{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:50:14Z","timestamp":1767707414816,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T00:00:00Z","timestamp":1649289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union's Horizon 2020 research and innovation programme","award":["769807"],"award-info":[{"award-number":["769807"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Cardiac rehabilitation is an individualized outpatient program of physical exercises and medical education designed to accelerate recovery and improve health status in heart disease patients. In this study, we aimed for assessment of patients\u2019 perception of the involvement of technology and remote monitoring devices in cardiac recovery. During the Living Lab Phase of the Virtual Coaching Activities for Rehabilitation in Elderly (vCare) project, we evaluated eleven patients (five heart failure patients and six ischemic heart disease patients). Patient admission in the UMFCD cardiology clinical department served as a shared inclusion criterion for both study groups. In addition, the presence of II or III heart failure NYHA stage status was considered an inclusion criterion for the heart failure study group and patients diagnosed with ischemic heart disease for the second one. We conducted a system usability survey to assess the patients\u2019 perception of the system\u2019s technical and medical functions. The survey had excellent preliminary results in the heart failure study group and good results in the ischemic heart disease group. The limited access of patients to cardiac rehabilitation in Romania has led to increased interest and motivation in this study. The final version of the product is designed to adapt to patient needs and necessities; therefore, patient perception is necessary.<\/jats:p>","DOI":"10.3390\/diagnostics12040926","type":"journal-article","created":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T13:39:51Z","timestamp":1649338791000},"page":"926","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Patient Perception When Transitioning from Classic to Remote Assisted Cardiac Rehabilitation"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4678-9655","authenticated-orcid":false,"given":"\u0218tefan-Sebastian","family":"Busnatu","sequence":"first","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8520-6478","authenticated-orcid":false,"given":"Maria-Alexandra","family":"Pan\u0103","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4067-2333","authenticated-orcid":false,"given":"Andreea Elena","family":"L\u0103craru","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cosmina-Elena","family":"Jerc\u0103l\u0103u","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolae","family":"Paun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Clinical Hospital \u201cTheodor Burghele\u201d, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Caprino","sequence":"additional","affiliation":[{"name":"Department of Neurorehabilitation Sciences, Casa Cura Policlinico, 20144 Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2065-8523","authenticated-orcid":false,"given":"Kai","family":"Gand","sequence":"additional","affiliation":[{"name":"Research Group Digital Health, Faculty of Business and Economics, Technische Universit\u00e4t Dresden, 01062 Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-9017","authenticated-orcid":false,"given":"Hannes","family":"Schlieter","sequence":"additional","affiliation":[{"name":"Research Group Digital Health, Faculty of Business and Economics, Technische Universit\u00e4t Dresden, 01062 Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8841-6558","authenticated-orcid":false,"given":"Sofoklis","family":"Kyriazakos","sequence":"additional","affiliation":[{"name":"Department of Business Development and Technology, Aarhus University, 7400 Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u0103t\u0103lina Liliana","family":"Andrei","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5933-8549","authenticated-orcid":false,"given":"Crina-Julieta","family":"Sinescu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Medicine and Pharmacy \u201cCarol Davila\u201d, Emergency Hospital \u201cBagdasar-Arseni\u201d, 050474 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/01.HCR.0000270696.01635.aa","article-title":"Core components of cardiac rehabilitation\/secondary prevention programs: 2007 update: A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation and Prevention Committee","volume":"27","author":"Balady","year":"2007","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s43044-021-00156-7","article-title":"Cardiac rehabilitation via telerehabilitation in COVID-19 pandemic situation","volume":"73","author":"Sari","year":"2021","journal-title":"Egypt. Heart J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"h5000","DOI":"10.1136\/bmj.h5000","article-title":"Cardiac rehabilitation","volume":"351","author":"Dalal","year":"2015","journal-title":"BMJ"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.ijcard.2016.08.120","article-title":"Participation and adherence to cardiac rehabilitation programs. A systematic review","volume":"223","author":"Raposeiras","year":"2016","journal-title":"Int. J. Cardiol."},{"key":"ref_5","unstructured":"Ch\u0142o\u0144-Domi\u0144czak, A., Kotowska, I.E., Kurkiewicz, J., Stonawski, M., and Abramowska-Kmon, A. (2014). Population Ageing in Europe: Facts, Implications and Policies, European Commission."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1093\/eurjhf\/hfq154","article-title":"EURObservational Research Programme: The Heart Failure Pilot Survey (ESC-HF-Pilot)","volume":"12","author":"Maggioni","year":"2010","journal-title":"Heart Failure Association of ESC (HFA). Eur. J. Heart Fail."},{"key":"ref_7","first-page":"e25","article-title":"American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics- 2008 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee","volume":"117","author":"Rosamond","year":"2008","journal-title":"Circulation"},{"key":"ref_8","first-page":"e9349","article-title":"Global Epidemiology of Ischemic heart Disease: Results from the Global Burden of Disease Study","volume":"12","author":"Khan","year":"2020","journal-title":"Cureus"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.recesp.2014.11.009","article-title":"Acute Heart Failure: Epidemiology, Risk Factors and Prevention","volume":"68","author":"Farmakis","year":"2015","journal-title":"Rev. Esp. Cardiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e9629","DOI":"10.1097\/MD.0000000000009629","article-title":"Home-based cardiac rehabilitation improves quality of life, aerobic capacity and readmission rates in patients with chronic heart failure","volume":"97","author":"Chen","year":"2018","journal-title":"Medicine"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1002\/ejhf.2033","article-title":"A current and future outlook on upcoming technologies in remote monitoring of patients with heart failure","volume":"23","author":"Bekfani","year":"2021","journal-title":"Eur. J. Heart Fail."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e046051","DOI":"10.1136\/bmjopen-2020-046051","article-title":"How was technology been used to deliver cardiac rehabilitation during the COVID-19 pandemic? An interntional cross-sectional survey of healthcare professionals conducted by the BACPR","volume":"11","author":"Humphreys","year":"2021","journal-title":"BMJ Open"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e019656","DOI":"10.1136\/bmjopen-2017-019656","article-title":"Is exercise based cardiac rehabilitation effective? A systematic review and meta-analysis to reexamine the evidence","volume":"14","author":"Powell","year":"2018","journal-title":"BMJ Open"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.ijcard.2016.06.277","article-title":"Telerehabilitation in heart failure patients: The evidence and the pitfalls","volume":"220","author":"Piotrowicz","year":"2016","journal-title":"Int. J. Cardiol."},{"key":"ref_15","first-page":"38","article-title":"Cardiac rehabilitation past, present and future: An overview","volume":"2","author":"Mampuya","year":"2012","journal-title":"Cardiovasc. Diagn. Ther."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1093\/eurheartj\/ehy417","article-title":"Impact of ambulatory cardiac rehabilitation on cardiovascular outcomes: A long term follow-up study","volume":"40","author":"Doimo","year":"2019","journal-title":"Eur. Heart J."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Winnige, P., Filakova, K., Hnatiak, J., Dosbaba, F., Bocek, O., Pepera, G., Papathanasiou, J., Batalik, L., and Grace, S.L. (2021). Validity and Reliabilty of the Cardiac Rehabilitation Barriers Scale in the Czeck Republic. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182413113"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s12471-020-01432-y","article-title":"Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation","volume":"28","author":"Brouwers","year":"2020","journal-title":"Neth. Heart J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"103593","DOI":"10.1016\/j.ebiom.2021.103593","article-title":"Outcomes of a smartphone-based application with live health-coaching post-percutaneous coronary intervention","volume":"72","author":"Paruchuri","year":"2021","journal-title":"eBioMedicine"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"101884","DOI":"10.1109\/ACCESS.2020.2996404","article-title":"Virtual Coaches for Older Adults\u2019 Wellbeing: A systematic review","volume":"8","author":"Kamali","year":"2020","journal-title":"IEEE Access"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e016242","DOI":"10.1136\/bmjopen-2017-016242","article-title":"Telehealth and patient satisfaction: A systematic review and narrative analysis","volume":"3","author":"Kruse","year":"2017","journal-title":"BMJ Open"},{"key":"ref_22","unstructured":"(2020, September 07). Available online: https:\/\/vcare-project.eu\/project\/objectives\/."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/s11882-020-00969-7","article-title":"A review of patient and provider satisfaction with telemedicine","volume":"20","author":"Nguyen","year":"2020","journal-title":"Curr. Allergy Asthma Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"197","DOI":"10.22336\/rjo.2019.31","article-title":"Medical and legal aspects of telemedicine in ophthalmology","volume":"63","author":"Gioia","year":"2019","journal-title":"Rom. J. Ophthalmol."},{"key":"ref_25","first-page":"RA261","article-title":"Telemedicine: Medical, legal and ethical perspectives","volume":"16","author":"Clark","year":"2010","journal-title":"Med. Sci. Monit."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"215","DOI":"10.4103\/0970-258X.258220","article-title":"Telemedicine and virtual consultations: The Indian perspective","volume":"31","author":"Ateriya","year":"2018","journal-title":"Natl. Med. J. India"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the system usability scale","volume":"24","author":"Bangor","year":"2008","journal-title":"Int. J. Hum.-Comput. Interact."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e13666","DOI":"10.1111\/ijcp.13666","article-title":"Gender differences in the battle against COVID-19: Impact of genetics, comorbidities, inflammation and lifestyle on differences in outcomes","volume":"75","author":"Anca","year":"2021","journal-title":"Int. J. Clin. Pract."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1089\/tmj.2018.0302","article-title":"Digital cardiac rehabilitation programs: The Future of Patient-Centered Medicine","volume":"26","author":"Nabutovsky","year":"2020","journal-title":"Telemed. e-Health"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/s10916-020-01583-w","article-title":"Usability of an intelligent virtual assistant for promoting behaviour change and self-care in older people with type 2 diabetes","volume":"44","author":"Balsa","year":"2020","journal-title":"J. Med. Syst."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"45","DOI":"10.21037\/mhealth-20-119","article-title":"Usability testing of an electronic health application for patient activation on weight management","volume":"7","author":"Haggerty","year":"2021","journal-title":"Mhealth"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"108535","DOI":"10.1016\/j.diabres.2020.108535","article-title":"Adoption of the ADA\/EASD guidelines in 10 Eastern and Southern European countries: Physician survey and good clinical practice recommendations from and international expert panel","volume":"172","author":"Banach","year":"2021","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_33","first-page":"2055207617705548","article-title":"Patient-perceived acceptability of a virtual world-based cardiac rehabilitation program","volume":"3","author":"Brewer","year":"2017","journal-title":"Digit. Health"},{"key":"ref_34","first-page":"9","article-title":"The experiences of patients undertaking a \u2018virtual\u2019 cardiac rehabilitation program","volume":"209","author":"Banner","year":"2015","journal-title":"Stud. Health Technol. Inform."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/4\/926\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:50:07Z","timestamp":1760136607000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/4\/926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,7]]},"references-count":34,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["diagnostics12040926"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12040926","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2022,4,7]]}}}