{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:48:09Z","timestamp":1789076889166,"version":"build-2803163510"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["689660"],"award-info":[{"award-number":["689660"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This study tested the effectiveness of HeartMan\u2014a mobile personal health system offering decisional support for management of congestive heart failure (CHF)\u2014on health-related quality of life (HRQoL), self-management, exercise capacity, illness perception, mental and sexual health. A randomized controlled proof-of-concept trial (1:2 ratio of control:intervention) was set up with ambulatory CHF patients in stable condition in Belgium and Italy. Data were collected by means of a 6-min walking test and a number of standardized questionnaire instruments. A total of 56 (34 intervention and 22 control group) participants completed the study (77% male; mean age 63\u00a0years, sd 10.5). All depression and anxiety dimensions decreased in the intervention group (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), while the need for sexual counselling decreased in the control group (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Although the group differences were not significant, self-care increased (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), and sexual problems decreased (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05) in the intervention group only. No significant intervention effects were observed for HRQoL, self-care confidence, illness perception and exercise capacity. Overall, results of this proof-of-concept trial suggest that the HeartMan personal health system significantly improved mental and sexual health and self-care behaviour in CHF patients. These observations were in contrast to the lack of intervention effects on HRQoL, illness perception and exercise capacity.\n                  <\/jats:p>","DOI":"10.1038\/s41598-021-84920-4","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T06:03:49Z","timestamp":1615442629000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Proof-of-concept trial results of the HeartMan mobile personal health system for self-management in congestive heart failure"],"prefix":"10.1038","volume":"11","author":[{"given":"Els","family":"Clays","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo Emilio","family":"Puddu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitja","family":"Lu\u0161trek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Pioggia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Derboven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilena","family":"Vrana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"De Sutter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Le Donne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneleen","family":"Baert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marko","family":"Bohanec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Costanza","family":"Ciancarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amos Adeyemo","family":"Dawodu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"De Pauw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"De Smedt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Marino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofie","family":"Pardaens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Salvatore","family":"Schiariti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Vali\u010d","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Vanderheyden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aljo\u0161a","family":"Vodopija","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Tartarisco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"84920_CR1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1002\/ehf2.12005","volume":"1","author":"P Ponikowski","year":"2014","unstructured":"Ponikowski, P. et al. Heart failure: preventing disease and death worldwide. ESC Heart Failure 1, 4\u201325 (2014).","journal-title":"ESC Heart Failure"},{"key":"84920_CR2","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1002\/ejhf.592","volume":"18","author":"P Ponikowski","year":"2016","unstructured":"Ponikowski, P. et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur. J. Heart Failure 18, 891\u2013975 (2016).","journal-title":"Eur. J. Heart Failure"},{"key":"84920_CR3","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1161\/CIRCRESAHA.113.300268","volume":"113","author":"VL Roger","year":"2013","unstructured":"Roger, V. L. Epidemiology of heart failure. Circ. Res. 113, 646\u2013659 (2013).","journal-title":"Circ. Res."},{"key":"84920_CR4","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1093\/eurjhf\/hft095","volume":"15","author":"F Zannad","year":"2013","unstructured":"Zannad, F. et al. Clinical outcome endpoints in heart failure trials: a European Society of Cardiology Heart Failure Association consensus document. Eur. J. Heart Fail 15, 1082\u20131094 (2013).","journal-title":"Eur. J. Heart Fail"},{"key":"84920_CR5","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1093\/eurjhf\/hfr017","volume":"13","author":"MF Piepoli","year":"2011","unstructured":"Piepoli, M. F. et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur. J. Heart Fail 13, 347\u2013357 (2011).","journal-title":"Eur. J. Heart Fail"},{"key":"84920_CR6","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1093\/eurjhf\/hfq219","volume":"13","author":"M Lainscak","year":"2011","unstructured":"Lainscak, M. et al. Self-care management of heart failure: practical recommendations from the patient care committee of the heart failure association of the European society of cardiology. Eur. J. Heart Fail 13, 115\u2013126 (2011).","journal-title":"Eur. J. Heart Fail"},{"key":"84920_CR7","doi-asserted-by":"publisher","first-page":"2301","DOI":"10.1056\/NEJMoa1010029","volume":"363","author":"SI Chaudhry","year":"2010","unstructured":"Chaudhry, S. I. et al. Telemonitoring in patients with heart failure. N. Engl. J. Med. 363, 2301\u20132309 (2010).","journal-title":"N. Engl. J. Med."},{"key":"84920_CR8","doi-asserted-by":"crossref","unstructured":"Inglis, S.C., Clark, R.A., Dierckx, R., Prieto\u2010Merino, D., & Cleland, J.G. Structured telephone support or non\u2010invasive telemonitoring for patients with heart failure. Cochrane Database Syst. Rev. (2015).","DOI":"10.1002\/14651858.CD007228.pub3"},{"key":"84920_CR9","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1161\/CIRCULATIONAHA.111.018473","volume":"123","author":"F Koehler","year":"2011","unstructured":"Koehler, F. et al. Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 123, 1873\u20131880 (2011).","journal-title":"Circulation"},{"key":"84920_CR10","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1001\/jamainternmed.2015.7712","volume":"176","author":"MK Ong","year":"2016","unstructured":"Ong, M. K. et al. Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transition\u2013heart failure (BEAT-HF) randomized clinical trial. JAMA Int. Med. 176, 310\u2013318 (2016).","journal-title":"JAMA Int. Med."},{"key":"84920_CR11","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1186\/s12872-018-0921-2","volume":"18","author":"A Baert","year":"2018","unstructured":"Baert, A. et al. A personal decision support system for heart failure management (heartman): study protocol of the heartman randomized controlled trial. BMC Cardiovasc. Disord. 18, 186 (2018).","journal-title":"BMC Cardiovasc. Disord."},{"key":"84920_CR12","doi-asserted-by":"publisher","first-page":"2001","DOI":"10.1093\/eurheartj\/ehu205","volume":"35","author":"SD Anker","year":"2014","unstructured":"Anker, S. D. et al. The importance of patient-reported outcomes: a call for their comprehensive integration in cardiovascular clinical trials. Eur. Heart J. 35, 2001\u20132009 (2014).","journal-title":"Eur. Heart J."},{"key":"84920_CR13","doi-asserted-by":"crossref","first-page":"e000931","DOI":"10.1161\/JAHA.114.000931","volume":"3","author":"AM Chamberlain","year":"2014","unstructured":"Chamberlain, A. M. et al. Self-rated health predicts healthcare utilization in heart failure. J. Am. Heart Assoc 3, e000931 (2014).","journal-title":"J. Am. Heart Assoc"},{"key":"84920_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41598-019-57239-4","volume":"10","author":"L Monzo","year":"2020","unstructured":"Monzo, L. et al. Association of patient-reported outcomes and heart rate trends in heart failure: a report from the Chiron project. Sci. Rep. 10, 1\u20138 (2020).","journal-title":"Sci. Rep."},{"key":"84920_CR15","doi-asserted-by":"publisher","first-page":"e0190323","DOI":"10.1371\/journal.pone.0190323","volume":"13","author":"M Mlakar","year":"2018","unstructured":"Mlakar, M. et al. Mining telemonitored physiological data and patient-reported outcomes of congestive heart failure patients. PLoS ONE 13, e0190323 (2018).","journal-title":"PLoS ONE"},{"key":"84920_CR16","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1097\/JCN.0b013e3181b4baa0","volume":"24","author":"B Riegel","year":"2009","unstructured":"Riegel, B., Lee, C. S., Dickson, V. V. & Carlson, B. An update on the self-care of heart failure index. J. Cardiovasc. Nurs. 24, 485 (2009).","journal-title":"J. Cardiovasc. Nurs."},{"key":"84920_CR17","first-page":"192","volume":"3","author":"T Rector","year":"1987","unstructured":"Rector, T., Francis, G. & Cohn, J. Patients self-assessment of their congestive heart failure Part 1: patient perceived dysfunction and its poor correlation with maximal exercise tests. Heart Failure 3, 192\u2013196 (1987).","journal-title":"Heart Failure"},{"key":"84920_CR18","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jpsychores.2005.10.020","volume":"60","author":"E Broadbent","year":"2006","unstructured":"Broadbent, E., Petrie, K. J., Main, J. & Weinman, J. The brief illness perception questionnaire. J. Psychosom. Res. 60, 631\u2013637 (2006).","journal-title":"J. Psychosom. Res."},{"key":"84920_CR19","first-page":"490","volume":"78","author":"AT Beck","year":"1996","unstructured":"Beck, A. T., Steer, R. A. & Brown, G. K. Beck depression inventory-II. San Antonio 78, 490\u2013498 (1996).","journal-title":"San Antonio"},{"key":"84920_CR20","doi-asserted-by":"crossref","unstructured":"Spielberger, C.D. State-trait anxiety inventory for adults. (1983).","DOI":"10.1037\/t06496-000"},{"key":"84920_CR21","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/0022-3999(86)90069-3","volume":"30","author":"LR Derogatis","year":"1986","unstructured":"Derogatis, L. R. The psychosocial adjustment to illness scale (PAIS). J. Psychosom. Res. 30, 77\u201391 (1986).","journal-title":"J. Psychosom. Res."},{"key":"84920_CR22","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1177\/1474515113485521","volume":"13","author":"AG Driel","year":"2014","unstructured":"Driel, A. G., de Hosson, M. J. J. & Gamel, C. Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality. Eur. J. Cardiovascular Nursing 13, 227\u2013234 (2014).","journal-title":"Eur. J. Cardiovascular Nursing"},{"key":"84920_CR23","doi-asserted-by":"publisher","first-page":"1404","DOI":"10.1093\/eurheartj\/ehs337","volume":"34","author":"SJ Pocock","year":"2013","unstructured":"Pocock, S. J. et al. Predicting survival in heart failure: a risk score based on 39 372 patients from 30 studies. Eur. Heart J. 34, 1404\u20131413 (2013).","journal-title":"Eur. Heart J."},{"key":"84920_CR24","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.ijcard.2011.10.071","volume":"163","author":"M Senni","year":"2013","unstructured":"Senni, M. et al. Predicting heart failure outcome from cardiac and comorbid conditions: the 3C-HF score. Int. J. Cardiol. 163, 206\u2013211 (2013).","journal-title":"Int. J. Cardiol."},{"key":"84920_CR25","doi-asserted-by":"crossref","unstructured":"Monzo, L., Schiariti, M. & Puddu, P.E. Wireless Telecardiology. in Health Monitoring Systems: An Enabling Technology for Patient Care (eds. Gupta, R. & Biswas, D.) (CRC Press, 2019).","DOI":"10.1201\/9780429113390-12"},{"key":"84920_CR26","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1136\/jim-2016-000199","volume":"65","author":"M-H Lin","year":"2017","unstructured":"Lin, M.-H. et al. Clinical effectiveness of telemedicine for chronic heart failure: a systematic review and meta-analysis. J. Investig. Med. 65, 899\u2013911 (2017).","journal-title":"J. Investig. Med."},{"key":"84920_CR27","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1186\/1472-6947-12-43","volume":"12","author":"M Marschollek","year":"2012","unstructured":"Marschollek, M. Decision support at home (DS@ HOME)\u2013system architectures and requirements. BMC Med. Inform. Decis. Mak. 12, 43 (2012).","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"84920_CR28","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.copsyc.2018.12.014","volume":"28","author":"JM Greeson","year":"2019","unstructured":"Greeson, J. M. & Chin, G. R. Mindfulness and physical disease: a concise review. Current Opin. Psychol. 28, 204\u2013210 (2019).","journal-title":"Current Opin. Psychol."},{"key":"84920_CR29","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1177\/1474515117715843","volume":"17","author":"J Norman","year":"2018","unstructured":"Norman, J., Fu, M., Ekman, I., Bj\u00f6rck, L. & Falk, K. Effects of a mindfulness-based intervention on symptoms and signs in chronic heart failure: A feasibility study. Eur. J. Cardiovasc. Nurs. 17, 54\u201365 (2018).","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"84920_CR30","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1007\/s10741-017-9640-5","volume":"22","author":"K Jeyanantham","year":"2017","unstructured":"Jeyanantham, K., Kotecha, D., Thanki, D., Dekker, R. & Lane, D. A. Effects of cognitive behavioural therapy for depression in heart failure patients: a systematic review and meta-analysis. Heart Fail. Rev. 22, 731\u2013741 (2017).","journal-title":"Heart Fail. Rev."},{"key":"84920_CR31","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1097\/JCN.0000000000000274","volume":"31","author":"KL Kwekkeboom","year":"2016","unstructured":"Kwekkeboom, K. L. & Bratzke, L. C. A systematic review of relaxation, meditation, and guided imagery strategies for symptom management in heart failure. J. Cardiovasc. Nurs. 31, 457 (2016).","journal-title":"J. Cardiovasc. Nurs."},{"key":"84920_CR32","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1007\/s11897-014-0244-2","volume":"12","author":"J Lundgren","year":"2015","unstructured":"Lundgren, J., Andersson, G. & Johansson, P. Can cognitive behaviour therapy be beneficial for heart failure patients?. Curr. Heart Fail. Rep. 12, 166\u2013172 (2015).","journal-title":"Curr. Heart Fail. Rep."},{"key":"84920_CR33","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.hfc.2012.09.004","volume":"9","author":"PS Corotto","year":"2013","unstructured":"Corotto, P. S., McCarey, M. M., Adams, S., Khazanie, P. & Whellan, D. J. Heart failure patient adherence: epidemiology, cause, and treatment. Heart Fail. Clin 9, 49\u201358 (2013).","journal-title":"Heart Fail. Clin"},{"key":"84920_CR34","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.3390\/ijerph16091570","volume":"16","author":"A Baert","year":"2019","unstructured":"Baert, A. et al. Sexual activity in heart failure patients: information needs and association with health-related quality of life. Int. J. Environ. Res. Public Health 16, 1570 (2019).","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"84920_CR35","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1038\/sj.ijir.3901613","volume":"20","author":"E Schwarz","year":"2008","unstructured":"Schwarz, E. et al. The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. Int. J. Impot. Res. 20, 85\u201391 (2008).","journal-title":"Int. J. Impot. Res."},{"key":"84920_CR36","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1177\/2047487318755795","volume":"25","author":"A Baert","year":"2018","unstructured":"Baert, A. et al. Factors associated with health-related quality of life in stable ambulatory congestive heart failure patients: Systematic review. Eur. J. Prevent. Cardiol. 25, 472\u2013481 (2018).","journal-title":"Eur. J. Prevent. Cardiol."},{"key":"84920_CR37","volume-title":"Physiological changes associated with emotion","author":"D Purves","year":"2001","unstructured":"Purves, D. et al. Physiological changes associated with emotion Neuroscience2nd edn. (Sinauer Associates, 2001).","edition":"Neuroscience2nd"},{"key":"84920_CR38","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s13102-019-0126-8","volume":"11","author":"AL Hannan","year":"2019","unstructured":"Hannan, A. L. et al. Impact of wearable physical activity monitoring devices with exercise prescription or advice in the maintenance phase of cardiac rehabilitation: systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation 11, 14 (2019).","journal-title":"BMC Sports Science, Medicine and Rehabilitation"},{"key":"84920_CR39","doi-asserted-by":"crossref","unstructured":"Lunde, P., et al. Long-term follow-up with a smartphone application improves exercise capacity post cardiac rehabilitation: a randomized controlled trial. Eur. J. Prevent. Cardiol. 2047487320905717 (2020).","DOI":"10.1177\/2047487320905717"},{"key":"84920_CR40","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1080\/088704403100081321","volume":"18","author":"MS Hagger","year":"2003","unstructured":"Hagger, M. S. & Orbell, S. A meta-analytic review of the common-sense model of illness representations. Psychol. Health 18, 141\u2013184 (2003).","journal-title":"Psychol. Health"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-021-84920-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-021-84920-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-021-84920-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T00:10:47Z","timestamp":1670026247000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-021-84920-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,11]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["84920"],"URL":"https:\/\/doi.org\/10.1038\/s41598-021-84920-4","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,11]]},"assertion":[{"value":"10 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"5663"}}