-Based Digital Health Interventions: A Comprehensive Systematic Review of Efficacy for Cardiovascular and Cerebrovascular Outcomes.Journal of medical systems · 2025Pooled it
- Biopsychosocial phenogroups in an urban population with coronary artery disease and their associations with adverse cardiovascular events.European heart journal open · 2026Article
- Digital Technologies in Cardiac Rehabilitation for High-Risk Cardiovascular Patients: A Narrative Review of Mobile Health, Virtual Reality, Exergaming and Virtual Education.Journal of clinical medicine · 2026Review
- Integrating Artificial Intelligence Into Digital Health-Optimized Therapeutics for the Remote Cardiac Rehabilitation.Clinical Medicine Insights. Cardiology · 2026Review
- Enhancing cardiac rehabilitation adherence through home-based rehabilitation and behavioral nudges: The ERA nudge study design and rationale.American heart journal · 2025Article
- Long-Term Outcomes of Digital Cardiac Rehabilitation.JACC. Asia · 2025Review
- Effectiveness of digital healthcare to improve clinical outcomes in discharged patients with coronary artery disease.NPJ digital medicine · 2025Article
- Cardiac Rehabilitation Among Veterans: A Narrative Review.Journal of cardiopulmonary rehabilitation and prevention · 2025Review
- Opportunities and challenges of lifestyle intervention-based digital therapeutics in LDL-C management: a scoping review.Therapeutic advances in chronic disease · 2025Article
- From Wristbands to Implants: The Transformative Role of Wearables in Heart Failure Care.Healthcare (Basel, Switzerland) · 2024Review
- Technological Interventions to Implement Prevention and Health Promotion in Cardiovascular Patients.Healthcare (Basel, Switzerland) · 2024Review
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiac rehabilitation (CR) improves outcomes in heart disease yet remains vastly underutilized. Remote CR enhanced with a digital health intervention (DHI) may offer higher access and improved patient-centered outcomes over non-technology approaches. We sought to pragmatically determine whether offering a DHI improves CR access, cardiac risk profile, and patient-reported outcome measures.
methodsAdults referred to CR at a tertiary VA medical center between October 2017 and December 2021 were offered enrollment into a DHI alongside other CR modalities using shared decision-making. The DHI consisted of remote CR with a structured, 3-month home exercise program enhanced with multi-component coaching, a commercial smartphone app, and wearable activity tracker. We measured completion rates among DHI participants and evaluated changes in 6-min walk distance, cardiovascular risk factors, and patient-reported outcomes from pre- to post-intervention.
resultsAmong 1,643 patients referred to CR, 258 (16%) consented to the DHI where the mean age was 60 ± 9 years, 93% were male, and 48% were black. A majority (90%) of the DHI group completed the program. Over 3-months, significant improvements were seen in 6MWT (mean difference [MD] -29 m; 95% CI, 10 to 49; P < 0.01) and low-density lipoprotein cholesterol (MD -11 mg/dL; 95% CI, -17 to -5; P < 0.01), and the absolute proportion of patients who reported smoking decreased (10% vs 15%; MD, -5%; 95% CI, -8% to -2%; P < 0.01) among DHI participants with available data. No adverse events were reported.
conclusionsThe addition of a DHI-enhanced remote CR program was delivered in 16% of referred veterans and associated with improved CR access, markers of cardiovascular risk, and healthy behaviors in this real-world study. These findings support the continued implementation of DHIs for remote CR in real-world clinical settings.
trial registrationThis trial was registered on ClinicalTrials.gov: NCT02791685 (07/06/2016).
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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.