E-coaching: New future for cardiac rehabilitation? A systematic review. Issue 12 (December 2017)

• Record Type: Journal Article
• Authors: Veen, Eva van; Bovendeert, Jeske F.M.; Backx, Frank J.G.; Huisstede, Bionka M.A.
• Is Part Of: Patient education and counseling. Volume 100:Issue 12(2017)
• Page Start: 2218
• Page End: 2230
• Publication Date: 2017-12
• Subjects: C control group -- CABG coronary artery bypass graft -- CR cardiac rehabilitation -- CVD cardiovascular disease -- FU follow-up -- HF heart failure -- I intervention group -- RCTs Randomized control trials -- UC Usual Care; e-coaching -- cardiac rehabilitation -- systematic review; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2017.04.017
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: E-coaching can be an effective tool to be used for cardiac rehabilitation. At follow-up, complex e-coaching seems to be more effective than usual care. However, it remains unclear which components of e-coaching are most effective. The content of e-coaching programs should be described more clearly and precisely. 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.