{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:12:52Z","timestamp":1780571572563,"version":"3.54.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Australian federal government's Research Training Program"},{"name":"SOLVE-CHD NHMRC"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To evaluate a self-administered digital education resource for patients after a heart attack (adapted simplified Chinese version of Cardiac College\u2122) on secondary prevention knowledge and health behaviour change outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Chinese immigrants recovering from a heart attack were recruited from cardiac rehabilitation programmes at four metropolitan tertiary hospitals. Participants provided access to Cardiac College\u2122 (adapted simplified Chinese version), a self-learning secondary prevention virtual education resource over 4 weeks. The web-based resources include 9 booklets and 10 pre-recorded video education sessions. Assessments included health literacy, secondary prevention knowledge, self-management behaviours, self-reported physical activity, and a heart-healthy diet. Satisfaction, acceptability, and engagement were also assessed.<\/jats:p>\n                  <jats:p>From 81 patients screened, 67 were recruited, and 64 (95.5%) completed the study. The participants\u2019 mean age was 67.2 \u00b1 8.1 years old, 81.2% were males, and the majority had no English proficiency (65.6%). Following the intervention, significant improvements were observed for secondary prevention knowledge overall and in all subdomains, with the most improvement occurring in medical, exercise, and psychological domains (P &amp;lt; 0.001). Dietary and self-management behaviours also improved significantly (P &amp;lt; 0.05). According to participants, the educational materials were engaging (100%), and the content was adequate (68.8%); however, 26.6% found the information overwhelming. Overall, 46.9% were highly satisfied with the resources.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A self-learning virtual patient-education package improved secondary prevention knowledge and self-care behaviour in Chinese immigrants after a heart attack. The culturally adapted version of Cardiac College\u2122 offers an alternative education model where bilingual staff or translated resources are limited.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad128","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:27:21Z","timestamp":1705019241000},"page":"599-607","source":"Crossref","is-referenced-by-count":12,"title":["Evaluation of a digital patient education programme for Chinese immigrants after a heart attack"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9043-9249","authenticated-orcid":false,"given":"Wendan","family":"Shi","sequence":"first","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney , Camperdown, New South Wales , Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney , Camperdown, New South Wales , 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Panaretto","sequence":"additional","affiliation":[{"name":"Cardiac Rehabilitation, Royal Prince Alfred Virtual Hospital , Sydney Local Health District, Camperdown, New South Wales , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Oh","sequence":"additional","affiliation":[{"name":"Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, University of Toronto , Toronto, Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5588-9351","authenticated-orcid":false,"given":"Robyn","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney , Camperdown, New South Wales , Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and 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