Telephone Support Oriented by Accelerometric Measurements Enhances Adherence to Physical Activity Recommendations in Noncompliant Patients After a Cardiac Rehabilitation Program
“…Telehealth exCR was compared against usual care in six studies,27 29–32 34 and centre-based exCR in five studies 22 25 26 28 33. Nine studies used a two-arm, parallel RCT design 22 25 27–33.…”
Section: Resultsmentioning
confidence: 99%
“…Studies were conducted in Canada,22 31 34 Australia,33 Belgium,25 Brazil,32 France,27 Korea,29 the Netherlands,28 New Zealand30 and the USA,26 and published between 2002 and 2014. Sample sizes varied from 1534 to 242 22.…”
Section: Resultsmentioning
confidence: 99%
“…Mean participant age was 58 years (range=53 to 63 years), and most were male (75%). Participants were recruited via CR programmes,22 25 28 34 hospitals/medical centres29–33 and previous exCR studies 27. Study enrolment occurred 1–222 25 33 or 3–2430 months after admission for acute coronary syndrome or revascularisation, or after completing a CR programme 27.…”
Section: Resultsmentioning
confidence: 99%
“…Participants were recruited via CR programmes,22 25 28 34 hospitals/medical centres29–33 and previous exCR studies 27. Study enrolment occurred 1–222 25 33 or 3–2430 months after admission for acute coronary syndrome or revascularisation, or after completing a CR programme 27. Six studies did not specify post-event enrolment duration 26 28 29 31 32 34.…”
Telehealth exCR appears to be at least as effective as centre-based exCR for improving modifiable cardiovascular risk factors and functional capacity, and could enhance exCR utilisation by providing additional options for patients who cannot attend centre-based exCR. Telehealth exCR must now capitalise on technological advances to provide more comprehensive, responsive and interactive interventions.
“…Telehealth exCR was compared against usual care in six studies,27 29–32 34 and centre-based exCR in five studies 22 25 26 28 33. Nine studies used a two-arm, parallel RCT design 22 25 27–33.…”
Section: Resultsmentioning
confidence: 99%
“…Studies were conducted in Canada,22 31 34 Australia,33 Belgium,25 Brazil,32 France,27 Korea,29 the Netherlands,28 New Zealand30 and the USA,26 and published between 2002 and 2014. Sample sizes varied from 1534 to 242 22.…”
Section: Resultsmentioning
confidence: 99%
“…Mean participant age was 58 years (range=53 to 63 years), and most were male (75%). Participants were recruited via CR programmes,22 25 28 34 hospitals/medical centres29–33 and previous exCR studies 27. Study enrolment occurred 1–222 25 33 or 3–2430 months after admission for acute coronary syndrome or revascularisation, or after completing a CR programme 27.…”
Section: Resultsmentioning
confidence: 99%
“…Participants were recruited via CR programmes,22 25 28 34 hospitals/medical centres29–33 and previous exCR studies 27. Study enrolment occurred 1–222 25 33 or 3–2430 months after admission for acute coronary syndrome or revascularisation, or after completing a CR programme 27. Six studies did not specify post-event enrolment duration 26 28 29 31 32 34.…”
Telehealth exCR appears to be at least as effective as centre-based exCR for improving modifiable cardiovascular risk factors and functional capacity, and could enhance exCR utilisation by providing additional options for patients who cannot attend centre-based exCR. Telehealth exCR must now capitalise on technological advances to provide more comprehensive, responsive and interactive interventions.
“…However it is still important to ensure that individuals who choose not to participate in the maintenance CR program have readily available access to a medical support and advice regarding secondary prevention of cardiac events [28]. This could be achieved by providing an online community with advice on cardiac health maintenance [29].…”
Key PointsQuestionIs the use of accelerometers and/or pedometers associated with increased physical activity in people with cardiometabolic conditions?FindingsThis systematic review and meta-analysis of 32 randomized clinical trials (4856 participants) found that accelerometer- and pedometer-based interventions were associated with small to medium short-term improvements in physical activity and that consultations with health professionals and pedometers were associated with improved physical activity.MeaningAccelerometer- and pedometer-based interventions for people with cardiometabolic conditions have demonstrated encouraging results, but levels of physical activity remain below the targets set by clinical recommendations.
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