{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:26:36Z","timestamp":1770755196738,"version":"3.50.0"},"reference-count":78,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100008132","name":"HCF Research Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008132","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Behaviour modification and mood management are essential to recovery after a cardiac event. Recent times have seen a major shift to remote delivery of cardiac services. This study assessed behavioural and psychological outcomes of the Back on Track online self-management programme, comparing the programme undertaken alone (self-directed) vs. with telephone support (supported). Relevance for people with depression was also assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Participants with cardiac conditions (n = 122) were randomly assigned to self-directed or supported groups and given access to the online programme for 2 months. The programme addressed depression, anxiety, physical activity, and healthy eating. Supported group participants also received two telephone sessions facilitated by a trained counsellor to further enhance their self-management skills and engagement with the online modules. The Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Active Australia Survey and Diet Quality Tool were administered at baseline, 2, and 6 months. \u03c72 tests were used to compare self-directed and supported groups. Cochrane\u2019s Q tests assessed changes over time in depression, anxiety, and physical activity (PA) and healthy diet guideline achievement. Participants in both groups showed reduced depression rates (self-directed, P &amp;lt; 0.05) and increased PA after programme completion (both groups, P &amp;lt; 0.05). Amongst those classified as depressed at baseline, significantly fewer were classified as depressed over time (P &amp;lt; 0.001) and significantly more were achieving the PA guidelines (P &amp;lt; 0.01) compared to those who were not depressed at baseline.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The Back on Track telehealth programme was effective in assisting with behavioural and emotional recovery after a cardiac event. The programme may be particularly beneficial for those who are depressed early in their recovery period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial Registration<\/jats:title>\n                  <jats:p>Australian New Zealand Clinical Trials Registry: ACTRN12620000102976.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad034","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T15:51:31Z","timestamp":1680191491000},"page":"42-54","source":"Crossref","is-referenced-by-count":7,"title":["Behavioural and psychological telehealth support for people with cardiac conditions: randomized trial of the \u2018back on track\u2019 self-management programme"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2558-3535","authenticated-orcid":false,"given":"Michelle C","family":"Rogerson","sequence":"first","affiliation":[{"name":"Australian Centre for Heart Health , 75-79 Chetwynd St, PO Box 2137, North Melbourne, VIC 3051 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9565-1399","authenticated-orcid":false,"given":"Alun C","family":"Jackson","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , 75-79 Chetwynd St, PO Box 2137, North Melbourne, VIC 3051 , Australia"},{"name":"Melbourne School of Psychological Sciences, University of Melbourne , Melbourne, VIC , Australia"},{"name":"Centre on Behavioral Health, University of Hong Kong , Pokfulam , Hong Kong"},{"name":"PRC Faculty of Health, Deakin University , Geelong, VIC , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8289-6300","authenticated-orcid":false,"given":"Hema S","family":"Navaratnam","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , 75-79 Chetwynd St, PO Box 2137, North Melbourne, VIC 3051 , 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