{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:19:55Z","timestamp":1787771995281,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the benefits of cardiac rehabilitation (CR), women are under-represented, especially in lower-income settings. Technology may be leveraged to tailor CR to better engage women, but this has never been tested in a middle-income country. This study assessed the implementability, usability, engagement, and acceptability of Technology-bAsed Cardiac rehabilitation Therapy (TaCT) in women with cardiovascular disease (CVD) in a middle-income country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Data from intervention arm participants in a randomized trial was analyzed. The trial was undertaken in the outpatient cardiology department of a private tertiary care center in India. The 6-month CR intervention was delivered via an app (individualized secondary prevention recommendations), website (patient education), WhatsApp (standardized behavior change promotion messages, yoga\/relaxation video, support chat), and bi-weekly one-on-one phone calls with a nurse trainee (risk factor management). At the end of the intervention, participants\u2019 engagement, usability (System Usability Scale), and, acceptability (\/5) of the program were evaluated using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>50 women were randomized to intervention; one died and 49 (100%) were retained. Some participants faced challenges such as internet availability issues and technical glitches. There were no adverse events. Engagement was high for calls (mean = 11.6 \u00b1 1.4\/12), WhatsApp messages (mean = 34.2 \u00b1 4.6\/36 read) the website (74\u2013151 hits\/education page), and the mobile app (7.2 \u00b1 4.2 times\/patient); there were no group chat messages. Usability was rated as \u201cexcellent\u201d (94.7 \u00b1 5.2\/100). Acceptability with the overall intervention was high (means \u22654.5\/5), but was lower for information understandability, including diet and exercise recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Favorable implementability and acceptability, as well as excellent usability and engagement with TaCT were established. Along with favorable outcome results, this suggests that TaCT may serve as a valuable intervention to improve women\u2019s access and adherence to CR in resource-constrained environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_2200_24","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T06:00:22Z","timestamp":1753941622000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Technology\u2010bAsed cardiac rehabilitation therapy (TaCT) for women: Intervention implementability, usability, engagement and acceptability in a middle\u2010income setting"],"prefix":"10.4103","volume":"14","author":[{"given":"Henita J.","family":"Menezes","sequence":"first","affiliation":[{"name":"Department of Obstetrical and Gynaecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia R. B.","family":"D\u2019Souza","sequence":"additional","affiliation":[{"name":"Department of Obstetrical and Gynaecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramachandran","family":"Padmakumar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham S.","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohini R.","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Data Science and Computer Applications, Manipal Institute of Technology, Manipal Academy 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