E-coaching: New future for cardiac rehabilitation? A systematic review.
Patient Educ Couns
; 100(12): 2218-2230, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-28662874
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.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Autocuidado
/
Reabilitação Cardíaca
/
Promoção da Saúde
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article