Table. Descriptive Characteristics of Patient Populations of the Included Studies.
Characteristic | No. (%) of studies (N = 456) |
---|---|
Heart failure | 173 (37.9) |
Stroke | 126 (27.6) |
Post–myocardial infarction | 64 (14.0) |
Stable coronary artery disease | 46 (10.1) |
CVD | 40 (8.8) |
CVD plus comorbid diabetes | 5 (1.1) |
Peripheral arterial disease | 2 (0.4) |
Intervention types (HCPPR framework) | |
Patient support | 311 (68.2) |
ICT for health | 78 (17.1) |
Community support | 18 (3.9) |
Supervision | 15 (3.3) |
High-intensity training | 14 (3.1) |
Group problem-solving | 7 (1.5) |
Printed information | 5 (1.1) |
Strengthening infrastructure | 4 (0.9) |
Financial incentives | 3 (0.7) |
Other management techniques | 1 (0.2) |
Comparator | |
Usual care | 396 (86.8) |
Active comparator | 33 (7.2) |
Not reported | 27 (5.9) |
Study design | |
RCTs | 413 (90.6) |
Quasi-randomized studies | 21 (4.6) |
Cluster randomized trials | 14 (3.1) |
Preintervention and postintervention evaluations | 8 (1.8) |
Clinical setting | |
Tertiary care hospital | 221 (48.5) |
Hospital- plus home-based care | 130 (28.5) |
Primary care hospital | 19 (4.2) |
Secondary care hospital | 8 (1.8) |
Community level hospital | 8 (1.8) |
Not reported | 70 (15.4) |
Moment of intervention delivery | |
Rehabilitationa | 228 (50.0) |
Discharge period | 123 (27.0) |
Chronic phase | 82 (18.0) |
Combination | 19 (4.2) |
Before and after discharge | 1 (0.2) |
Not reported | 3 (0.7) |
Intervention delivery mode | |
NPHW | 152 (33.3) |
Technology | 41 (9.0) |
Telephone calls | 39 (8.6) |
Text messages | 9 (2.0) |
Combinationb | 170 (37.3) |
Not reported | 45 (9.9) |
Intervention frequency | |
Weekly to biweekly | 103 (22.6) |
Monthly to bimonthly | 37 (8.1) |
Every 3 mo | 24 (5.3) |
Irregular | 141 (30.9) |
Single episode | 6 (1.3) |
Not reported | 145 (31.8) |
Intervention duration, y | |
<1 | 258 (56.6) |
1-2 | 123 (27.0) |
3-5 | 11 (2.4) |
>5 | 1 (0.2) |
Not reported | 63 (13.8) |
Location (World Bank region) | |
Europe and Central Asia | 110 (24.1) |
East Asia and the Pacific | 97 (21.3) |
North America | 93 (20.4) |
Middle East and North Africa | 12 (2.6) |
South Asia | 10 (2.2) |
Latin America and the Caribbean | 10 (2.2) |
Sub-Saharan Africa | 4 (0.9) |
Not reported | 120 (26.3) |
Income groupc | |
High-income countries | 255 (75.9) |
Upper-middle–income countries | 68 (20.2) |
Lower-middle–income countries | 13 (3.9) |
Low-income countries | 0 |
Funding source | |
Government | 146 (32.0) |
Private | 25 (5.5) |
Nonprofit organization | 23 (5.0) |
No funding | 19 (4.2) |
Not reported | 243 (53.3) |
Abbreviations: CVD, cardiovascular disease; HCPPR, Health Care Provider Performance Review; ICT, information communication technology; NPHW, nonphysician health worker; RCT, randomized clinical trial.
Indicates cardiac rehabilitation (eg, a customized outpatient program of exercise and education).
Indicates more than 1 intervention delivery mode (eg, NPHW, technology, and/or telephone calls were combined).
Indicates World Bank classification for 45 countries in 336 studies that were classified.