{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:36:38Z","timestamp":1778621798801,"version":"3.51.4"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014643","name":"Baker Heart and Diabetes Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014643","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The University of Melbourne and Baker Institute"},{"name":"Cardiology Centre of Excellence from Filippo and Maria Casella"},{"DOI":"10.13039\/501100000925","name":"The National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2008129"],"award-info":[{"award-number":["2008129"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Center of Research Excellence in Digital Technology to Transform Chronic Disease Outcomes","award":["APP 1170937"],"award-info":[{"award-number":["APP 1170937"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Cardiac rehabilitation (CR) programmes are effective, but they are underutilized. Digitally enabled CR programmes (DeCR) offer alternative means of healthcare delivery. We aimed to assess the effects of a DeCR programme on cardiovascular risk factors and healthcare utilization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>In this observational cohort study that used propensity score matching, privately insured Australian patients, recruited nationally following a cardiac hospitalization, were given a digital app and received weekly telehealth consultations. Risk factors were assessed before and after the intervention. Propensity scoring methods were used to compare differences in 30-day, 90-day, and 12-month rehospitalizations, hospital-days, and mortality rates in the DeCR group with patients who undertook: (i) usual care (n = 266) or (ii) face-to-face CR (F2F-CR, n = 115). Overall, 172 intervention patients (70% men, age 68 \u00b1 10 years, 36% living in regional\/remote areas) were enrolled (59% agreed to participate and 91% completed final follow-up). The DeCR group had significant improvements in most risk factors. Rehospitalization and mortality rates were similar between the DeCR group and both comparison groups at all time points (all P &amp;gt; 0.05). Patients in the DeCR group spent significantly fewer days in hospital compared with usual care within 30-days (P = 0.026), 90-days (P = 0.003), and 12-months (P = 0.04) post-discharge. Cardiac-related rehospitalization bed days were reduced at 30-days (P = 0.005) and 90-days (P = 0.017) but not 12-months (P = 0.20). There were no group differences between DeCR and F2F-CR across any outcomes (all P &amp;gt; 0.05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>DeCR was associated with lower healthcare utilization than usual care, yet comparable compared with F2F-CR. DeCR represents a suitable option for cardiac patients post-discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Lay Summary<\/jats:title>\n                  <jats:p>We investigated whether a digitally enabled cardiac rehabilitation (DeCR) programme, delivered to patients following a heart disease hospitalization, improved patients\u2019 cardiovascular disease risk factors and whether they had a reduction in rehospitalizations, spent fewer days in hospital and improved survival compared with matched controls who undertook either face-to-face cardiac rehabilitation (F2F-CR) or usual care.<\/jats:p>\n                  <jats:p>\u2022\u2002DeCR was associated with similar healthcare utilization outcomes compared with F2F-CR. This suggests that the potential benefits of DeCR may be comparable. Additionally, DeCR programmes create an opportunity for patients to choose the style of CR to undertake and have an advantage of broader access.<\/jats:p>\n                  <jats:p>\u2022\u2002The DeCR group spent significantly fewer readmission days in hospital compared with the usual care group, which may reflect differences in the nature of rehospitalizations when they occur.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztaf043","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T04:10:30Z","timestamp":1745899830000},"page":"688-703","source":"Crossref","is-referenced-by-count":9,"title":["Effects of a digitally enabled cardiac rehabilitation intervention on risk factors, recurrent hospitalization and mortality"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1078-4454","authenticated-orcid":false,"given":"Justin","family":"Braver","sequence":"first","affiliation":[{"name":"Baker Department of Cardiometabolic Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne , Parkville, Victoria ,","place":["Australia"]},{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 ,","place":["Australia"]},{"name":"Clinical Hub, Medibank , Melbourne ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas H","family":"Marwick","sequence":"additional","affiliation":[{"name":"Baker Department of Cardiometabolic Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne , Parkville, Victoria ,","place":["Australia"]},{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agus","family":"Salim","sequence":"additional","affiliation":[{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dulari","family":"Hakamuwalekamlage","sequence":"additional","affiliation":[{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Keating","sequence":"additional","affiliation":[{"name":"Clinical Hub, Medibank , Melbourne ,","place":["Australia"]},{"name":"Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Parkville, Victoria ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie R","family":"Yiallourou","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University , Clayton, Victoria ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Oldenburg","sequence":"additional","affiliation":[{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 ,","place":["Australia"]},{"name":"School of Psychology and Public Health, La Trobe University , Melbourne ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3865-1645","authenticated-orcid":false,"given":"Melinda J","family":"Carrington","sequence":"additional","affiliation":[{"name":"Baker Department of Cardiometabolic Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne , Parkville, Victoria ,","place":["Australia"]},{"name":"Community Prevention and Cardiac Research, Baker Heart and Diabetes Institute , 75 Commercial Road, Melbourne, VIC 3004 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