{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:58:54Z","timestamp":1790236734278,"version":"4.1.0"},"reference-count":54,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our multi-disciplinary approach is based on mapping \u201cdesired behaviours\u201d into specific system\u2019s specifications, borrowing concepts from Fogg\u2019s Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x17697501","type":"journal-article","created":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T11:37:36Z","timestamp":1490701056000},"page":"303-316","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":56,"title":["An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided 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Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Vera-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Life Supporting Technologies, Departamento de Tecnolog\u00eda Fot\u00f3nica y Biongenier\u00eda, Universidad Polit\u00e9cnica de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Triantafyllidis","sequence":"additional","affiliation":[{"name":"Laboratory of Medical Informatics, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Fernanda","family":"Cabrera Umpi\u00e9rrez","sequence":"additional","affiliation":[{"name":"Life Supporting Technologies, Departamento de Tecnolog\u00eda Fot\u00f3nica y Biongenier\u00eda, Universidad Polit\u00e9cnica de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Arredondo Waldmeyer","sequence":"additional","affiliation":[{"name":"Life Supporting Technologies, Departamento de Tecnolog\u00eda Fot\u00f3nica y Biongenier\u00eda, Universidad Polit\u00e9cnica de Madrid, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Skobel","sequence":"additional","affiliation":[{"name":"Clinic for Cardiac and Pulmonary Rehabilitation, Rosenquelle, Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Knackstedt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, RWTH Aachen University, Aachen, Germany"},{"name":"Maastricht University Medical Centre, Dept. of Cardiology, Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilkka","family":"Liedes","sequence":"additional","affiliation":[{"name":"VTT Technical Research Centre of Finland Ltd, Tampere, 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