{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:19:21Z","timestamp":1793171961955,"version":"4.5.0"},"reference-count":87,"publisher":"Oxford University Press (OUP)","issue":"15","license":[{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"H2020","doi-asserted-by":"publisher","award":["101017424"],"award-info":[{"award-number":["101017424"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005730","name":"internal grant program","doi-asserted-by":"publisher","award":["IFF 2022-13"],"award-info":[{"award-number":["IFF 2022-13"]}],"id":[{"id":"10.13039\/100005730","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009317","name":"Faculty of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009317","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005344","name":"German Pension Insurance Funds North Rhine Westfalia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005344","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To provide a quantitative analysis of eHealth-supported interventions on health outcomes in cardiovascular rehabilitation (CR) maintenance (phase III) in patients with coronary artery disease (CAD) and to identify effective behavioural change techniques (BCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A systematic review was conducted (PubMed, CINAHL, MEDLINE, and Web of Science) to summarize and synthesize the effects of eHealth in phase III maintenance on health outcomes including physical activity (PA) and exercise capacity, quality of life (QoL), mental health, self-efficacy, clinical variables, and events\/rehospitalization. A meta-analysis following the Cochrane Collaboration guidelines using Review Manager (RevMan5.4) was performed. Analyses were conducted differentiating between short-term (\u22646 months) and medium\/long-term effects (&amp;gt;6 months). Effective behavioural change techniques were defined based on the described intervention and coded according to the BCT handbook. Fourteen eligible studies (1497 patients) were included. eHealth significantly promoted PA (SMD = 0.35; 95%CI 0.02\u20130.70; P = 0.04) and exercise capacity after 6 months (SMD = 0.29; 95%CI 0.05\u20130.52; P = 0.02) compared with usual care. Quality of life was higher with eHealth compared with care as usual (SMD = 0.17; 95%CI 0.02\u20130.32; P = 0.02). Systolic blood pressure decreased after 6 months with eHealth compared with care as usual (SMD = \u22120.20; 95%CI \u22120.40\u20130.00; P = 0.046). There was substantial heterogeneity in the adapted BCTs and type of intervention. Mapping of BCTs revealed that self-monitoring of behaviour and\/or goal setting as well as feedback on behaviour were most frequently included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>eHealth in phase III CR is effective in stimulating PA and improving exercise capacity in patients with CAD while increasing QoL and decreasing systolic blood pressure. Currently, data of eHealth effects on morbidity, mortality, and clinical outcomes are scarce and should be investigated in future studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>PROSPERO: CRD42020203578.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwad145","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T07:15:41Z","timestamp":1683530141000},"page":"1634-1651","source":"Crossref","is-referenced-by-count":48,"title":["eHealth for maintenance cardiovascular rehabilitation: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7041-7424","authenticated-orcid":false,"given":"Melina","family":"Heimer","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Health, University of Witten\/Herdecke , Witten , Germany"},{"name":"DRV Clinic K\u00f6nigsfeld, Center for Medical Rehabilitation , Ennepetal , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Schmitz","sequence":"additional","affiliation":[{"name":"School of Public Health, Bielefeld University , Bielefeld , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Teschler","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Health, University of Witten\/Herdecke , Witten , Germany"},{"name":"DRV Clinic K\u00f6nigsfeld, Center for Medical Rehabilitation , Ennepetal , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Health, University of Witten\/Herdecke , Witten , Germany"},{"name":"DRV Clinic K\u00f6nigsfeld, Center for Medical Rehabilitation , Ennepetal , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma R","family":"Douma","sequence":"additional","affiliation":[{"name":"Center of Research on Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University , Tilburg , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirela","family":"Habibovic","sequence":"additional","affiliation":[{"name":"Center of Research on Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University , Tilburg , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem J","family":"Kop","sequence":"additional","affiliation":[{"name":"Center of Research on Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University , Tilburg , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-3387","authenticated-orcid":false,"given":"Thorsten","family":"Meyer","sequence":"additional","affiliation":[{"name":"School of Public Health, Bielefeld University , Bielefeld , Germany"},{"name":"Institute for Rehabilitation Medicine, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank C","family":"Mooren","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Health, University of Witten\/Herdecke , Witten , Germany"},{"name":"DRV Clinic K\u00f6nigsfeld, Center for Medical Rehabilitation , Ennepetal , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Health, University of Witten\/Herdecke , Witten , Germany"},{"name":"DRV Clinic K\u00f6nigsfeld, Center for Medical Rehabilitation , Ennepetal , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"key":"2023102604191065300_zwad145-B1","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1093\/eurheartj\/ehm316","article-title":"European Guidelines on cardiovascular disease prevention in clinical practice: executive summary: Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts)","volume":"28","author":"Graham","year":"2007","journal-title":"Eur Heart J"},{"key":"2023102604191065300_zwad145-B2","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1177\/2047487312449597","article-title":"Secondary prevention in the clinical management of patients with cardiovascular diseases. 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