Key result
Mobile applications increased cardiac rehabilitation completion by 1.38 times compared to traditional cardiac rehabilitation.
Why the study?
Cardiac rehabilitation acceptance and adherence remain suboptimal, and mobile technologies are increasingly used without firm evidence of their safety and efficacy.
Do mobile applications improve adherence to cardiac rehabilitation?
Meta-Analysis (n=506)
Do mobile applications improve adherence to cardiac rehabilitation?
Mobile applications may significantly improve adherence and completion rates in cardiac rehabilitation programs.
Supports mobile app integration to boost cardiac rehabilitation completion; strengthens RCT evidence via meta-analysis.
BACKGROUND: Despite of the established effectiveness, the acceptance and adherence of cardiac rehabilitation (CR) remains sub-optimal. Mobile technologies are increasingly used in promoting CR without any firm evidence of their safety and efficacy. This systematic review and meta-analysis were aimed to assess the effect of mobile applications as an intervention for improving adherence to CR. METHODS: Relevant studies were searched in PubMed, the Cochrane Library, Embase and Web of Science from inception to 29th December 2018. Eligible studies were the ones which used mobile applications as a stand-alone intervention or as the primary component for the intervention directed at improving CR adherence, without any limitations on outpatient or home-based CR. RESULTS: Eight studies were eligible for the systematic review including four randomized controlled trials (RCTs) as well as four before-after studies of which only one had control group. Four RCTs and 185 patients in experimental group were included in meta-analysis, which had evaluated the effect of mobile health applications on CR completion and had reported that the adherence of patients using mobile applications was 1.4 times higher than the control group (RR = 1.38; CI 1.16 to 1.65; P = 0.0003). Moreover, we also found mixed results in exercise capacity, mental health and quality of life. CONCLUSION: The use of mobile applications for improving the adherence of the CR might be effective. However, it appears to be in the initial stage of implementing mobile applications in CR and more research is essential to validate their effectiveness.
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Xu et al. (2019) conducted a meta-analysis in Cardiovascular disease (n=506). Mobile applications vs. Traditional cardiac rehabilitation was evaluated on Cardiac rehabilitation adherence (completion) (RR 1.38, 95% CI 1.16-1.65, p=0.0003). Mobile applications increased cardiac rehabilitation completion by 1.38 times compared to traditional cardiac rehabilitation.
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