Completeness of intervention reporting in randomised trials of technology-enabled remote or hybrid exercise-based cardiac rehabilitation: a systematic review using the TIDieR framework

Aoife McGrath, Sheona McHale, Coral L. Hanson, Colin McLelland, David F. Hamilton*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Background: Exercise-based cardiac rehabilitation improves clinical outcomes and quality of life. Technology-enabled delivery of remote cardiac rehabilitation is as effective in improving health outcomes as in-person delivery and has the potential to transform clinical service delivery. However, for the successful translation of research to clinical practice, interventions must be adequately reported in the literature. Methods: Systematic review of MedLine, CINAHL, PubMed and SPORT Discus databases applying PRISMA guidance. Randomised controlled trials of remote or hybrid technology-enabled exercise-based cardiac rehabilitation interventions were included. Completeness of reporting was evaluated against the TIDieR checklist. Results: The search strategy returned 162 articles which, following screening, resulted in 12 randomised trials being included containing data for 1588 participants. No trial fully reported their rehabilitation intervention as per the 12-item TIDieR checklist, with a median score of eight out of 12 categories. Notably, intervention detail, dosage and modification were comparatively poorly reported. Conclusion: Technology-enabled remotely delivered cardiac rehabilitation may be effective at improving cardiovascular fitness; however, the quality of reporting of these interventions in randomised trials is insufficient for replication which has material implications for translation into clinical practice.

Original languageEnglish
JournalDisability and Rehabilitation
Early online date30 Oct 2023
DOIs
Publication statusE-pub ahead of print - 30 Oct 2023

Keywords

  • exercise rehabilitation
  • cardiac rehabilitation
  • trial reporting
  • TIDieR
  • Exercise rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

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