The Promise of Telehealth in Cardiac Physiotherapy for Rural and Underserved Populations: A Systematic Review
Rattachement africain : jo, es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Cardiovascular diseases remain a leading cause of global morbidity and mortality. Cardiac rehabilitation (CR), particularly cardiac physiotherapy, is crucial for secondary prevention; yet access is suboptimal, especially for patients in rural and underserved populations due to logistical and socioeconomic barriers. Telehealth offers a promising solution to address these disparities. OBJECTIVE: This systematic review aimed to synthesize evidence on the effectiveness, feasibility, and acceptability of telehealth-delivered cardiac physiotherapy interventions in rural and underserved populations and identify the associated barriers and facilitators. METHODS: A comprehensive search was conducted across multiple databases. Studies investigating telehealth-delivered cardiac physiotherapy in rural/underserved populations were included. Due to heterogeneity in study designs, interventions, and outcomes, a narrative synthesis was performed. Qualitative and quantitative data were extracted on effectiveness, feasibility, acceptability, barriers, and facilitators. RESULTS: Nine studies were included, employing diverse designs (randomized controlled trials, multimethod, feasibility, qualitative, codesign, and mixed methods). Telehealth-delivered cardiac physiotherapy demonstrated effectiveness in improving exercise capacity, cardiac risk profiles, weight management, and quality of life. It also enhanced CR attendance and completion rates. High feasibility and acceptability were reported, with patients valuing convenience and home access. Key facilitators included personalized support, staff adaptability, and codesign approaches. Persistent barriers included digital literacy, technological infrastructure limitations, socioeconomic factors, staffing issues, and potential patient isolation. CONCLUSION: Telehealth-delivered cardiac physiotherapy holds significant promise for expanding access and improving outcomes for rural and underserved populations. While effective and acceptable, successful implementation requires addressing digital, technological, and socioeconomic barriers. Leveraging identified facilitators and designing patient-centered interventions are crucial for equitable cardiovascular care.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The Promise of Telehealth in Cardiac Physiotherapy for Rural and Underserved Populations: A Systematic Review
- Date Crossref
- 21/11/2025
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Applied Science Private University pays non établi dans la noticeUniversité ou école supérieure
-
University of Jordan pays non établi dans la noticeUniversité ou école supérieure
-
Philadelphia University Department of Physiotherapy pays non établi dans la noticeUniversité ou école supérieure
-
King Hussein Medical Center pays non établi dans la noticeÉtablissement de santé
-
Universitat de València pays non établi dans la noticeUniversité ou école supérieure
-
Faculty of Allied Medical Sciences Department of Physiotherapy pays non établi dans la noticeUniversité ou école supérieure
-
School of Rehabilitation Sciences Department of Physiotherapy pays non établi dans la noticeUniversité ou école supérieure
-
Queen Alia Heart Institute pays non établi dans la noticeStructure de recherche
-
University of Valencia Department of Physiotherapy pays non établi dans la noticeUniversité ou école supérieure
Applied Science Private University, University of Jordan et Department of Physiotherapy — Philadelphia University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.