{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:24:30Z","timestamp":1790630670669,"version":"4.1.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003803","name":"The University of Hong Kong","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003803","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The global shortage of healthcare professionals creates challenges in managing chronic diseases. This study evaluated a remotely delivered, theory-based self-care support intervention, \u2018Internet-based CArdiac Rehabilitation Enhancement (i-CARE)\u2019, delivered through a smartphone application to enhance self-management in patients with coronary artery disease (CAD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>In this assessor-blinded, two-arm randomized controlled trial conducted at two regional hospitals in Hong Kong, community-dwelling adults with angiographically confirmed CAD were randomly assigned (1:1) to standard care or the i-CARE intervention. i-CARE included personalized risk assessment, skill-building, and app-based support to improve self-care behaviours. The primary outcome was change in CAD self-care behaviours; secondary outcomes were self-reported health status, health-related quality of life (HRQoL), physiological, and biomarkers. Of 294 participants randomized (n = 147 per group), the i-CARE group showed significant greater improvements in self-care maintenance [\u03b2 = 4.055, 95% confidence interval (CI) 1.420\u20136.691, P = 0.003] and self-care confidence (\u03b2 = 5.609, 95% CI 1.089\u201310.129, P = 0.015) at 3 months, sustained at 6 months. For secondary outcomes, the intervention also resulted in significant reductions in systolic (\u03b2 = \u22123.725, 95% CI \u22127.322 to \u22120.128, P = 0.042) and diastolic (\u03b2 = \u22122.153, 95% CI \u22124.228 to \u22120.079, P = 0.042) blood pressure and improvements in HRQoL at 3 months (\u03b2 = 0.208, 95% CI 0.073\u20130.343, P = 0.003), with persistent benefits for diastolic blood pressure and HRQoL sustained at 6 months. No significant differences were observed for cardiac-specific health status, blood glucose, lipid profile, or waist-to-height ratio.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Remotely delivered i-CARE intervention effectively promote self-care among CAD patients and may help address critical healthcare workforce shortages, while also conferring secondary benefits in blood pressure and HRQoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf509","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T12:04:33Z","timestamp":1754654673000},"page":"898-907","source":"Crossref","is-referenced-by-count":7,"title":["i-CARE: a smartphone-based intervention to enhance cardiac rehabilitation in coronary artery disease\u2014a randomized controlled 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of Hong Kong , 5\/F, Academic Building, 3 Sassoon Road, Pokfulam ,","place":["Hong Kong"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Wing","family":"Wong","sequence":"additional","affiliation":[{"name":"Pok Oi Hospital, Hospital Authority , Au Tau, Yuen Long, New Territories ,","place":["Hong Kong"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5801-880X","authenticated-orcid":false,"given":"Cathy W Y","family":"Wong","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine, The University of Hong Kong , 5\/F, Academic Building, 3 Sassoon Road, Pokfulam ,","place":["Hong Kong"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena S W","family":"Chung","sequence":"additional","affiliation":[{"name":"Tuen Mun Hospital, Hospital Authority , 23 Tsing Chung Koon Road, Tuen Mun, New Territories ,","place":["Hong 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