{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T02:55:49Z","timestamp":1789959349813,"version":"4.0.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100007229","name":"BOF","doi-asserted-by":"publisher","award":["BOF18DOC26"],"award-info":[{"award-number":["BOF18DOC26"]}],"id":[{"id":"10.13039\/501100007229","id-type":"DOI","asserted-by":"publisher"}]},{"name":"H2020 CoroPrevention","award":["848056"],"award-info":[{"award-number":["848056"]}]},{"DOI":"10.13039\/501100003130","name":"FWO","doi-asserted-by":"publisher","award":["1SE1222N"],"award-info":[{"award-number":["1SE1222N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"name":"FWO-ICA"}],"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 aim of the study is to evaluate the effectiveness of combining centre-based cardiac rehabilitation (CR) with shared decision-making (SDM) based telerehabilitation (TR) on patients\u2019 quality of life, cardiorespiratory fitness, and physical activity level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>A randomized controlled trial (NCT05026957) was conducted with 80 patients with heart disease recruited from Jessa Hospital, Hasselt. Patients were randomized to either a control group receiving standard CR or an intervention group receiving standard CR with additional SDM-based TR via the SharedHeart smartphone application. Primary outcome was quality of life (HeartQoL), while secondary outcomes included cardiorespiratory fitness (VO2peak) and physical activity levels. Data were analysed using a linear mixed model. The intervention group showed a greater improvement in quality of life [4.15 points, 95% confidence interval (CI): 0.7\u20137.6; P = 0.02], peak oxygen uptake (VO2peak) (1.1\u2005mL\/kg\/min, 95% CI: 0.04\u20132.1; P = 0.04), and number of step count [14 788 more steps\/7 days (95% CI: 4,2\u201325,3; P &amp;lt; 0.01)] over a 12-week intervention, compared with the control group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study demonstrated that the addition of SDM-based TR programme to centre-based CR significantly improved patients\u2019 quality of life, cardiorespiratory fitness, and physical activity levels compared with centre-based CR alone. The SharedHeart study stands out as one of the first to integrate a digitally supported SDM approach in CR, empowering patients to take an active role in their rehabilitation. Future research should focus on the long-term impact of digital interventions, particularly in reducing adverse cardiovascular events and enhancing patient self-management.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf537","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:12:38Z","timestamp":1756379558000},"source":"Crossref","is-referenced-by-count":12,"title":["A digitally supported shared decision-making approach for patients during cardiac rehabilitation: a randomized controlled trial"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3658-7854","authenticated-orcid":false,"given":"Sevda Ece","family":"Kizilkilic","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek 3590 ,","place":["Belgium"]},{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11, Hasselt 3500 ,","place":["Belgium"]},{"name":"Faculty of 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,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9483-3828","authenticated-orcid":false,"given":"Martijn","family":"Scherrenberg","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek 3590 ,","place":["Belgium"]},{"name":"Department of Cardiovascular Research, Faculty of Medicine and Health Sciences, Antwerp University , Universiteitsplein 1, Antwerp 2610 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindel","family":"Bonneux","sequence":"additional","affiliation":[{"name":"Human-Computer Interaction and eHealth, Faculty of Sciences, Hasselt University , Agoralaan Gebouw D, Diepenbeek 3590 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zo\u00eb","family":"Pieters","sequence":"additional","affiliation":[{"name":"Data Science Institute, Hasselt University , Agoralaan Gebouw D, Diepenbeek 3590 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3688-2108","authenticated-orcid":false,"given":"Mauricio","family":"Milani","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11, Hasselt 3500 ,","place":["Belgium"]},{"name":"Health Sciences and Technologies Graduate Program, University of Brasilia (UnB) , Brasilia, DF ,","place":["Brazil"]},{"name":"BIOMED (Biomedical Research Institute) and REVAL (Rehabilitation Research Centre), Hasselt University , Agoralaan Gebouw D, Diepenbeek 3590 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3074-2737","authenticated-orcid":false,"given":"Dominique","family":"Hansen","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital , Stadsomvaart 11, Hasselt 3500 ,","place":["Belgium"]},{"name":"BIOMED 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