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During the Covid-19 pandemic remote coaching gained further importance; however, it is not clear if Covid-19-specific telecoaching has a long-lasting impact on behaviour change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were pre-existing participants in a combined tele-monitoring and telecoaching programme for CHF. A total of 419 patients were assessed with a standardised questionnaire immediately before and three weeks after a COVID-19-specific telecoaching in April 2020, as well as eight months later. The aim of the study was to observe changes in knowledge and behaviour regarding COVID-19 risk reduction measures, number of medical contacts and self-perceived health risk over time following the telecoaching module.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After telecoaching, patients spontaneously recalled significantly more COVID-19-specific risk reduction measures rising from an average of 2.1 items prior to coaching to 2.5 at short- and long-term follow-up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0002). The number of self-reported medical contacts were significantly lower at short-term than at long-term follow-up (30% vs. 42%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0060 family doctor, 5% vs. 12%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0014 hospital). CHF patients perceived themselves as low risk for a severe COVID-19 infection, and this perception did not change after telecoaching. No difference in social isolation or concern over time were noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our longitudinal observational study suggests a possible effect of a single COVID-19-specific telecoaching module on knowledge about the disease and complying with risk reduction measures, which seems to persist over time. These results should be interpreted with caution in the context of increasing public awareness and public health campaigns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12911-026-03613-y","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T12:38:24Z","timestamp":1782131904000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Observation of risk perception, knowledge and behaviour related to covid-19 in heart failure patients enrolled on a telecoaching program"],"prefix":"10.1186","volume":"26","author":[{"given":"Stefanie","family":"Rosner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8321-3260","authenticated-orcid":false,"given":"Sarah M.","family":"Leiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Trenkwalder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amadea","family":"Erben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Kloss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wibke","family":"Reinhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2339-591X","authenticated-orcid":false,"given":"Katharina","family":"Knoll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"issue":"8","key":"3613_CR1","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1056\/NEJMoa2001017","volume":"382","author":"N Zhu","year":"2020","unstructured":"Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. 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Informed consent to participate in the tele-health programme, including data collection and presentation for research purposes was obtained from all subjects. The scientific analysis of the telehealth programme mecor [\n                      \n                      ], including this sub study, was registered at the German Clinical Trial Register with the identifier DRKS00026197 (date of Registration 15th October 2021). Personal data was processed in accordance with Directive 95\/46\/EC (GDPR; supplement a).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"C. Kloss was managing partner of HCSG. S. Leiter reports support from the FPS Foundation, which owns shares in HCSG, outside the submitted work. K. Knoll has received a grant from the German Heart Foundation\/German Foundation of Heart Research. S. Rosner, T. Trenkwalder, A. Erben, P. Fuchs, and W. Reinhard declare that they have no conflict of interest in regard to this work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"227"}}