{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:38:50Z","timestamp":1789774730884,"version":"4.0.1"},"reference-count":62,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"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 Clinical Nursing"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Telehealth\u2010assisted interventions have been used as secondary prevention measures in cardiac rehabilitation, especially for the delivery of information between healthcare service providers and patients. However, as the application of this intervention modality broadens, investigation of its effects in secondary prevention of cardiovascular disease (CVD) is necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify the effectiveness of telehealth\u2010assisted interventions for secondary prevention of CVD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic review and meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The PRISMA protocol was used to conduct a systematic review and meta\u2010analysis of randomised controlled trials. The full text of articles was obtained from six databases for the period from database establishment to 25 November 2021. To assess the methodological quality of the studies reviewed, the updated Cochrane risk\u2010of\u2010bias checklist for randomised trials was employed. A meta\u2010analysis was performed using a random\u2010effects model to calculate the pooled effects of telehealth\u2010assisted interventions for secondary CVD prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final analysis included 4012 individuals from 18 different trials. Telehealth\u2010assisted interventions were shown to improve medication adherence (standardised mean difference [SMD]: 0.31; 95% confidence interval [CI]: 0.33\u20130.59) and reduce depression (SMD: \u22120.28; 95% CI: \u22120.46 to \u22120.10).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telehealth\u2010assisted interventions appear to improve adherence to medication and reduce depression of individuals with CVD. These intervention strategies could be offered to both healthcare providers and individuals with CVD as an option in delivering and facilitating the use of health services to improve health behaviours and overall outcomes. Furthermore, this study may be used as guidance for future research to provide an appropriate plan of care for this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The findings imply that the delivery of care remotely via telehealth\u2010assisted interventions for secondary prevention of CVD is beneficial in improving CVD survivors' health and access to healthcare services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>The International Prospective Register of Systematic Review: (PROSPERO): CRD 42021290111.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16452","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T05:25:26Z","timestamp":1657689926000},"page":"3613-3629","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Effects of telehealth\u2010assisted interventions for secondary prevention of cardiovascular disease: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7177-5933","authenticated-orcid":false,"given":"Ita Daryanti","family":"Saragih","sequence":"first","affiliation":[{"name":"College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Schorr","sequence":"additional","affiliation":[{"name":"Adult &amp; Gerontological Health Cooperative, School of Nursing University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0823-7179","authenticated-orcid":false,"given":"Carolyn M.","family":"Porta","sequence":"additional","affiliation":[{"name":"School of Nursing University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4180-1974","authenticated-orcid":false,"given":"Sakti Oktaria","family":"Batubara","sequence":"additional","affiliation":[{"name":"College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1903-8378","authenticated-orcid":false,"given":"Bih\u2010O","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2016.12.003"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/16407"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed\u20102020\u2010209567"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/medinform.9080"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11070658"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/25548"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e3182343aa7"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/1735\u20109066.178243"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515113487464"},{"issue":"1","key":"e_1_2_11_11_1","article-title":"Cohen's d vs alternative standardized mean group difference measures","volume":"16","author":"Cahan S.","year":"2011","journal-title":"Practical Assessment, Research, and Evaluation"},{"key":"e_1_2_11_12_1","volume-title":"Telehealth and telemedicine: A research anthology of law and policy resources","author":"Centers for Disease Control and Prevention","year":"2020"},{"key":"e_1_2_11_13_1","volume-title":"Heart disease facts","author":"Centers for Disease Control and Prevention","year":"2021"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12380"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10945"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010019463"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4944"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2016.0211"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2016.0224"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/17559"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.2583"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.2196\/29159"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"issue":"12","key":"e_1_2_11_24_1","article-title":"Interpreting estimates of treatment effects: Implications for managed care","volume":"33","author":"Faraone S. 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