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Cited by 268Telemedicine and Telehealth ImplementationCardiac Health and Mental HealthMobile Health and mHealth Applications

Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review

Open access
Neubeck, Lis, Redfern, J ulie, Fernandez, Ritin, Briffa, Tom, Bauman, Adrian, Freedman, Saul Ben·2009·European Journal of Cardiovascular Prevention & Rehabilitation
DOI 10.1097/hjr.0b013e32832a4e7a
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Abstract

Coronary heart disease (CHD) is a leading cause of death globally. Despite proven health benefits and international recommendations, attendance at cardiac rehabilitation programs is poor. Telehealth (phone, Internet, and videoconference communication between patient and health-care provider) has emerged as an innovative way of delivering health interventions. This review aimed to determine telehealth effectiveness in CHD management. Study design includes systematic review with meta-analysis. Randomized controlled trials evaluating telehealth interventions in patients with CHD were identified by searching multiple electronic databases, reference lists, relevant conference lists, gray literature, and key-word searching of the Internet. Studies were selected if they evaluated a telephone, videoconference, or web-based intervention, provided objective measurements of mortality, changes in multiple risk factor levels or quality of life. In total, 11 trials were identified (3145 patients). Telehealth interventions were associated with nonsignificant lower all-cause mortality than controls [relative risk=0.70, 95% confidence interval (CI)=0.45-1.1; P=0.12]. These interventions showed a significantly lower weighted mean difference (WMD) at medium long-term follow-up than controls for total cholesterol (WMD=0.37 mmol/l, 95% CI=0.19-0.56, P<0.001), systolic blood pressure (WMD=4.69 mmHg, 95% CI=2.91-6.47, P<0.001), and fewer smokers (relative risk = 0.84, 95% CI=0.65-0.98, P = 0.04). Significant favorable changes at follow-up were also found in high-density lipoprotien and low-density lipoprotein. In conclusion, telehealth interventions provide effective risk factor reduction and secondary prevention. Provision of telehealth models could help increase uptake of a formal secondary prevention by those who do not access cardiac rehabilitation and narrow the current evidence-practice gap.

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  • There was no difference in secondary prevention of coronary heart disease mortality with a telephone-mediated health behaviour change programme.

    “There was also no difference in secondary prevention of coronary heart disease mortality with a telephone-mediated health behaviour change programme [92], [93].”

    From The Impact of Telehealthcare on the Quality and Safety of Care: A Systematic Overview (2013) · cites this paper as [92]

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Authors
Neubeck, L., Redfern, J. U., Fernandez, R., Briffa, T., Bauman, A., & Freedman, S. B.
Affiliations
  • The University of Sydney (AU)
  • Concord Repatriation General Hospital (AU)
  • South Western Sydney Centre for Applied Nursing Research, Sydney, New South Wales
  • The University of Western Australia (AU)
Corresponding author
Neubeck, Lis
ORCID
Venue
European Journal of Cardiovascular Prevention & Rehabilitation
Publisher
Oxford University Press (OUP)
Published
2009-06
Volume
16
Issue
3
Pages
281-289
ISSN
1741-8267 (ISSN-L)
DOI
10.1097/hjr.0b013e32832a4e7a
OpenAlex
W2042544609
Cited by
268
References
3
Citations by year
2026: 3 · 2025: 2 · 2024: 6 · 2023: 12 · 2022: 17 · 2021: 12 · 2020: 12 · 2019: 18 · 2018: 23 · 2017: 17 · 2016: 21 · 2015: 29 · 2014: 20 · 2013: 21 · 2012: 21
FWCI
2.48
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
Funders
  • University of Sydney
  • National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
telemedicine, coronary artery disease, secondary prevention, cardiac rehabilitation, telephone-delivered intervention, videoconferencing, online intervention, all-cause mortality, cardiovascular risk factors, cholesterol, blood pressure, smoking, quality of life
MeSH terms
Coronary Disease, Humans, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Quality of Life, Risk Factors, Telephone, Time Factors, Odds Ratio, Randomized Controlled Trials as Topic, Treatment Outcome, Telemedicine, Risk Assessment, Evidence-Based Medicine, Internet, Videoconferencing, Secondary Prevention

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