{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:38:53Z","timestamp":1789774733657,"version":"4.0.1"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effects of eHealth cardiac rehabilitation (CR) on health outcomes of coronary heart disease patients and to identify programme design, which may lead to more effective health benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A systematic review and meta\u2010analysis following\n                      <jats:italic>Cochrane Handbook for Systematic Reviews of Interventions<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Medline, EMBASE, CLNAHL, Web of Science, Scopus, PsycINFO, Cochrane Central Register of Controlled Trails, PubMed and CNKI were searched over the period from 1806 to April 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis of randomized controlled trials to examine the effect of eHealth CR on health outcomes of coronary heart disease patients. We used RevMan 5.3 for risk of bias assessment and meta\u2010analysis and GRADE software for generating findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all, 14 trials with 1,783 participants were included. eHealth CR has significantly promoted duration of physical activity, daily steps, quality of life (QoL) and re\u2010hospitalization. Using comparative analysis of programme design elements, including mode of delivery, intervention content, motivational strategies and social support, between the effective and ineffective eHealth CR, it was found that comprehensive empowerment strategies and follow\u2010up care by tele\u2010monitoring may be the crucial characteristics leading to more favourable treatment effect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>eHealth CR is effective in engaging patients in active lifestyle, improving QoL and reducing re\u2010hospitalization. Future research needs to test the effects of comprehensive CR programmes by incorporating empowerment strategies and tele\u2010monitoring as active components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>eHealth has been increasingly applied to increase accessibility and uptake of CR. Integrative evidence to indicate its effects on health outcomes is lacking. This review identified its positive effects on some behavioural, psychosocial and health service use outcomes. Together with insights about which programme design elements may positively shape the outcomes, this review informs the role and practice of cardiovascular nurses in promoting evidence\u2010based eHealth CR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14272","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T06:11:11Z","timestamp":1574748671000},"page":"754-772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":98,"title":["Effect of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8242-811X","authenticated-orcid":false,"given":"Jing Jing","family":"Su","sequence":"first","affiliation":[{"name":"Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong Special Administrative Region Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9359-1748","authenticated-orcid":false,"given":"Doris Sau Fung","family":"Yu","sequence":"additional","affiliation":[{"name":"The School of Nursing Li Ka Shing Faculty of Medicine The University of Hong Kong Hong Kong Special Administrative Region Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5779-3580","authenticated-orcid":false,"given":"Jenniffer Torralba","family":"Paguio","sequence":"additional","affiliation":[{"name":"Nethersole School of Nursing The Chinese University of Hong Kong Hong Kong Special Administrative Region Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Guidelines for cardiac rehabilitation and secondary prevention programs","author":"American Association of Cardiovascular and Pulmonary Rehabilitation.","year":"2013"},{"key":"e_1_2_8_3_1","volume-title":"What is cardiac rehabilitation?","author":"American Heart Association.","year":"2016"},{"key":"e_1_2_8_4_1","volume-title":"Center for health technology and innovation","author":"American Heart Association.","year":"2019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3132"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.113.000568"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1046878114553571"},{"key":"e_1_2_8_10_1","first-page":"CD007130","article-title":"Home\u2010based versus centre\u2010based cardiac rehabilitation abridged Cochrane systematic review and meta analysis","volume":"8","author":"Buckingham S. 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