{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T19:29:25Z","timestamp":1771356565267,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Research foundation Capital Region of Denmark.","award":["A7502"],"award-info":[{"award-number":["A7502"]}]},{"DOI":"10.13039\/501100003554","name":"Lundbeck Foundation","doi-asserted-by":"publisher","award":["8671"],"award-info":[{"award-number":["8671"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University Hospital Amager and Hvidovre Hospital","award":["none"],"award-info":[{"award-number":["none"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,9,11]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"\n Introduction<\/jats:title>\n Cardiac rehabilitation has traditionally been administered through face-to-face consultations with a specialised team of nurses, medical doctors and physiotherapists. However, the healthcare system is undergoing a significant digital transformation, which may lead to telemedicine (TM) becoming a cornerstone of healthcare. However, successful TM requires digital competencies among both patients and health professionals. This trial will examine the best methods of onboarding patients to TM by way of a co-designed cardiac telerehabilitation model with a family-focused approach.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n The aim is to investigate how patients and family members could benefit from using TM, including video consultations and home monitoring, for cardiac rehabilitation. We ask how patients\u2019 health literacy, digital health literacy, health-related quality of life and family support would be affected by a shift to TM.<\/jats:p>\n <\/jats:sec>\n \n Methods and analysis<\/jats:title>\n \n The primary outcome is the Health Literacy Questionnaire, and secondary outcomes are the eHealth Literacy Questionnaire, European Quality of Life\u2014Five Dimensions Scale, and the Iceland\u2014Family Perceived Support Questionnaire. The sample size is 73 patients in each group. Data will be analysed with \u03c7\n 2<\/jats:sup>\n or Fisher\u2019s exact tests, a t-test or a Wilcoxon signed-rank test, depending on the distribution.\n <\/jats:p>\n <\/jats:sec>\n \n Ethics and dissemination<\/jats:title>\n \n Approval for this trial was obtained from the Danish Data Protection Agency (P-2023-65) and the National Committee on Health Research Ethics (F-23075094). The trial will be conducted in compliance with the Declaration of Helsinki. The trial results\u2014whether positive, neutral or negative\u2014will be submitted for publication. The trial has been registered at ClinicalTrials.gov (\n NCT06320652<\/jats:ext-link>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Trial registration number<\/jats:title>\n \n (\n NCT06320652<\/jats:ext-link>\n ).\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-101099","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T05:55:34Z","timestamp":1759470934000},"page":"e101099","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluating a co-created model for video consultations in cardiac rehabilitation: impact on health literacy, quality of life and family support\u2014a study protocol"],"prefix":"10.1136","volume":"15","clinical-trial-number":[{"clinical-trial-number":"nct06320652","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06320652","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06320652","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-2975","authenticated-orcid":false,"given":"Stine","family":"Rosenstr\u00f8m","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hvidovre Hospital, Hvidovre, Denmark"},{"name":"Department of People and Technology, Roskilde Universitet, Roskilde, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Cecilie Tjustrup","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hvidovre Hospital, Hvidovre, Denmark"},{"name":"Department of People and Technology, Roskilde Universitet, Roskilde, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kallemose","sequence":"additional","affiliation":[{"name":"Clinical Research Centre, Hvidovre Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Signe Stelling","family":"Risom","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Herlev Hospital, Herlev, Denmark"},{"name":"Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"},{"name":"Institute of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens Dahlgaard","family":"Hove","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hvidovre Hospital, Hvidovre, Denmark"},{"name":"Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Br\u00f8dsgaard","sequence":"additional","affiliation":[{"name":"Department of People and Technology, Roskilde Universitet, Roskilde, Denmark"},{"name":"Department of Obstetrics and Gynaecology, Copenhagen, Copenhagen University Hospital, Kobenhavn, Denmark"},{"name":"Department of Paediatrics and Adolescent Medicine, Hvidovre Hospital, Hvidovre, Denmark"},{"name":"Department of Public Health, Aarhus Universitet, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"2025120415051348000_15.10.e101099.1","doi-asserted-by":"crossref","DOI":"10.5334\/gh.1288","article-title":"The Heart of the World","volume":"19","author":"Di Cesare","year":"2024","journal-title":"Glob Heart"},{"key":"2025120415051348000_15.10.e101099.2","unstructured":"European Society of Cardiology . 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