Quality of Life in Heart Patients Receiving Telerehabilitation: An Overview with Meta-Analyses
Abstract
Background: This overview is conducted to evaluate the effect of telerehabilitation on Health-Related Quality of Life (HRQOL) in patients with cardiovascular diseases (CVDs).
Methods: A comprehensive search was performed through the [MeSH] keywords (heart diseases, coronary disease, coronary artery disease, myocardial infarction, coronary artery bypass, heart failure, cardiac rehabilitation and telemedicine) until January 20, 2021 in databases of Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar and Cochrane library. Finally, 20 reviews were entered into the analysis.
Results: The results of meta-analyses showed that receiving telerehabilitation program by telemedicine method has a positive effect on the physical dimension and changing the mental status of patients following this intervention depends on age so that the use of these technologies in heart patients with younger ages promotes mental status. On the other hand, increasing the duration of the intervention 18 months or more affects the physical dimension and 12 months or more affects promoting overall HRQOL. Among the various types of Telemedicine methods, telephone support has a greater effect on promoting the physical dimension.
Conclusion: The ability to use virtual technology is less at older ages, so age conditions of patients should be considered in choosing this type of intervention. The living place of the people and the level of access to advanced care, seem to play an important role in changing outcomes and choosing this type of intervention because the main purpose of telerehabilitation is to provide treatment care in areas with low access levels.
2. Konstam V, Gregory D, Chen J, et al (2011). Health-related quality of life in a multicenter randomized controlled comparison of telephonic disease management and automated home monitoring in patients recently hospitalized with heart failure: SPAN-CHF II trial. J Card Fail, 17:151-7.
3. Riegel B, Carlson B, Glaser D, Romero T (2006). Randomized controlled trial of telephone case management in Hispanics of Mexican origin with heart failure. J Card Fail, 12(3):211-219.
4. Beatty AL, Fukuoka Y, Whooley MA (2013). Using mobile technology for cardiac rehabilitation: a review and framework for development and evaluation. J Am Heart Assoc, 2(6):e000568-e000568.
5. Inglis SC, Clark RA, McAlister FA, Stewart S, Cleland JG (2011). Which components of heart failure programmes are effective? A systematic review and meta‐analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: abridged Cochrane Review. Eur J Heart Fail, 13(9):1028-1040.
6. Knox L, Rahman RJ, Beedie C (2017). Quality of life in patients receiving telemedicine enhanced chronic heart failure disease management: A meta-analysis. J Telemed Telecare, 23(7):639-649.
7. Johnston N, Bodegard J, Jerstrom S, et al (2016). Effects of interactive patient smartphone support app on drug adherence and lifestyle changes in myocardial infarction patients: A randomized study. Am Heart J, 178:85-94.
8. Maddison R, Rawstorn JC, Stewart RAH, et al (2019). Effects and costs of real-time cardiac telerehabilitation: randomised controlled non-inferiority trial. Heart, 105(2):122-129.
9. Zan S, Agboola S, Moore SA, Parks KA, Kvedar JC, Jethwani K (2015). Patient Engagement With a Mobile Web-Based Telemonitoring System for Heart Failure Self-Management: A Pilot Study. JMIR Mhealth Uhealth, 3(2):e33.
10. Seto E (2008). Cost comparison between telemonitoring and usual care of heart failure: a systematic review. Telemed J E Health, 14(7):679-686.
11. Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 6(7):e1000097.
12. Lunny C, Brennan SE, McDonald S, McKenzie JE (2017). Toward a comprehensive evidence map of overview of systematic review methods: paper 1—purpose, eligibility, search and data extraction. Systematic Reviews, 6:231.
13. Lunny C, Brennan SE, McDonald S, McKenzie JE (2018). Toward a comprehensive evidence map of overview of systematic review methods: paper 2—risk of bias assessment; synthesis, presentation and summary of the findings; and assessment of the certainty of the evidence. Syst Rev, 7:159.
14. Cajita MI, Gleason KT, Han HR (2016). A Systematic Review of mHealth-Based Heart Failure Interventions. J Cardiovasc Nurs, 31(3):E10-22.
15. Ciere Y, Cartwright M, Newman SP (2012). A systematic review of the mediating role of knowledge, self-efficacy and self-care behaviour in telehealth patients with heart failure. J Telemed Telecare, 18(7):384-391.
16. Clark RA, Inglis SC, McAlister FA, Cleland JGF, Stewart S (2007). Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ, 334(7600):942.
17. Coorey GM, Neubeck L, Mulley J, Redfern J (2018). Effectiveness, acceptability and usefulness of mobile applications for cardiovascular disease self-management: Systematic review with meta-synthesis of quantitative and qualitative data. Eur J Prev Cardiol, 25:505-521.
18. Farnia T, Jaulent MC, Steichen O (2018). Evaluation Criteria of Noninvasive Telemonitoring for Patients With Heart Failure: Systematic Review. J Med Internet Res, 20(1):e16.
19. Huang K, Liu W, He D, et al (2015). Telehealth interventions versus center-based cardiac rehabilitation of coronary artery disease: A systematic review and meta-analysis. Eur J Prev Cardiol, 22(8):959-971.
20. Hughes HA, Granger BB (2014). Racial disparities and the use of technology for self-management in blacks with heart failure: a literature review. Curr Heart Fail Rep, 11(3):281-289.
21. Hui L, Xiao X, Chun-Mei L, et al (2018). A systematic review of the effect of mobile health on cardiac rehabilitation among coronary heart disease patients. Fronti Nursi , 5:217-226.
22. Maric B, Kaan A, Ignaszewski A, Lear SA (2009). A systematic review of telemonitoring technologies in heart failure. Eur J Heart Fail, 11(5):506-17.
23. Martinez A, Everss E, Rojo-Alvarez JL, et al (2006). A systematic review of the literature on home monitoring for patients with heart failure. J Telemed Telecare, 12(5):234-41.
24. Munro J, Angus N, Leslie SJ (2013). Patient focused internet-based approaches to cardiovascular rehabilitation–a systematic review. J Telemed Telecare, 19(6):347-353.
25. Muzas Fernández A, Soto González M (2018). Utilización de smartphone en los programas de rehabilitación cardíaca. Una revisión sistemática. Rehabil, 52:238-245.
26. Or CK, Tao D, Wang H (2017). The effectiveness of the use of consumer health information technology in patients with heart failure: a meta-analysis and narrative review of randomized controlled trials. J Telemed Telecare, 23:155-166.
27. Pandor A, Gomersall T, Stevens JW, et al (2013). Remote monitoring after recent hospital discharge in patients with heart failure: a systematic review and network meta-analysis. Heart, 99(23):1717-26.
28. Polisena J, Tran K, Cimon K, et al (2010). Home telemonitoring for congestive heart failure: a systematic review and meta-analysis. J Telemed Telecare, 16(2):68-76.
29. Schmidt S (2007). Telemedizin und Lebensqualität. DMW, 132:442-447.
30. Yun JE, Park JE, Park HY, Lee HY, Park DA (2018). Comparative effectiveness of telemonitoring versus usual care for heart failure: a systematic review and meta-analysis. J Card Fail, 24(1):19-28.
31. Zhu Y, Gu X, Xu C (2020). Effectiveness of telemedicine systems for adults with heart failure: a meta-analysis of randomized controlled trials. Heart Fail Rev, 25(2):231-243.
32. Whiting P, Savović J, Higgins JP, et al (2016). ROBIS: a new tool to assess risk of bias in systematic reviews was developed. J Clin Epidemiol, 69:225-234.
33. Moher D, Schulz KF, Altman D, Group C (2005). The CONSORT Statement: revised recommendations for improving the quality of reports of parallel-group randomized trials 2001. Explore (NY) ,1(1):40-45.
34. Cochran WG (1954). The combination of estimates from different experiments. Biometrics, 10:101-129.
35. Higgins JP, Thompson SG (2002). Quantifying heterogeneity in a meta‐analysis. Stat Med, 21(11):1539-1558.
36. Hedges L, Olkins I (1985) Statistical methods for meta-analysis. 1st ed. Orlando, Elsevier Science.
37. Cohen J (2013). Statistical power analysis for the behavioral sciences. Routledge.
38. Ades PA, Pashkow FJ, Fletcher G, Pina IL, Zohman LR, Nestor JR (2000). A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring. Am Heart J, 139(3):543-8.
39. Angermann CE, Stork S, Gelbrich G, et al (2012). Mode of action and effects of standardized collaborative disease management on mortality and morbidity in patients with systolic heart failure: the Interdisciplinary Network for Heart Failure (INH) study. Circ Heart Fail, 5:25-35.
40. Antonicelli R, Testarmata P, Spazzafumo L, et al (2008). Impact of telemonitoring at home on the management of elderly patients with congestive heart failure. J Telemed Telecare, 14(6):300-305.
41. Arthur HM, Smith KM, Kodis J, McKelvie R (2002). A controlled trial of hospital versus home-based exercise in cardiac patients. Med Sci Sports Exerc, 34(10):1544-50.
42. Artinian NT, Harden JK, Kronenberg MW, et al (2003). Pilot study of a Web-based compliance monitoring device for patients with congestive heart failure. Heart Lung, 32(4):226-33.
43. Barth V (2001). A nurse-managed discharge program for congestive heart failure patients: outcomes and costs. Home Health Care Manag Pract, 13:436-443.
44. Benatar D, Bondmass M, Ghitelman J, Avitall B (2003). Outcomes of chronic heart failure. Arch Intern Med, 163(3):347-52.
45. Blum K, Gottlieb SS (2014). The effect of a randomized trial of home telemonitoring on medical costs, 30-day readmissions, mortality, and health-related quality of life in a cohort of community-dwelling heart failure patients. J Card Fail, 20(7):513-21.
46. Blum K, Janowick F, Gottlieb S (2006). One year changes in quality of life for heart failure patients in a home telemonitoring program (abstract). J Cardiac Fail,12:S122.
47. Boyne JJ, Van Asselt AD, Gorgels AP, et al (2013). Cost-effectiveness analysis of telemonitoring versus usual care in patients with heart failure: the TEHAF-study. J Telemed Telecare, 19(5):242-8.
48. Copeland LA, Berg GD, Johnson DM, Bauer RL (2010). An intervention for VA patients with congestive heart failure. Am J Manag Care, 16(3):158-65.
49. Dalal HM, Evans PH, Campbell JL,et al (2007). Home-based versus hospital-based rehabilitation after myocardial infarction: A randomized trial with preference arms--Cornwall Heart Attack Rehabilitation Management Study (CHARMS). Int J Cardiol, 119:202-11.
50. Dar O, Riley J, Chapman C, Dubrey SW, et al (2009). A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail, 11(3):319-25.
51. de Lusignan S, Wells S, Johnson P, Meredith K, Leatham E (2001). Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure. Eur J Heart Fail, 3(6):723-730.
52. Delaney C, Apostolidis B, Bartos S, Morrison H, Smith L, Fortinsky R (2013). A Randomized Trial of Telemonitoring and Self-Care Education in Heart Failure Patients Following Home Care Discharge. Home Health Care Manag Pract, 25:187-195.
53. DeWalt DA, Malone RM, Bryant ME, et al (2006). A heart failure self-management program for patients of all literacy levels: a randomized, controlled trial [ISRCTN11535170]. BMC Health Serv Res, 6:30.
54. Dunagan WC, Littenberg B, Ewald GA, et al (2005). Randomized trial of a nurse-administered, telephone-based disease management program for patients with heart failure. J Card Fail, 11(5):358-65.
55. Ferrante D, Varini S, Macchia A, et al (2010). Long-term results after a telephone intervention in chronic heart failure: DIAL (Randomized Trial of Phone Intervention in Chronic Heart Failure) follow-up. J Am Coll Cardiol, 56(5):372-8.
56. Frederix I, Hansen D, Coninx K, et al (2015). Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial. J Med Internet Res, 17(7):e185.
57. Goldberg LR, Piette JD, Walsh MN, et al (2003). Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J, 146:705-12.
58. Hagglund E, Lynga P, Frie F, Ullman B, Persson H, Melin M, Hagerman I (2015). Patient-centred home-based management of heart failure. Findings from a randomised clinical trial evaluating a tablet computer for self-care, quality of life and effects on knowledge. Scand Cardiovasc J, 49(4):193-9.
59. Investigators G (2005). Randomised trial of telephone intervention in chronic heart failure: DIAL trial. BMJ, 331(7514):425.
60. Jerant AF, Azari R, Martinez C, Nesbitt TS (2003). A randomized trial of telenursing to reduce hospitalization for heart failure: patient-centered outcomes and nursing indicators. Home Health Care Serv Q, 22(1):1-20.
61. Kasper EK, Gerstenblith G, Hefter G, et al (2002). A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. J Am Coll Cardiol, 39(3):471-80.
62. Koehler F, Winkler S, Schieber M, et al (2011). Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation, 123:1873-80.
63. Körtke H, Zittermann A, El-Arousy M, Zimmermann E, Wienecke E, Körfer R (2005). Neues Ostwestfälisches Postoperatives Therapiekonzept (NOPT). Med Klin, 100:383-389.
64. LaFramboise LM, Todero CM, Zimmerman L, Agrawal S (2003). Comparison of Health Buddy with traditional approaches to heart failure management. Fam Community Health, 26(4):275-88.
65. Madigan E, Schmotzer BJ, Struk CJ, et al (2013). Home health care with telemonitoring improves health status for older adults with heart failure. Home Health Care Serv Q, 32(1):57-74.
66. Oerkild B, Frederiksen M, Hansen JF, Simonsen L, Skovgaard LT, Prescott E (2011). Home-based cardiac rehabilitation is as effective as centre-based cardiac rehabilitation among elderly with coronary heart disease: results from a randomised clinical trial. Age Ageing, 40(1):78-85.
67. Piotrowicz E, Baranowski R, Bilinska M, et al (2010). A new model of home-based telemonitored cardiac rehabilitation in patients with heart failure: effectiveness, quality of life, and adherence. Eur J Heart Fail, 12(2):164-71.
68. Piotrowicz E, Stepnowska M, Leszczynska-Iwanicka K,et al (2015). Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation--a randomized controlled study. Eur J Cardiovasc Nurs, 14(3):256-63.
69. Piotrowicz E, Zieliński T, Bodalski R, et al (2015). Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study. Eur J Prev Cardiol, 22(11):1368-1377.
70. Ramachandran K, Husain N, Maikhuri R, et al (2007). Impact of a comprehensive telephone-based disease management programme on quality-of-life in patients with heart failure. Natl Med J India, 20(2):67-73.
71. Reid RD, Morrin LI, Beaton LJ, et al (2012). Randomized trial of an internet-based computer-tailored expert system for physical activity in patients with heart disease. Eur J Prev Cardiol, 19(6):1357-64.
72. Schwarz KA, Mion LC, Hudock D, Litman G (2008). Telemonitoring of heart failure patients and their caregivers: a pilot randomized controlled trial. Prog Cardiovasc Nurs, 23(1):18-26.
73. Sisk JE, Hebert PL, Horowitz CR, McLaughlin MA, Wang JJ, Chassin MR (2006). Effects of nurse management on the quality of heart failure care in minority communities: a randomized trial. Ann Intern Med, 145(4):273-83.
74. Smith AC (2013). Effect of telemonitoring on re-admission in patients with congestive heart failure. Medsurg Nurs, 22(1):39-44.
75. Stromberg A, Dahlstrom U, Fridlund B (2006). Computer-based education for patients with chronic heart failure. A randomised, controlled, multicentre trial of the effects on knowledge, compliance and quality of life. Patient Educ Couns, 64(1-3):128-35.
76. Tomita MR, Tsai B-M, Fisher NM, et al (2008). Effects of multidisciplinary Internet-based program on management of heart failure.J Multidiscip Healthc, 2009(2):13-21.
77. Varnfield M, Karunanithi M, Lee C-K, et al (2014). Smartphone-based home care model improved use of cardiac rehabilitation in postmyocardial infarction patients: results from a randomised controlled trial. Heart, 100(22):1770-1779.
78. Wade V, Stocks N (2017). The Use of Telehealth to Reduce Inequalities in Cardiovascular Outcomes in Australia and New Zealand: A Critical Review. Heart Lung Circ, 26(4):331-337.
79. Wakefield BJ, Ward MM, Holman JE, et al (2008). Evaluation of home telehealth following hospitalization for heart failure: a randomized trial. Telemed J E Health, 14(8):753-761.
80. Widmer RJ, Allison TG, Lerman LO, Lerman A (2015). Digital Health Intervention as an Adjunct to Cardiac Rehabilitation Reduces Cardiovascular Risk Factors and Rehospitalizations. J Cardiovasc Transl Res, 8(5):283-92.
81. Woodend AK, Sherrard H, Fraser M, et al (2008). Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart Lung, 37(1):36-45.
82. Wootton R, Gramotnev H, Hailey D (2009). A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failure. J Telemed Telecare, 15(4):182-6.
83. Marin TS, Kourbelis C, Foote J, et al (2019). Examining adherence to activity monitoring devices to improve physical activity in adults with cardiovascular disease: A systematic review. Eur J Prev Cardiol, 26(4):382-97.
84. Pandor A, Thokala P, Gomersall T, et al (2013). Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health Technol Assess, 17(32):1-207.
85. Nimrod G (2018). Technophobia among older Internet users. Educ Gerontol, 44:148-162.
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Issue | Vol 51 No 11 (2022) | |
Section | Review Article(s) | |
DOI | https://doi.org/10.18502/ijph.v51i11.11157 | |
Keywords | ||
Telerehabilitation Telemedicin Rehabilitations Cardiovascular disease |
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