{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T21:03:02Z","timestamp":1791925382814,"version":"4.3.4"},"reference-count":57,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long-term adherence to exercise is often poor for people with coronary heart disease (CHD) who have completed supervised, centre-based cardiac rehabilitation. The aim of this study is to assess the feasibility of a remotely prescribed, delivered and monitored cardiac rehabilitation intervention using a wearable device to support long-term adherence to exercise and physical activity during maintenance of cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>After completing cardiac rehabilitation, 30 participants with CHD, will be randomised (1:1) to an intervention ( n\u2009=\u200915) or a usual care group ( n\u2009=\u200915) in a 12-month feasibility randomised controlled trial (RCT). The intervention will comprise of an exercise consultation, personalised exercise prescription delivered via a wearable activity monitor using biometric feedback, regular monitoring via check-ins, and feedback text-messages for 6-months. Participants will be assessed at baseline (following completion of cardiac rehabilitation) and at three-, six-, and 12-months post-randomisation. The primary outcome will be feasibility, including assessment of eligibility, recruitment, adherence, and acceptability. Secondary outcomes will include exercise capacity, physical activity behaviours, cardiovascular disease risk and quality of life. Semi-structured interviews will be conducted at three-, six-, and 12-months post-randomisation (and with those who drop-out) to explore the acceptability of the study intervention and procedures. A questionnaire will be offered to those who decline participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The MAINTAIN study will evaluate the feasibility of conducting a future definitive multi-centre RCT testing a remotely prescribed and monitored long-term mHealth maintenance exercise programme, versus usual care, for people with CHD who have completed cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ClinicalTrials.gov, NCT05292287. Registered on 22\/03\/2022<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076231152176","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T01:33:52Z","timestamp":1676511232000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Remote maintenance cardiac rehabilitation (MAINTAIN): A protocol for a randomised feasibility study"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1016-1786","authenticated-orcid":false,"given":"Francesca","family":"Denton","sequence":"first","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Waddell","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Kite","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"},{"name":"Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"},{"name":"School of Public Health Studies, Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Hesketh","sequence":"additional","affiliation":[{"name":"Research Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lou","family":"Atkinson","sequence":"additional","affiliation":[{"name":"School of Psychology, College of Health and Life Sciences, Aston University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Cocks","sequence":"additional","affiliation":[{"name":"Research Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Jones","sequence":"additional","affiliation":[{"name":"Research Institute of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpal","family":"Randeva","sequence":"additional","affiliation":[{"name":"Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Davenport","sequence":"additional","affiliation":[{"name":"UK Department of Cardiopulmonary Rehabilitation, Centre for Exercise & Health, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Powell","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"},{"name":"UK Department of Cardiopulmonary Rehabilitation, Centre for Exercise & Health, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cain","family":"Clark","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"},{"name":"Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6997-3439","authenticated-orcid":false,"given":"Ioannis","family":"Kyrou","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"},{"name":"Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"},{"name":"Aston Medical School, College of Health and Life Sciences, Aston University, Birmingham, UK"},{"name":"Laboratory of Dietetics and Quality of Life, School of Food and Nutritional Sciences, Department of Food Science & Human Nutrition, Agricultural University of Athens, Athens, Greece"},{"name":"Warwick Medical School, University of Warwick, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E","family":"Harwood","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8963-9107","authenticated-orcid":false,"given":"Gordon","family":"McGregor","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing, Coventry University, Coventry, UK"},{"name":"UK Department of Cardiopulmonary Rehabilitation, Centre for Exercise & Health, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK"},{"name":"Warwick Medical School, University of Warwick, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"bibr1-20552076231152176","unstructured":"British Heart Foundation. Heart statistics - Heart and Circulatory Diseases in the UK | BHF, https:\/\/www.bhf.org.uk\/what-we-do\/our-research\/heart-statistics (accessed March 28, 2022)."},{"key":"bibr2-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.6.597"},{"key":"bibr3-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1177\/2047487319878958"},{"key":"bibr4-20552076231152176","unstructured":"NICE. Acute coronary syndromes NICE guideline, www.nice.org.uk\/guidance\/ng185 (2020, accessed March 28, 2022)."},{"key":"bibr5-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-036089"},{"key":"bibr6-20552076231152176","first-page":"CD007130","volume":"6","author":"Anderson L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr7-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000663"},{"key":"bibr8-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.04.016"},{"key":"bibr9-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.5218"},{"key":"bibr10-20552076231152176","doi-asserted-by":"publisher","DOI":"10.3390\/jcm7120514"},{"issue":"5","key":"bibr11-20552076231152176","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1177\/2047487320924912","volume":"28","author":"Abreu A","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"bibr12-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjr.0000086303.28200.50"},{"key":"bibr13-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1177\/0145445502238692"},{"key":"bibr14-20552076231152176","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20090706-03"},{"key":"bibr15-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2015.03.023"},{"key":"bibr16-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2020-000960"},{"key":"bibr17-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2020-001359"},{"key":"bibr18-20552076231152176","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179244"},{"key":"bibr19-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-046051"},{"issue":"12","key":"bibr20-20552076231152176","first-page":"1","volume":"21","author":"Falter M","year":"2021","journal-title":"Sensors (Switzerland)"},{"key":"bibr21-20552076231152176","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11133772"},{"key":"bibr22-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-020-00955-2"},{"key":"bibr23-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1177\/0890117118816278"},{"key":"bibr24-20552076231152176","first-page":"1","volume":"0","author":"Laranjo L","year":"2020","journal-title":"Br J Sports Med"},{"key":"bibr25-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1177\/2047487320905717"},{"key":"bibr26-20552076231152176","doi-asserted-by":"publisher","DOI":"10.2196\/20468"},{"key":"bibr27-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2018.02.001"},{"key":"bibr28-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/s40798-019-0214-z"},{"key":"bibr29-20552076231152176","volume":"1","author":"Schwarzer R","year":"1995","journal-title":"Causal Control Beliefs"},{"key":"bibr30-20552076231152176","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-3-201302050-00583"},{"key":"bibr31-20552076231152176","unstructured":"American College of Sports Medicine. ACSM\u2019s Guidelines for exercise testing and prescription. 10th ed. Riverwoods, IL: Lippincott Williams & Wilkins, 2017, 10th ed. Philadelphia: Wolters Kluwer, 2018."},{"key":"bibr32-20552076231152176","unstructured":"Polar. Polar Ignite Fitness Watch, https:\/\/www.polar.com\/uk-en\/ignite\/?wgu\u2009=\u2009293045_1347475_16709457216353_b856fdae66&wgexpiry\u2009=\u20091702481721&source\u2009=\u2009webgains&siteid\u2009=\u20091347475 (accessed 13 December 2022)."},{"key":"bibr33-20552076231152176","unstructured":"Polar Store. Polar Ignite - Fitness Watch with Advanced Wrist-Based Optical Heart rate Monitor, Training Guide, GPS, Waterproof, https:\/\/www.amazon.co.uk\/Fitness-Advanced-Wrist-Based-Training-Waterproof\/dp\/B07T3GTHFY?source\u2009=\u2009ps-sl-shoppingads-lpcontext&ref_\u2009=\u2009fplfs&smid\u2009=\u2009A3P5ROKL5A1OLE&th\u2009=\u20091&psc\u2009=\u20091 (accessed 13 December 2022)."},{"issue":"3","key":"bibr34-20552076231152176","first-page":"e001158","volume":"7","author":"Jones H","year":"2021","journal-title":"BMJ Open SEM"},{"key":"bibr35-20552076231152176","unstructured":"Association of Chartered Physiotherapists in Cardiac Rehabilitation. ACPICR Standards Standards for Physical Activity and Exercise in the Cardiovascular Population. 3rd ed. https:\/\/www.acpicr.com\/data\/Page_Downloads\/ACPICRStandards.pdf (2015, accessed 15 December 2022)."},{"key":"bibr36-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"bibr37-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/thx.47.12.1019"},{"issue":"8","key":"bibr38-20552076231152176","doi-asserted-by":"crossref","first-page":"e0134606","DOI":"10.1371\/journal.pone.0134606","volume":"10","author":"Aadland E","journal-title":"PLoS One"},{"key":"bibr39-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1080\/1091367X.2015.1054390"},{"issue":"3","key":"bibr40-20552076231152176","first-page":"141","volume":"10","author":"Godin G","year":"1985","journal-title":"Can J Appl Sci"},{"key":"bibr41-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-303640"},{"key":"bibr42-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(91)90870-Q"},{"key":"bibr43-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"bibr44-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"bibr45-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"bibr46-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00269.x"},{"key":"bibr47-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9903-x"},{"key":"bibr48-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-016-0105-8"},{"key":"bibr49-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1177\/0962280215588241"},{"key":"bibr50-20552076231152176","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"bibr51-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780141709"},{"key":"bibr52-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c332"},{"key":"bibr53-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-353"},{"key":"bibr54-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr55-20552076231152176","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-019-0126-8"},{"key":"bibr56-20552076231152176","unstructured":"The NHS Long Term Plan. www.longtermplan.nhs.uk (2019, accessed March 28, 2022)."},{"key":"bibr57-20552076231152176","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2301028"}],"container-title":["DIGITAL HEALTH"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076231152176","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20552076231152176","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552076231152176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:52:39Z","timestamp":1777398759000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20552076231152176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":57,"alternative-id":["10.1177\/20552076231152176"],"URL":"https:\/\/doi.org\/10.1177\/20552076231152176","relation":{},"ISSN":["2055-2076","2055-2076"],"issn-type":[{"value":"2055-2076","type":"print"},{"value":"2055-2076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"20552076231152176"}}