{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:09:13Z","timestamp":1787785753487,"version":"build-2784847793"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T00:00:00Z","timestamp":1573171200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Cardiac tele-rehabilitation is defined as using information and communication technology to support rehabilitation services. However, it requires a high level of patient activation and health literacy; this has not yet been explored. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aims:<\/jats:title><jats:p> The purpose of this study was to evaluate patient activation and health literacy in tele-rehabilitation compared to hospital-based cardiac rehabilitation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> We conducted a pilot study in patients with ischaemic or heart valve disease. In a non-randomised design, 24 patients attended a 12-week tele-rehabilitation programme, and 53 matched controls a 12-week hospital-based cardiac rehabilitation programme. The primary outcome was patient activation, which was assessed using the Patient Activation Measure before the intervention, at the end of the intervention and at follow-up six months after the intervention. The secondary outcome was health literacy, assessed using three dimensions from the Health Literacy Questionnaire before rehabilitation and at six-month follow-up: actively manage my health (HLQ3), ability to engage with healthcare providers (HLQ6) and understanding health information (HLQ9). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Patient activation improved similarly in tele-rehabilitation and hospital-based cardiac rehabilitation at all time points. Six months after the intervention, patients in tele-rehabilitation significantly improved on the dimension HLQ6 compared to patients in hospital-based cardiac rehabilitation. No significant between-group differences were found in HLQ3 or HLQ9. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Tele-rehabilitation and hospital-based cardiac rehabilitation seemed to be equally successful in improving patient activation and health literacy. Tele-rehabilitation should be further tested in a randomised controlled trial, with a focus on whether patient levels of education and self-management at the initiation of rehabilitation are decisive factors for tele-rehabilitation participation. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1474515119885325","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T17:15:43Z","timestamp":1573233343000},"page":"376-385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Tele-rehabilitation and hospital-based cardiac rehabilitation are comparable in increasing patient activation and health literacy: A pilot study"],"prefix":"10.1093","volume":"19","author":[{"given":"Marie V","family":"Knudsen","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Denmark"},{"name":"Centre of Research in Rehabilitation, Aarhus University, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemette K","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Denmark"},{"name":"Centre of Research in Rehabilitation, Aarhus University, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanne","family":"Angel","sequence":"additional","affiliation":[{"name":"Nursing and Health Care, Aarhus University, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vibeke E","family":"Hjortdal","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark"},{"name":"Department of Clinical Medicine, Aarhus University, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle T","family":"Maindal","sequence":"additional","affiliation":[{"name":"Health Promotion and Population Health, Aarhus University, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sussie","family":"Laustsen","sequence":"additional","affiliation":[{"name":"Centre of Research in Rehabilitation, Aarhus University, Denmark"},{"name":"Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Denmark"},{"name":"Faculty of Health Sciences (Nursing), VIA University College, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,11,8]]},"reference":[{"key":"bibr1-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X14562732"},{"key":"bibr2-1474515119885325","first-page":"Cd007130","volume":"6","author":"Anderson L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr3-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328334f42d"},{"key":"bibr4-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw106"},{"key":"bibr5-1474515119885325","first-page":"Cd008895","volume":"6","author":"Anderson L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr6-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"bibr7-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00269.x"},{"key":"bibr8-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00438.x"},{"key":"bibr9-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1177\/2047487317703827"},{"key":"bibr10-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1177\/1077558715573871"},{"key":"bibr11-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-80"},{"key":"bibr12-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009627"},{"key":"bibr13-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1177\/2047487317729538"},{"key":"bibr14-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177658"},{"key":"bibr15-1474515119885325","first-page":"Cd001800","author":"Anderson L","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr16-1474515119885325","first-page":"Cd002902","volume":"4","author":"Richards SH","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr17-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31829b5b44"},{"key":"bibr18-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"bibr19-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-016-2887-9"},{"key":"bibr20-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-209"},{"key":"bibr21-1474515119885325","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2006.00669.x"},{"key":"bibr22-1474515119885325","unstructured":"Insigna Health. 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