Eva van Veen1, Jeske F M Bovendeert1, Frank J G Backx1, Bionka M A Huisstede2. 1. University Medical Center Utrecht, Rudolf Magnus Institute of Neurosciences, Department of Rehabilitation, Nursing Science & Sports, Utrecht, The Netherlands. 2. University Medical Center Utrecht, Rudolf Magnus Institute of Neurosciences, Department of Rehabilitation, Nursing Science & Sports, Utrecht, The Netherlands. Electronic address: B.M.A.Huisstede@umcutrecht.nl.
Abstract
OBJECTIVE: To provide an evidence-based overview of the effectiveness of e-coaching as a cardiac rehabilitation program (CRP). METHODS: Pubmed, Embase, PEDro and CINAHL were searched to identify relevant RCTs. The e-coaching programs were divided into basic or complex depending on their content. Two reviewers independently assessed the methodological quality and extracted the data. A best-evidence synthesis was used to summarize the results. RESULTS: 19 RCTs were included. Detailed descriptions of the e-coaching programs were lacking. Complex e-coaching was more effective than usual-care for physical capacity (moderate evidence for short-, and mid-term; strong evidence for long-term), for clinical status (limited evidence for short- and mid-term; moderate evidence for the long-term), and for psychosocial health (moderate evidence for short-term; strong evidence for mid-, and long-term). For basic e-coaching only limited or no evidence for effectiveness was found. CONCLUSION: Promising results were found for the effectiveness of complex e-coaching as a CRP to improve a patients' physical capacity, clinical status and psychosocial health. PRACTICE IMPLICATIONS: The content of the e-coaching programs were not clearly described. This makes it difficult to identify which components of e-coaching are most effective and should be further developed to deliver the most optimal care for cardiac rehabilitation patients.
OBJECTIVE: To provide an evidence-based overview of the effectiveness of e-coaching as a cardiac rehabilitation program (CRP). METHODS: Pubmed, Embase, PEDro and CINAHL were searched to identify relevant RCTs. The e-coaching programs were divided into basic or complex depending on their content. Two reviewers independently assessed the methodological quality and extracted the data. A best-evidence synthesis was used to summarize the results. RESULTS: 19 RCTs were included. Detailed descriptions of the e-coaching programs were lacking. Complex e-coaching was more effective than usual-care for physical capacity (moderate evidence for short-, and mid-term; strong evidence for long-term), for clinical status (limited evidence for short- and mid-term; moderate evidence for the long-term), and for psychosocial health (moderate evidence for short-term; strong evidence for mid-, and long-term). For basic e-coaching only limited or no evidence for effectiveness was found. CONCLUSION: Promising results were found for the effectiveness of complex e-coaching as a CRP to improve a patients' physical capacity, clinical status and psychosocial health. PRACTICE IMPLICATIONS: The content of the e-coaching programs were not clearly described. This makes it difficult to identify which components of e-coaching are most effective and should be further developed to deliver the most optimal care for cardiac rehabilitation patients.
Authors: Paul Keessen; Ingrid Cd van Duijvenbode; Corine Hm Latour; Roderik A Kraaijenhagen; Veronica R Janssen; Harald T Jørstad; Wilma Jm Scholte Op Reimer; Bart Visser Journal: JMIR Cardio Date: 2022-05-25
Authors: Karoliina Paalimäki-Paakki; Mari Virtanen; Anja Henner; Miika T Nieminen; Maria Kääriäinen Journal: J Med Internet Res Date: 2022-01-06 Impact factor: 5.428