# Digital education for cardiac care readiness among coronary heart disease patients in low- and middle-income countries: A scoping review
> Nuridah

URL kanonis: https://discover.unhas.ac.id/publications/pub_scopus_105047990779
Jurnal / Konferensi: Global Cardiology Science and Practice
Tahun terbit: 2026
DOI: https://doi.org/10.21542/gcsp.2026.27
ISSN: 23057823
Kuartil SJR: Q3
Citations: 0

## Authors
- Nuridah

## Abstract
Introduction: Coronary heart disease (CHD) is the leading cause of cardiovascular mortality worldwide, with the greatest burden concentrated in low- and middle-income countries (LMICs). Patient readiness—encompassing knowledge, self-efficacy, and self-care behaviour—is a critical determinant of post-discharge outcomes. Digital education interventions offer an innovative, resource-efficient approach to improving CHD patient readiness in LMICs; however, the available evidence has not been systematically mapped. Methods: This scoping review followed the Arksey and O'Malley framework and was reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). A systematic search was conducted across four databases—PubMed, ScienceDirect, Wiley Online Library, and the Cochrane Library—for publications from 2019 to 2026. The most recent searches were run on 1 March 2026 and supplemented by manual screening of reference lists. Results: Eleven studies were included, comprising 7 full RCTs (63.6%), 1 pilot RCT (9.1%), 2 RCT protocols (18.2%), and 1 feasibility study (9.1%). Geographic distribution included China (n=4; 36.4%), Iran (n=4; 36.4%), Colombia (n=1; 9.1%), Tunisia (n=1; 9.1%), and Brazil (n=1; 9.1%). The most frequently used primary delivery platforms were mobile applications/smartphones (n=3; 27.3%), WeChat (n=2; 18.2%), WhatsApp (n=2; 18.2%), Web-based/online platforms (n=2; 18.2%), augmented reality (n=1; 9.1%), and digital multimedia (n=1; 9.1%). The most commonly measured outcomes were self-efficacy (n=4; 36.4%), quality of life (n=3; 27.3%), disease knowledge/illness perception (n=3; 27.3%), medication adherence/self-management (n=3; 27.3%), and clinical events (n=1; 9.1%). Discharge readiness was not measured as a primary outcome in any included study. Conclusion: Digital education interventions show promising potential for improving the components of CHD patient readiness in LMICs; however, the evidence remains concentrated in China and Iran. Research specifically targeting discharge readiness with validated instruments is urgently needed across diverse LMIC settings, particularly in Southeast Asia, sub-Saharan Africa, and Latin America

## Keywords
- Medicine
- Psychological intervention
- Randomized controlled trial
- Systematic review
- Patient education
- Telemedicine
- MEDLINE
- Cochrane Library
- Quality of life (healthcare)
- Digital health
- Coronary heart disease
- Medical emergency
- Disease
- Physical therapy
- Alternative medicine
- Meta-analysis
- Disease burden
- Family medicine
- Heart disease
- Primary care
- Mobile technology
- Mobile device
- eHealth
- Intervention (counseling)
- Intensive care medicine
- Disease management
- Clinical trial
- Evidence-based medicine
- Program evaluation

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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