{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:06:30Z","timestamp":1793916390546,"version":"4.8.0"},"reference-count":49,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:00:00Z","timestamp":1744156800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001826","name":"The Netherlands Organization for Health Research and Development","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Netherlands Cardiovascular Research Initiative"},{"DOI":"10.13039\/501100002996","name":"Dutch Heart Foundation","doi-asserted-by":"crossref","award":["CVON2016-12 BENEFIT"],"award-info":[{"award-number":["CVON2016-12 BENEFIT"]}],"id":[{"id":"10.13039\/501100002996","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The majority of people with cardiovascular disease do not maintain a healthy lifestyle. To help patients implement behaviour change at home, the BENEFIT programme was developed as an addition to cardiac rehabilitation (CR) care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Using a cluster non-randomized controlled trial design involving seven CR centres, we examined whether intervention group patients (n = 587) showed increased improvements in health behaviour change compared with control group patients (n = 298) who (only) received a multidisciplinary, comprehensive CR programme. Physical activity, smoking, alcohol use, diet, stress, and sleep were assessed at the start and after finishing CR (short-term) and at 1-year follow-up (long-term). Core of the intervention was access to an advanced eHealth platform consisting of functionality for daily goal monitoring, access to lifestyle interventions, personal coaching and a reward programme.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Findings<\/jats:title>\n                  <jats:p>The standard CR programme improved most lifestyle behaviours, while the intervention led to additional short-term changes in vegetable intake (t = 2.00, P = 0.023), work-related stress (z = \u22122.97, P = 0.002), and sleep hours (t = 2.57, P = 0.005). Finally, in contrast to the control group (t = 1.88, P = 0.415), the intervention group significantly increased its physical activity long-term (t = 5.04, P &amp;lt;0.001) exercising 42\u2005min more per week, yet this group-interaction effect showed only a trend (t = 1.55, P = 0.061).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>While comprehensive CR care led to improvements in most lifestyle behaviours, the BENEFIT programme demonstrated additional benefits, particularly in physical exercise, dietary habits, stress reduction, and sleep, across a diverse CR-patient population. These findings underscore the potential of integrating eHealth solutions as an effective supplement to traditional CR care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf193","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T20:13:36Z","timestamp":1744229616000},"source":"Crossref","is-referenced-by-count":5,"title":["Lifestyle behaviour change of patients following cardiac rehabilitation: the BENEFIT intervention study with one-year follow-up"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4441-2731","authenticated-orcid":false,"given":"Linda D","family":"Breeman","sequence":"first","affiliation":[{"name":"Health, Medical, and Neuropsychology Unit, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica R","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderik A","family":"Kraaijenhagen","sequence":"additional","affiliation":[{"name":"Vital10 , Amsterdam ,","place":["The Netherlands"]},{"name":"Hearts4People , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8510-3313","authenticated-orcid":false,"given":"Isra","family":"Al-Dhahir","sequence":"additional","affiliation":[{"name":"Health, Medical, and Neuropsychology Unit, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9e V H","family":"IJzerman","sequence":"additional","affiliation":[{"name":"Health, Medical, and Neuropsychology Unit, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Wolstencroft","sequence":"additional","affiliation":[{"name":"Leiden Institute of Advanced Computer Science, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wessel","family":"Kraaij","sequence":"additional","affiliation":[{"name":"Leiden Institute of Advanced Computer Science, Leiden University , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias N","family":"Bonten","sequence":"additional","affiliation":[{"name":"National eHealth Living Lab (NeLL), Department Public Health and Primary Care, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douwe E","family":"Atsma","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8607-9199","authenticated-orcid":false,"given":"Niels H","family":"Chavannes","sequence":"additional","affiliation":[{"name":"National eHealth Living Lab (NeLL), Department Public Health and Primary Care, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisette","family":"van Gemert-Pijnen","sequence":"additional","affiliation":[{"name":"Centre for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, University of Twente , Enschede ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hareld M C","family":"Kemps","sequence":"additional","affiliation":[{"name":"Department of Cardiology, M\u00e1xima Medical Center Veldhoven , Veldhoven ,","place":["The Netherlands"]},{"name":"Department of Industrial 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