{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:24:46Z","timestamp":1790630686660,"version":"4.1.0"},"reference-count":92,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Technology\u2010assisted interventions offer a promising alternative to conventional cardiac rehabilitation. However, there is limited evidence on their effectiveness, particularly in non\u2010Western settings with emphasis on exercise self\u2010efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effects of a 12\u2010week, technology\u2010assisted hybrid cardiac rehabilitation (TecHCR) program on physical, physiological, and psychological outcomes of patients with coronary heart disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A two\u2010arm parallel randomized controlled trial including 160 participants was randomly assigned to either TecHCR or usual care. TecHCR was underpinned by the Health Belief Model, consisting of three supervised exercise training and occupational therapy sessions, a fitness watch for exercise self\u2010monitoring, six audio\u2010visual educational videos, and a weekly video call follow\u2010up. Data were collected at baseline, immediately post\u2010intervention, and at 24\u2009weeks post\u2010intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants in TecHCR demonstrated significantly greater improvement in exercise self\u2010efficacy (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20095.909, 95% CI [3.146, 8.672];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), health\u2010promoting behaviors (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20099.058, 95% CI [5.524, 12.591];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and perceived anxiety levels (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.255, 95% CI [\u22121.893, \u22120.616];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) at immediate post\u2010intervention and (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20098.506, 95% CI [4.951, 12.061];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u200914.563, 95% CI [8.809, 20.317];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22121.145, 95% CI [\u22121.975, \u22120.315];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007, respectively) 24\u2009weeks post\u2010intervention when compared with the control group. No statistically significant improvements were observed in perceived depression and cardiovascular risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>The TecHCR program, combining supervised sessions with technology\u2010assisted components, is an effective approach for significantly improving exercise self\u2010efficacy, health\u2010promoting behaviors, and anxiety in patients with coronary heart disease. Healthcare institutions should consider implementing hybrid programs to overcome barriers to traditional cardiac rehabilitation, leveraging technology to extend support and maintain patient engagement beyond supervised sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                      identifier: NCT04862351\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70092","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T06:21:00Z","timestamp":1766989260000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Effects of a Technology\u2010Assisted Hybrid Cardiac Rehabilitation (\n                    <scp>TecHCR<\/scp>\n                    ) Program for Adults With Coronary Heart Disease: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"22","author":[{"given":"Mei Sin","family":"Chong","sequence":"first","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet Wing Hung","family":"Sit","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai Chow","family":"Choi","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar","family":"Suhaimi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Universiti Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Jiang","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-7035","authenticated-orcid":false,"given":"Sek Ying","family":"Chair","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.repc.2018.02.006"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S104807"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.10.044"},{"key":"e_1_2_11_5_1","unstructured":"Association for Psychological Science.2016.\u201cSubmission Guidelines.\u201dhttp:\/\/www.psychologicalscience.org\/publications\/psychological_science\/ps\u2010submissions#PG."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1108\/978-1-60752-837-120251015"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2013.804804"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010023480"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/hcr.0000000000000584"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.09.013"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000328"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215513490527"},{"key":"e_1_2_11_13_1","first-page":"45","volume-title":"The Health Belief Model. 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