Abstract
With the ubiquity of mobile devices, the availability of mobile health (mHealth) applications for cardiovascular disease (CVD) has markedly increased in recent years. Older adults represent a population with a high CVD burden and therefore have the potential to benefit considerably from interventions that utilize mHealth. Traditional facility‐based cardiac rehabilitation represents one intervention that is currently underutilized for CVD patients and, because of the unique barriers that older adults face, represents an attractive target for mHealth interventions. Despite potential barriers to mHealth adoption in older populations, there is also evidence that older patients may be willing to adopt these technologies. In this review, we highlight the potential for mHealth uptake for older adults with CVD, with a particular focus on mHealth cardiac rehabilitation (mHealth‐CR) and evidence being generated in this field.
Highlights
Less face-to-face interaction with cardiac rehabilitation (CR) clinical staff, and with other patients to date involving hybrid home and center-based CR, found no increased risk of cardiovascular events in the group prescribed at-home exercise compared to traditional care.[42]
While further research is needed into the safety of home-based CR programs, these results provide indirect support that they can be prescribed safely
Worringham and colleagues utilized a smartphone-based program with a single-lead ECG and GPS to employ a remote, walking-based CR program for 134 monitored sessions in six patients in Australia, with data transmitted to an exercise therapist; patients using the program had similar improvements in 6-minute walk test compared to those using traditional center-based CR.[34]
Summary
Less face-to-face interaction with CR clinical staff, and with other patients to date involving hybrid home and center-based CR, found no increased risk of cardiovascular events in the group prescribed at-home exercise compared to traditional care.[42] The recent HONOR trial, which evaluated an mHealth-augmented home-based exercise program for patients with PAD (in patients with a mean age of 70 years), found no significant difference in significant adverse events between the intervention and control group.[58] While further research is needed into the safety of home-based CR programs, these results provide indirect support that they can be prescribed safely.
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