SynthesisJournal of the American Heart Association2024
Digital Health Interventions for Heart Failure Management in Underserved Rural Areas of the United States: A Systematic Review of Randomized Trials.
Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Face-to-Face and Internet-based Cognitive Behavioral Therapy for Patients with Heart Failure: an Umbrella Review of Systematic Reviews and Meta-analyses.Current heart failure reports · 2026Pooled it
- Non-Invasive Telemonitoring in Heart Failure: A Systematic Review.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Interventions to Improve Health Among Refugees in the United States: A Systematic Review.Journal of community health · 2025Pooled it
- Digital versus non-digital health interventions to improve iron supplementation in pregnant women: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- Patient Perceptions of a Digitally Enabled Community Health Worker Intervention: Qualitative Study Among Pilot Trial Participants.JMIR cardio · 2026Trial
- Personalized Smartphone Messaging for Secondary Prevention After Percutaneous Coronary Intervention: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Impact of the Cardio-Meds Mobile App on Heart Failure Knowledge and Medication Adherence: Pilot Randomized Controlled Trial.JMIR cardio · 2026Trial
- Clinical Impact of Digital Health Interventions with Educational Components for Patients with Heart Failure: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- The impact of digital health on hospitalization and mortality in heart failure patients in low- and middle-income countries: a systematic review and meta-analysis.European heart journal. Digital health · 2026Article
- Article
- Podcast Episode 3: How Can Physicians Work Collaboratively to Improve Cardiovascular Outcomes in Patients with Type 2 Diabetes?Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026Article
- Remote Patient Monitoring in Heart Failure: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis.Cureus · 2026Review
- Association of Geographical Distance and Residential Population Density With Clinical Outcomes in Acute Decompensated Heart Failure: Insights From the Kyoto Congestive Heart Failure (KCHF) Registry.Circulation reports · 2026Article
- Remote Management of Patients With Heart Failure in Medically Underserved Areas.JACC. Advances · 2026Article
- Social Frailty in Heart Failure: Concept, Impact and Preventive Strategies.Journal of advanced nursing · 2026Review
- Inequity in Access to and Use of Digital Health Technologies in Routine Heart Failure Care: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- Digital health education and self-management support for adults with heart failure: a best-evidence summary of review-level evidence.Frontiers in public health · 2026Review
- Integrating digital health and remote monitoring: emerging trends in cardiac rehabilitation research for chronic heart failure.Frontiers in cardiovascular medicine · 2026Article
- Remote Hemodynamic Monitoring in Heart Failure Management: A Comprehensive Review of Recent Advances and Clinical Challenges.Biomedicines · 2025Review
- The Use of Technology by the Rural-Dwelling Caregivers of People Living With Dementia to Support Caregiving: Qualitative Interview Study.JMIR formative research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundHeart failure disproportionately affects individuals residing in rural areas, leading to worse health outcomes. Digital health interventions have been proposed as a promising approach for improving heart failure management. This systematic review aims to identify randomized trials of digital health interventions for individuals living in underserved rural areas with heart failure. METHODS AND
resultsWe conducted a systematic review by searching 6 databases (CINAHL, EMBASE, MEDLINE, Web of Science, Scopus, and PubMed; 2000-2023). A total of 30 426 articles were identified and screened. Inclusion criteria consisted of digital health randomized trials that were conducted in underserved rural areas of the United States based on the US Census Bureau's classification. Two independent reviewers screened the studies using the National Heart, Lung, and Blood Institute tool to evaluate the risk of bias. The review included 5 trials from 6 US states, involving 870 participants (42.9% female). Each of the 5 studies employed telemedicine, 2 studies used remote monitoring, and 1 study used mobile health technology. The studies reported improvement in self-care behaviors in 4 trials, increased knowledge in 2, and decreased cardiovascular mortality in 1 study. However, 3 trials revealed no change or an increase in health care resource use, 2 showed no change in cardiac biomarkers, and 2 demonstrated an increase in anxiety.
conclusionsThe results suggest that digital health interventions have the potential to enhance self-care and knowledge of patients with heart failure living in underserved rural areas. However, further research is necessary to evaluate their impact on clinical outcomes, biomarkers, and health care resource use. REGISTRATION: URL: https://www.crd.york.ac.uk/prospero/; Unique identifier: CRD42022366923.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.