{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:28:20Z","timestamp":1740184100470,"version":"3.37.3"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022216","name":"Medical Delta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022216","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Capri Cardiac Rehabilitation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Cardiac rehabilitation (CR) shows lower effectiveness and higher dropouts among people with a low socioeconomic position (SEP) compared to those with a high SEP. This study evaluated an eHealth intervention aimed at supporting patients with a low SEP during their waiting period preceding CR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Participants with a low SEP in their waiting period before CR were randomized into an intervention group, receiving guidance videos, patient narratives, and practical tips, or into a control group. We evaluated adherence (usage metrics), acceptance (modified Usefulness, Satisfaction, and Ease of use questionnaire), and changes in feelings of certainty and guidance between the waiting period\u2019s start and end. Semi-structured interviews provided complementary insights. The study involved 41 participants [median interquartile range (IQR) age 62 (14) years; 33 males], with 21 participants allocated to the intervention group, using the eHealth intervention for a median (IQR) duration of 16 (10) days, using it on a median (IQR) of 100% (25) of these days, and viewing 88% of the available messages. Key adherence themes were daily routine compatibility and curiosity. Acceptance rates were 86% for usability, 67% for satisfaction, and 43% for usefulness. No significant effects on certainty and guidance were observed, but qualitative data suggested that the intervention helped to inform and set expectations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The study found the eHealth intervention feasible for cardiac patients with a low SEP, with good adherence, usability, and satisfaction. However, it showed no effect on feelings of certainty and guidance. Through further optimization of its content, the intervention holds promise to improve emotional resilience during the waiting period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Registration<\/jats:title>\n                  <jats:p>This trial is registered as follows: \u2018Evaluation of a Preparatory eHealth Intervention to Support Cardiac Patients During Their Waiting Period (PReCARE)\u2019 at ClinicalTrials.gov (NCT05698121, https:\/\/clinicaltrials.gov\/study\/NCT05698121).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztae084","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T06:26:47Z","timestamp":1731565607000},"page":"115-125","source":"Crossref","is-referenced-by-count":0,"title":["An eHealth intervention for patients with a low socioeconomic position during their waiting period preceding cardiac rehabilitation: a randomized feasibility study"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0380-0989","authenticated-orcid":false,"given":"Jasper S","family":"Faber","sequence":"first","affiliation":[{"name":"Department of Human-Centered Design, Faculty of Industrial Design Engineering, Delft University of Technology , Landbergstraat 15, Delft 2628 CE ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9667-6926","authenticated-orcid":false,"given":"Jos J","family":"Kraal","sequence":"additional","affiliation":[{"name":"Department of Human-Centered Design, Faculty of Industrial Design Engineering, Delft University of Technology , Landbergstraat 15, Delft 2628 CE ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7447-3025","authenticated-orcid":false,"given":"Nienke","family":"ter Hoeve","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Erasmus MC , Rotterdam ,","place":["The Netherlands"]},{"name":"Capri Cardiac Rehabilitation , Rotterdam ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8510-3313","authenticated-orcid":false,"given":"Isra","family":"Al-Dhahir","sequence":"additional","affiliation":[{"name":"Faculty of Social and Behavioural Sciences, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4441-2731","authenticated-orcid":false,"given":"Linda D","family":"Breeman","sequence":"additional","affiliation":[{"name":"Faculty of Social and Behavioural Sciences, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8607-9199","authenticated-orcid":false,"given":"Niels H","family":"Chavannes","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]},{"name":"National eHealth Living Lab, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0090-5091","authenticated-orcid":false,"given":"Andrea W M","family":"Evers","sequence":"additional","affiliation":[{"name":"Department of Human-Centered Design, Faculty of Industrial Design Engineering, Delft University of Technology , Landbergstraat 15, Delft 2628 CE ,","place":["The Netherlands"]},{"name":"Faculty of Social and Behavioural Sciences, Leiden University , Leiden ,","place":["The Netherlands"]},{"name":"Medical Delta, Leiden University, Delft University of Technology, Erasmus University , Delft ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans B J","family":"Bussmann","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Erasmus MC , Rotterdam ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5502-1691","authenticated-orcid":false,"given":"Valentijn T","family":"Visch","sequence":"additional","affiliation":[{"name":"Department of Human-Centered Design, Faculty of Industrial Design Engineering, Delft University of Technology , Landbergstraat 15, Delft 2628 CE ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6433-3398","authenticated-orcid":false,"given":"Rita J G","family":"van den Berg-Emons","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation 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