{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:40:47Z","timestamp":1778622047356,"version":"3.51.4"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"15","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,8,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Despite its established effectiveness, adherence to cardiac rehabilitation remains suboptimal. The purpose of our study is to examine whether mobile technology improves adherence to cardiac rehabilitation and other outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We identified all enrollees of the cardiac rehabilitation program at Boston Medical Center from 2016 to 2019 (n=830). Some enrollees used a mobile technology application that provided a customized list of educational content in a progressive manner, used the patient\u2019s smartphone accelerometer to provide daily step counts, and served as a 2\u2010way messaging system between the patient and program staff. Adherence to cardiac rehabilitation was defined as the number of attended sessions and completion of the program. Enrollees had a mean age of 59\u00a0years; 32% were women, and 42% were Black. Using 3:1 propensity matching for age, sex, race\/ethnicity, education, smoking status, transportation time, diagnosis, and baseline depression survey score, we evaluated change in exercise capacity, weight, functional capacity, and nutrition scores. Those in the mobile technology group (n=114) attended a higher number of prescribed sessions (mean 28 versus 22; relative risk, 1.17; 95% CI, 1.04\u20131.32;\n              <jats:italic>P<\/jats:italic>\n              =0.009), were 1.8 times more likely to complete the cardiac rehabilitation program (\n              <jats:italic>P<\/jats:italic>\n              =0.01), and had a slightly greater weight loss (pounds) following rehabilitation (\u22121.71; 95% CI, \u22120.30 to \u22123.11;\n              <jats:italic>P<\/jats:italic>\n              =0.02) as compared with those in the standard group (n=213); other outcomes were similar between the groups.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">In a propensity\u2010matched, racially diverse population, we found that adjunctive use of mobile technology is significantly associated with improved adherence to cardiac rehabilitation and number of attended sessions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.020482","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T09:02:35Z","timestamp":1626685355000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":33,"title":["Mobile Technology Improves Adherence to Cardiac Rehabilitation: A Propensity Score\u2013Matched Study"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2089-8244","authenticated-orcid":false,"given":"Tasnim F.","family":"Imran","sequence":"first","affiliation":[{"name":"Department of Medicine, Cardiology Section Boston Medical Center Boston University School of Medicine Boston MA"},{"name":"Warren Alpert Medical School of Brown UniversitySection of CardiologyRhode Island and Miriam Hospitals Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Wang","sequence":"additional","affiliation":[{"name":"Biostatistics and Epidemiology Data Analytics Center Boston University School of Public Health Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Zombeck","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cardiology Section Boston Medical Center Boston University School of Medicine Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary J.","family":"Balady","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cardiology Section Boston Medical Center Boston University School of Medicine Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","first-page":"1","article-title":"Deaths: leading causes for 2009","volume":"61","author":"Heron M","year":"2012","unstructured":"Heron M. Deaths: leading causes for 2009. Natl Vital Stat Rep. 2012;61:1\u201394.","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.113.000568"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.180945"},{"key":"e_1_3_1_5_2","first-page":"CD001800","article-title":"Exercise\u2010based cardiac rehabilitation for coronary heart disease","volume":"7","author":"Heran BS","year":"2011","unstructured":"Heran BS, Chen JM, Ebrahim S, Moxham T, Oldridge N, Rees K, Thompson DR, Taylor RS. Exercise\u2010based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2011;7:CD001800.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3283313592"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31823b21e2"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.01.004"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.876383"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.045559"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1520-037X.2005.3703.x"},{"key":"e_1_3_1_12_2","unstructured":"Pew Research Center Mobile Fact Sheet February (2019). Pew Research Center. https:\/\/www.pewresearch.org\/internet\/fact\u2010sheet\/mobile\/ Accessed August 2 2020."},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000232"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00008483-200107000-00003"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00843-1"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.01.016"},{"key":"e_1_3_1_17_2","volume-title":"American College of Sports Medicine Guidelines for Exercise Testing and Prescription","author":"Whaley MH","year":"2006","unstructured":"Whaley MH (ed). American College of Sports Medicine Guidelines for Exercise Testing and Prescription. 7th Ed. New York: Lippincott, Williams & Wilkins; 2006.","edition":"7"},{"key":"e_1_3_1_18_2","first-page":"2889","article-title":"ACC\/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines","volume":"2014","author":"Stone NJ","year":"2013","unstructured":"Stone NJ, Robinson JG, Lichtenstein AH, Bairey Merz CN, Blum CB, Eckel RH, Goldberg AC, Gordon D, Levy D, Lloyd\u2010Jones DM, et al. ACC\/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;2014:2889\u2013934. DOI: 10.1016\/j.jacc.2013.11.002.","journal-title":"J Am Coll Cardiol"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.11.003"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2003.09.017"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_3_1_22_2","volume-title":"Manual for the Beck Depression Inventory","author":"Beck AT","year":"1987","unstructured":"Beck AT, Steer RA. Manual for the Beck Depression Inventory. San Antonio, TX: The Psychological Corporation; 1987."},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3182(12)80186-5"},{"key":"e_1_3_1_24_2","unstructured":"Nelson EC Wasson JH Johnson DJ Hays RD. Dartmouth COOP Functional Health Assessment Charts: brief measures for clinical practice. http:\/\/www.dartmouth.edu\/~coopproj\/more_coop.html Accessed August 1 2020."},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-B"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2011.06.008"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.119.005902"},{"key":"e_1_3_1_28_2","first-page":"220","article-title":"Two models of early cardiac rehabilitation in male patients after myocardial infarction with preserved left ventricular function: comparison of standard out\u2010patient versus hybrid training programmes","volume":"69","author":"Korzeniowska\u2010Kubacka I","year":"2011","unstructured":"Korzeniowska\u2010Kubacka I, Dobraszkiewicz\u2010Wasilewska B, Bili\u0144ska M, Rydzewska E, Piotrowicz R. Two models of early cardiac rehabilitation in male patients after myocardial infarction with preserved left ventricular function: comparison of standard out\u2010patient versus hybrid training programmes. Kardiol Pol. 2011;69:220\u2013226.","journal-title":"Kardiol Pol"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12265-015-9629-1"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000058"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2018.07.028"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18792808"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-305783"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-016-0897-8"},{"key":"e_1_3_1_35_2","doi-asserted-by":"publisher","DOI":"10.1109\/JBHI.2017.2782209"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.120.020482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:47:45Z","timestamp":1715600865000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.120.020482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,3]]},"references-count":34,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2021,8,3]]}},"alternative-id":["10.1161\/JAHA.120.020482"],"URL":"https:\/\/doi.org\/10.1161\/jaha.120.020482","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,3]]},"assertion":[{"value":"2020-12-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e020482"}}