{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:49:55Z","timestamp":1790833795696,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009392","name":"Prince Sattam bin Abdulaziz University","doi-asserted-by":"publisher","award":["PSAU\/2023\/R\/1444"],"award-info":[{"award-number":["PSAU\/2023\/R\/1444"]}],"id":[{"id":"10.13039\/100009392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Depressive symptoms are common, worsening heart failure (HF) progression and reducing quality of life. While supervised structured exercise training is effective for managing depressive symptoms, it often demands a substantial time commitment or intensive activity that may discourage participation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Evaluate the impacts of reducing sedentary time with short bouts of light physical activities or greater intensity levels on depressive symptoms after HF patients' enrollment in a home\u2010based intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 127 HF patients participated in an experimental two\u2010group design, randomly allocated to either delayed or immediate decreasing sedentary time intervention. The immediate group started the intervention immediately, while the delayed group began after the first group finished their intervention. The 8\u2010week intervention, guided by the Theory of Planned Behavior, focused on interrupting 30\u2009min of sedentary behavior with short bouts of light\u2010 or greater intensity physical activities. Demographic and clinical variables were collected at baseline. Depressive symptoms were assessed at baseline, pre\u2010intervention, and post\u2010intervention. Physical activity (daily steps) was monitored daily during the study period using the Samsung mobile health app.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups demonstrated reduced sedentary time during the intervention, with improvements in HF symptom burden. Repeated measures analysis of variance revealed a significant reduction in depressive symptoms in both groups post\u2010intervention, with a greater reduction seen in the immediate group before the delayed group began the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study highlights the effectiveness of interrupting sedentary behavior with light\u2010 or greater intensity activities in managing depressive symptoms among HF patients. The home\u2010based intervention, facilitated by mobile technology, provides a feasible and accessible approach to improving mental well\u2010being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>The findings support the broader implementation of home\u2010based interventions addressing sedentary time reduction as a valuable strategy for enhancing the mental health of HF patients, particularly those facing challenges with traditional rehabilitation programs or intense exercise.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.13039","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T04:00:44Z","timestamp":1733976044000},"page":"394-403","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Reducing sedentary behavior improves depressive symptoms among patients with heart failure enrolled in a home\u2010based mobile health app cardiac rehabilitation"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-0413","authenticated-orcid":false,"given":"Zyad T.","family":"Saleh","sequence":"first","affiliation":[{"name":"Department of Clinical Nursing, School of Nursing The University of Jordan  Amman Jordan"},{"name":"Department of Nursing Vision College  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aziz","family":"Aslano\u011flu","sequence":"additional","affiliation":[{"name":"Department of Nursing Vision College  Riyadh Saudi Arabia"},{"name":"Department of Nursing, School of Health Sciences Cyprus International University  Lefko\u015fa TRNC Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesam T.","family":"Almagharbeh","sequence":"additional","affiliation":[{"name":"Medical and surgical Nursing Department, Faculty of Nursing University of Tabuk  Tabuk Saudi 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