{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:50:45Z","timestamp":1765878645127,"version":"3.48.0"},"reference-count":32,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T00:00:00Z","timestamp":1707696000000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000327","name":"Heart Research UK","doi-asserted-by":"publisher","award":["NET21-100010"],"award-info":[{"award-number":["NET21-100010"]}],"id":[{"id":"10.13039\/501100000327","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,8,17]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cardiac rehabilitation (CR) can reduce cardiovascular mortality and improve health-related quality of life. In the United Kingdom, patient uptake of CR remains low (52%), falling well short of the target in the 2019 National Health Service long-term plan (85%). Mobile health (mHealth) technologies, offering biometric data to patients and healthcare professionals, may bridge the gap between supervised exercise and physical activity advice, enabling patients to engage in regular long-term physically active lifestyles. This randomised controlled trial (RCT) will evaluate the feasibility of mHealth technology when incorporated into a structured home-based walking intervention, in people with recent myocardial infarction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This is a feasibility, assessor blinded, parallel group RCT. Participants will be allocated to either CR standard care (control group) or CR standard care+mHealth supported exercise counselling (mHealth intervention group). Feasibility outcomes will include the number of patients approached, screened and eligible; the percentage of patients who decline CR (including reasons for declining), agree to CR and consent to being part of the study; the percentage of patients who enrol in standard CR and reasons for drop out; and the percentage of participants who complete clinical, physical and psychosocial outcomes to identify a suitable primary outcome for a future definitive trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The trial was approved in the UK by the Northwest\u2014Greater Manchester East Research Ethics Committee (22\/NW\/0301) and is being conducted in accordance with the Declaration of Helsinki and Good Clinical Practice. Results will be published in peer-reviewed journals and presented at national and international scientific meetings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration numbers<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT05774587\">NCT05774587<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-076734","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T21:10:29Z","timestamp":1707772229000},"page":"e076734","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mobile health biometrics to prescribe immediate remote physical activity for enhancing uptake to cardiac rehabilitation (MOTIVATE-CR+): protocol for a randomised controlled feasibility trial"],"prefix":"10.1136","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct05774587","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5444-397X","authenticated-orcid":false,"given":"Anthony","family":"Crozier","sequence":"first","affiliation":[{"name":"Sport and Exercise Science, Liverpool John Moores University, Faculty of Science, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Cocks","sequence":"additional","affiliation":[{"name":"Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, Merseyside, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3409-3906","authenticated-orcid":false,"given":"Katie","family":"Hesketh","sequence":"additional","affiliation":[{"name":"University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Miller","sequence":"additional","affiliation":[{"name":"Liverpool John Moores University, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gordon","family":"Mcgregor","sequence":"additional","affiliation":[{"name":"University of Warwick Warwick Clinical Trials Unit, Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Thomas","sequence":"additional","affiliation":[{"name":"Liverpool John Moores University, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8282-1459","authenticated-orcid":false,"given":"Helen","family":"Jones","sequence":"additional","affiliation":[{"name":"Liverpool John Moores University, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,12]]},"reference":[{"key":"2025121601472988000_14.2.e076734.1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-303022"},{"key":"2025121601472988000_14.2.e076734.2","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1093\/eurjpc\/zwab035","article-title":"Cardiac rehabilitation and all-cause mortality in patients with heart failure: a retrospective cohort study","volume":"28","author":"Buckley","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2025121601472988000_14.2.e076734.3","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.11686","article-title":"Association of Cardiac Rehabilitation With All-Cause Mortality Among Patients With Cardiovascular Disease in the Netherlands","volume":"3","author":"Eijsvogels","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2025121601472988000_14.2.e076734.4","doi-asserted-by":"crossref","unstructured":"Anderson L , Taylor RS . 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