Gunhild Brørs|Trond Røed Pettersen|Tina Birgitte Hansen|Bengt Fridlund|Linn Benjaminsen Hølvold|Hans Lund|Tone M. Norekvål
Modes of e-Health delivery in secondary prevention programmes for patients with coronary artery disease: a systematic review
St Olav's University Hospital|Haukeland University Hospital|Zealand University Hospital|Haukeland University Hospital|Namsos Hospital|Western Norway University of Applied Sciences|Western Norway University of Applied Sciences
electronic health ehealth interventions emerging effective alternative model improving secondary prevention coronary artery disease cad aim study describe effectiveness different modes delivery components ehealth secondary prevention programmes adherence treatment modifiable cad risk factors psychosocial outcomes patients cad systematic review carried based articles found medline cinahl embase studies evaluating secondary prevention ehealth programmes provided mobilehealth mhealth webbased technology combination mhealth webbased technology eligible main outcomes measured adherence treatment modifiable cad risk factors psychosocial outcomes quality appraisal studies included conducted using joanna briggs institute critical appraisal tool rct results synthesised narratively total 4834 titles identified 1350 screened eligibility reviewing 123 articles full 24 rcts including 3654 participants cad included eight studies delivered secondary prevention programmes mhealth nine webbased technology seven studies used combination mhealth webbased technology majority studies employed two three secondary prevention components health education employed 21 studies mhealth programmes reported positive effects adherence medication studies evaluating webbased technology programmes alone combination mhealth also utilised traditional cr reported improved modifiable cad risk factors quality appraisal showed moderate methodological quality studies evidence exists supports use ehealth interventions improving secondary prevention cad however comparison across studies highlighted wide variability components outcomes within different modes delivery high quality trials needed define efficient mode delivery components capable addressing favourable outcome patients applicable