Effects of Telerehabilitation Interventions on Heart Failure Management (2015-2020): Scoping Review.

CVD adherence anxiety cardiac rehabilitation cardiovascular disease depression heart failure mental health physical capacity quality of life rehabilitation telehealth telerehabilitation

Journal

JMIR rehabilitation and assistive technologies
ISSN: 2369-2529
Titre abrégé: JMIR Rehabil Assist Technol
Pays: Canada
ID NLM: 101703412

Informations de publication

Date de publication:
01 Nov 2021
Historique:
received: 18 04 2021
accepted: 18 09 2021
revised: 15 09 2021
entrez: 1 11 2021
pubmed: 2 11 2021
medline: 2 11 2021
Statut: epublish

Résumé

Heart failure is one of the world's most frequently diagnosed cardiovascular diseases. An important element of heart failure management is cardiac rehabilitation, the goal of which is to improve patients' recovery, functional capacity, psychosocial well-being, and health-related quality of life. Patients in cardiac rehabilitation may lack sufficient motivation or may feel that the rehabilitation process does not meet their individual needs. One solution to these challenges is the use of telerehabilitation. Although telerehabilitation has been available for several years, it has only recently begun to be utilized in heart failure studies. Especially within the past 5 years, we now have several studies focusing on the effectiveness of telerehabilitation for heart failure management, all with varying results. Based on a review of these studies, this paper offers an assessment of the effectiveness of telerehabilitation as applied to heart failure management. The aim of this scoping review was to assess the effects of telerehabilitation in the management of heart failure by systematically reviewing the available scientific literature within the period from January 1, 2015, to December 31, 2020. The literature search was carried out using PubMed and EMBASE. After duplicates were removed, 77 articles were screened and 12 articles were subsequently reviewed. The review followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews) guidelines. As measures of the effectiveness of telerehabilitation, the following outcomes were used: patients' quality of life, physical capacity, depression or anxiety, and adherence to the intervention. A total of 12 articles were included in this review. In reviewing the effects of telerehabilitation for patients with heart failure, it was found that 4 out of 6 randomized controlled trials (RCTs), a single prospective study, and 4 out of 5 reviews reported increased quality of life for patients. For physical capacity, 4 RCTs and 3 systematic reviews revealed increased physical capacity. Depression or depressive symptoms were reported as being reduced in 1 of the 6 RCTs and in 2 of the 5 reviews. Anxiety or anxiety-related symptoms were reported as reduced in only 1 review. High adherence to the telerehabilitation program was reported in 4 RCTs and 4 reviews. It should be mentioned that some of the reviewed articles described the same studies although they employed different outcome measures. It was found that there is a tendency toward improvement in patients' quality of life and physical capacity when telerehabilitation was used in heart failure management. The outcome measures of depression, anxiety, and adherence to the intervention were found to be positive. Additional research is needed to determine more precise and robust effects of telerehabilitation.

Sections du résumé

BACKGROUND BACKGROUND
Heart failure is one of the world's most frequently diagnosed cardiovascular diseases. An important element of heart failure management is cardiac rehabilitation, the goal of which is to improve patients' recovery, functional capacity, psychosocial well-being, and health-related quality of life. Patients in cardiac rehabilitation may lack sufficient motivation or may feel that the rehabilitation process does not meet their individual needs. One solution to these challenges is the use of telerehabilitation. Although telerehabilitation has been available for several years, it has only recently begun to be utilized in heart failure studies. Especially within the past 5 years, we now have several studies focusing on the effectiveness of telerehabilitation for heart failure management, all with varying results. Based on a review of these studies, this paper offers an assessment of the effectiveness of telerehabilitation as applied to heart failure management.
OBJECTIVE OBJECTIVE
The aim of this scoping review was to assess the effects of telerehabilitation in the management of heart failure by systematically reviewing the available scientific literature within the period from January 1, 2015, to December 31, 2020.
METHODS METHODS
The literature search was carried out using PubMed and EMBASE. After duplicates were removed, 77 articles were screened and 12 articles were subsequently reviewed. The review followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews) guidelines. As measures of the effectiveness of telerehabilitation, the following outcomes were used: patients' quality of life, physical capacity, depression or anxiety, and adherence to the intervention.
RESULTS RESULTS
A total of 12 articles were included in this review. In reviewing the effects of telerehabilitation for patients with heart failure, it was found that 4 out of 6 randomized controlled trials (RCTs), a single prospective study, and 4 out of 5 reviews reported increased quality of life for patients. For physical capacity, 4 RCTs and 3 systematic reviews revealed increased physical capacity. Depression or depressive symptoms were reported as being reduced in 1 of the 6 RCTs and in 2 of the 5 reviews. Anxiety or anxiety-related symptoms were reported as reduced in only 1 review. High adherence to the telerehabilitation program was reported in 4 RCTs and 4 reviews. It should be mentioned that some of the reviewed articles described the same studies although they employed different outcome measures.
CONCLUSIONS CONCLUSIONS
It was found that there is a tendency toward improvement in patients' quality of life and physical capacity when telerehabilitation was used in heart failure management. The outcome measures of depression, anxiety, and adherence to the intervention were found to be positive. Additional research is needed to determine more precise and robust effects of telerehabilitation.

Identifiants

DOI: 10.2196/29714 PMID: 34723827 PMC: PMC8593801
pubmed: 34723827
pii: v8i4e29714
doi: 10.2196/29714
pmc: PMC8593801
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e29714

Informations de copyright

©Cathrine Skov Schacksen, Nanna Celina Henneberg, Janusiya Anajan Muthulingam, Yuh Morimoto, Ryuichi Sawa, Masakazu Saitoh, Tomoyuki Morisawa, Nobuyuki Kagiyama, Tetsuya Takahashi, Takatoshi Kasai, Hiroyuki Daida, Jens Refsgaard, Malene Hollingdal, Birthe Dinesen. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org), 01.11.2021.

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Auteurs

Cathrine Skov Schacksen (C)

Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark.
ORCID: 0000-0003-0815-2909

Nanna Celina Henneberg (NC)

Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark.
ORCID: 0000-0001-9408-2833

Janusiya Anajan Muthulingam (JA)

Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Mech-Sense Department of Radiology, Aalborg University Hospital, Aalborg, Denmark.
ORCID: 0000-0003-4599-7628

Yuh Morimoto (Y)

Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0003-0095-4624

Ryuichi Sawa (R)

Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0002-4624-767X

Masakazu Saitoh (M)

Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0001-8666-6353

Tomoyuki Morisawa (T)

Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0001-6344-7078

Nobuyuki Kagiyama (N)

Department of Digital Health and Telemedicine R&D, Faculty of Health Science, Juntendo University, Tokyo, Japan.
Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
ORCID: 0000-0002-2305-0049

Tetsuya Takahashi (T)

Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
Department of Digital Health and Telemedicine R&D, Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0001-6068-7623

Takatoshi Kasai (T)

Department of Digital Health and Telemedicine R&D, Faculty of Health Science, Juntendo University, Tokyo, Japan.
Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
ORCID: 0000-0001-5747-7668

Hiroyuki Daida (H)

Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
Department of Digital Health and Telemedicine R&D, Faculty of Health Science, Juntendo University, Tokyo, Japan.
ORCID: 0000-0002-3867-0961

Jens Refsgaard (J)

Department of Cardiology, Regional Hospital Viborg, Viborg, Denmark.
ORCID: 0000-0003-2503-6715

Malene Hollingdal (M)

Department of Cardiology, Regional Hospital Viborg, Viborg, Denmark.
ORCID: 0000-0002-5891-0723

Birthe Dinesen (B)

Laboratory for Welfare Technology - Telehealth & Telerehabilitation, Sport Sciences - Performance and Technology, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark.
ORCID: 0000-0001-5893-9676

Classifications MeSH