{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T22:50:48Z","timestamp":1780613448518,"version":"3.54.1"},"reference-count":37,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Patient education is an integral part of recovery from a critical cardiac life event and a core component of cardiac rehabilitation (CR) programmes. This study addressed the feasibility of a virtual educational programme for behaviour change in CR patients from a low-resource setting in Brazil. Cardiac patients from a CR programme closed due to the pandemic received a 12-week virtual educational intervention (WhatsApp messages and bi-weekly calls from healthcare providers). Acceptability, demand, implementation, practicality, and limited efficacy were tested. Overall, 34 patients and 8 healthcare providers agreed to participate. The intervention was considered practical and acceptable by the participants, who reported a satisfaction median of 9.0 (7.4\u201310.0)\/10 (patients) and 9.8 (9.6\u201310.0)\/10 (providers). The main difficulties in carrying out the intervention activities were related to technology, motivation to self-learning, and a lack of in-person orientation. All the patients reported that the information included in the intervention was aligned with their information needs. The intervention was associated with changes in exercise self-efficacy, sleep quality, depressive symptoms, and performance of high-intensity physical activity. In conclusion, the intervention was considered feasible to educate cardiac patients from a low-resource setting. It should be replicated and expanded to support patients that face barriers to onsite CR participation. Challenges related to technology and self-learning should be addressed.<\/jats:p>","DOI":"10.3390\/ijerph20115934","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T01:29:26Z","timestamp":1684891766000},"page":"5934","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting"],"prefix":"10.3390","volume":"20","author":[{"given":"Rafaella Zulianello dos","family":"Santos","sequence":"first","affiliation":[{"name":"Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidnei","family":"Almeida","sequence":"additional","affiliation":[{"name":"Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Korbes","family":"Scheafer","sequence":"additional","affiliation":[{"name":"Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2476-7981","authenticated-orcid":false,"given":"Marlus","family":"Karsten","sequence":"additional","affiliation":[{"name":"Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil"},{"name":"Physical Therapy Department, University of Santa Catarina State, Florianopolis 88080-350, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Oh","sequence":"additional","affiliation":[{"name":"KITE Research Institute, University Health Network, Toronto, ON M4G 2V6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Benetti","sequence":"additional","affiliation":[{"name":"Cardio Oncology and Exercise Medicine Nucleus (NCME), University of Santa Catarina State, Florianopolis 88080-350, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7946-3718","authenticated-orcid":false,"given":"Gabriela Lima de Melo","family":"Ghisi","sequence":"additional","affiliation":[{"name":"KITE Research Institute, University Health Network, Toronto, ON M4G 2V6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.1016\/j.jacc.2019.10.009","article-title":"The Global Burden of Cardiovascular Diseases and Risk Factors","volume":"74","author":"Mensah","year":"2019","journal-title":"J. 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