Home-based cardiac telerehabilitation programs demonstrated high usability, utility, acceptability, and acceptance among patients with coronary heart disease, though external variables influenced usage.
Systematic Review
Does early-phase home-based cardiac telerehabilitation demonstrate high technology acceptance in patients with coronary heart disease?
Home-based cardiac telerehabilitation programs demonstrate high usability and acceptance among patients with coronary heart disease, supporting their use as an alternative delivery model for cardiac rehabilitation.
BACKGROUND: An understanding of the technology acceptance of home-based cardiac telerehabilitation programs is paramount if they are to be designed and delivered to target the needs and preferences of patients with coronary heart disease; however, the current state of technology acceptance of home-based cardiac telerehabilitation has not been systematically evaluated in the literature. OBJECTIVE: We aimed to provide a comprehensive summary of home-based cardiac telerehabilitation technology acceptance in terms of (1) the timing and approaches used and (2) patients' perspectives on its usability, utility, acceptability, acceptance, and external variables. METHODS: We searched PubMed, CENTRAL, Embase, CINAHL, PsycINFO, and Scopus (inception to July 2021) for English-language papers that reported empirical evidence on the technology acceptance of early-phase home-based cardiac telerehabilitation in patients with coronary heart disease. Content analysis was undertaken. RESULTS: The search identified 1798 studies, of which 18 studies, with 14 unique home-based cardiac telerehabilitation programs, met eligibility criteria. Technology acceptance (of the home-based cardiac telerehabilitation programs) was mostly evaluated at intra- and posttrial stages using questionnaires (n=10) and usage data (n=11). The least used approach was evaluation through qualitative interviews (n=3). Usability, utility, acceptability, and acceptance were generally favored. External variables that influenced home-based cardiac telerehabilitation usage included component quality, system quality, facilitating conditions, and intrinsic factors. CONCLUSIONS: Home-based cardiac telerehabilitation usability, utility, acceptability, and acceptance were high; yet, a number of external variables influenced acceptance. Findings and recommendations from this review can provide guidance for developing and evaluating patient-centered home-based cardiac telerehabilitation programs to stakeholders and clinicians.
Ramachandran et al. (Sat,) conducted a systematic review in Coronary heart disease. Home-based cardiac telerehabilitation was evaluated on Technology acceptance (usability, utility, acceptability, and acceptance). Home-based cardiac telerehabilitation programs demonstrated high usability, utility, acceptability, and acceptance among patients with coronary heart disease, though external variables influenced usage.