{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T04:33:17Z","timestamp":1786768397066,"version":"build-2736575974"},"reference-count":29,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T00:00:00Z","timestamp":1674518400000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100024036","name":"Flinders University Caring Futures Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024036","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Cardiac Focus Area Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To consolidate the evidence on the effectiveness of activity-monitoring devices and mobile applications on physical activity and health outcomes of patients with cardiovascular disease who attended cardiac rehabilitation (CR) programmes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>An umbrella review of published randomized controlled trials, systematic reviews, and meta-analyses was conducted. Nine databases were searched from inception to 9 February 2022. Search and data extraction followed the JBI methodology for umbrella reviews and PRISMA guidelines. Nine systematic reviews met the inclusion criteria, comparing outcomes of participants in CR programmes utilizing devices\/applications, to patients without access to CR with devices\/applications. A wide range of physical, clinical, and behavioural outcomes were reported, with results from 18\u2009712 participants. Meta-analyses reported improvements in physical activity, minutes\/week [standardized mean difference (SMD) 0.23, 95% confidence interval (CI) 0.10\u20130.35] and activity levels (SMD 0.29, 95% CI 0.07\u20130.51), and a reduction in sedentariness [risk ratio (RR) 0.54, 95% CI 0.39\u20130.75] in CR participants, compared with usual care. Of clinical outcomes, the risk of re-hospitalization reduced significantly (RR 0.49, 95% CI 0.27\u20130.89), and there was reduction (non-significant) in mortality (RR 0.27, 95% CI 0.05\u20131.54). From the behavioural outcomes, reviews reported improvements in smoking behaviour (RR 0.87, 95% CI 0.67\u20131.13) and total diet quality intake (RR 0.79, 95% CI 0.66\u20130.94) among CR patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The use of devices\/applications was associated with increase in activity, healthy behaviours, and reductions in clinical indicators. Although most effect sizes indicate limited clinical benefits, the broad consistency of the narrative suggests devices\/applications are effective at improving CR patients\u2019 outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcad005","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T12:44:18Z","timestamp":1674132258000},"source":"Crossref","is-referenced-by-count":9,"title":["Cardiac rehabilitation, physical activity, and the effectiveness of activity monitoring devices on cardiovascular patients: an umbrella review of systematic reviews"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8660-8505","authenticated-orcid":false,"given":"Hila Ariela","family":"Dafny","sequence":"first","affiliation":[{"name":"Caring Futures Institute (CFI), College of Nursing and Health Sciences, Flinders University , Sturt Road, Bedford Park, Adelaide, SA 5042, Australia"},{"name":"Mparntwe Centre for Evidence in 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, Alice Springs, Northern Territory 0871, Australia"},{"name":"Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital , Adelaide, SA , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5063-2618","authenticated-orcid":false,"given":"Robyn A","family":"Clark","sequence":"additional","affiliation":[{"name":"Caring Futures Institute (CFI), College of Nursing and Health Sciences, Flinders University , Sturt Road, Bedford Park, Adelaide, SA 5042, Australia"},{"name":"Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence , Alice Springs, Northern Territory 0871, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5421-9604","authenticated-orcid":false,"given":"Maria Alejandra","family":"Pinero de Plaza","sequence":"additional","affiliation":[{"name":"Caring Futures Institute (CFI), College of Nursing and Health 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