{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:35:42Z","timestamp":1777876542102,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Cardiac rehabilitation programs (CRPs) are effective at reducing cardiovascular disease (CVD) risk, yet attendance in these programs remains low due to geographic constraints. In a previously conducted randomized trial we demonstrated that a virtual CRP (vCRP) delivered over the Internet reduced risk for CVD. The current investigation has reviewed the online chat sessions between participants and healthcare providers (HCP) to describe the content of discussions during the vCRP intervention.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Participants were recruited from two geographically isolated areas in British Columbia, Canada without in-person CRP or a cardiologist serving the area. The vCRP, among other elements, included scheduled one-on-one chat sessions with a dietician, exercise specialist, and nurse to mimic standard CRP consultations. The chat sessions were reviewed for content and themes. Multiple chat sessions between participants and a single care provider were also analyzed to describe how chat content progressed through multiple sessions.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">A total of 38 participants participated in the vCRP intervention. From the 122 chat sessions between participants and HCP during the vCRP, the main themes identified were Managing Health and Lifestyle, Continuity of Care, and Getting Care from a Distance. Within each theme, sub-themes were also identified.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">The vCRP chat sessions fulfilled the role of face-to-face consultations with HCP that are standard in hospital-based CRP and addressed patient concerns, facilitating remote patient\u2013provider interaction and covering topics on exercise, diet, and positive behavior changes to limit risk factors for future heart problems.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2017.0206","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T14:35:31Z","timestamp":1525876531000},"page":"71-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["What Do Patients Talk About? A Qualitative Analysis of Online Chat Sessions with Health Care Specialists During a \u201cVirtual\u201d Cardiac Rehabilitation Program"],"prefix":"10.1177","volume":"25","author":[{"given":"Joanna","family":"Mendell","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Bates","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davina","family":"Banner-Lukaris","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Northern British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Horvat","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bindy","family":"Kang","sequence":"additional","affiliation":[{"name":"Interdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Singer","sequence":"additional","affiliation":[{"name":"Centre for Health Evaluation and Outcome Sciences, Providence Health Care, Vancouver, Canada."},{"name":"School of Population and Public Health, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Ignaszewski","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Providence Health Care, Vancouver, Canada."},{"name":"Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Lear","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada."},{"name":"Division of Cardiology, Providence Health Care, Vancouver, Canada."},{"name":"Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000442015.53336.12"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.983536"},{"issue":"7","key":"e_1_3_3_4_2","first-page":"CD001800","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","author":"Heran BS","year":"2011","unstructured":"Heran BS, , Chen JM, , Ebrahim S, , Moxham T, , Oldridge N, , Rees K, et al. Exercise-based cardiac rehabilitation for coronary heart disease. 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