Information Needs and Communication Strategies for People with Coronary Heart Disease: A Scoping Review

Int J Environ Res Public Health. 2023 Jan 17;20(3):1723. doi: 10.3390/ijerph20031723.

Abstract

A critical aspect of coronary heart disease (CHD) care and secondary prevention is ensuring patients have access to evidence-based information. The purpose of this review is to summarise the guiding principles, content, context and timing of information and education that is beneficial for supporting people with CHD and potential communication strategies, including digital interventions. We conducted a scoping review involving a search of four databases (Web of Science, PubMed, CINAHL, Medline) for articles published from January 2000 to August 2022. Literature was identified through title and abstract screening by expert reviewers. Evidence was synthesised according to the review aims. Results demonstrated that information-sharing, decision-making, goal-setting, positivity and practicality are important aspects of secondary prevention and should be patient-centred and evidenced based with consideration of patient need and preference. Initiation and duration of education is highly variable between and within people, hence communication and support should be regular and ongoing. In conclusion, text messaging programs, smartphone applications and wearable devices are examples of digital health strategies that facilitate education and support for patients with heart disease. There is no one size fits all approach that suits all patients at all stages, hence flexibility and a suite of resources and strategies is optimal.

Keywords: cardiac rehabilitation; cardiovascular risk; coronary heart disease; digital health; education; information; resources; secondary prevention; sensors; text message.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Communication
  • Coronary Disease*
  • Humans
  • Mobile Applications*
  • Text Messaging*

Grants and funding

Funding was provided by the National Heart Foundation of Australian Healthcare Programs to support this review. J.R. is funded by an NHMRC Investigator Grant [GNT1143538]. C.C.Z. is supported by the SOLVE-CHD, an Australian Government National Health and Medical Research Council (NHMRC) Synergy Grant [GNT1182301].