Evidence map›Paper›PMID 41954703›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2026

A cardiac-rehab home-based mHealth program to improve physical activity in patients with coronary artery disease: a randomized controlled trial.

Sophie H Kroesen, Thijs Vonk, Malou A H Nuijten, Erwin S Zegers, Maria T E Hopman, Esmée A Bakker, Thijs M H Eijsvogels

Abstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Technology and evidence in daily cardiovascular practice.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sophie H KroesenDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-4582-0104
Thijs VonkDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands.
Malou A H NuijtenDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands.
Erwin S ZegersDepartment of Cardiology, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.
Maria T E HopmanDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands.
Esmée A BakkerDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands.
Thijs M H EijsvogelsDepartment of Medical BioSciences, Radboud University Medical Center, route 928, Nijmegen, The Netherlands. Thijs.Eijsvogels@radboudumc.nl.

Funding

Eurostars E!12527H2020 Marie Skłodowska-Curie Actions 101064851
6 · The paper itself

Abstract

purposeContemporary cardiac rehabilitation (CR) has a moderate effect on physical activity (PA), whereas novel technologies offer promise for enhancing PA levels. Therefore, we assessed the effect of a home-based smartphone training program in addition to center-based CR on PA levels in patients with coronary artery disease (CAD).

methodsCAD patients participating in CR were included in this randomized controlled trial (1:1, stratified for index diagnosis). The control group received usual care CR, whereas the intervention group additionally received a 6-week remote smartphone program. The primary outcome was the change in accelerometer-derived moderate-to-vigorous PA (MVPA) from baseline to post-CR. Secondary outcomes included changes in light intensity PA, step count, sedentary time, functional parameters, quality of life, and cardiac anxiety. A baseline-adjusted linear mixed model was used.

resultsParticipants (16% female, intervention n = 44, control n = 49) were 63 [56-69] years old and had a baseline MVPA of 1.0 (95% Confidence interval (CI): 0.9; 1.1) h/day. Changes in MVPA did not differ between the intervention (0.1 (95% CI: -0.0; 0.2) h/day) and control group post-CR (0.1 (95% CI: -0.0; 0.2) h/day, p

conclusionsA smartphone training program on top of the usual CR did not yield additional benefits. A more elaborate mHealth intervention seems needed to change PA during CR in active patients with CAD.

Indexed as

Cardiac rehabilitationCardiovascular diseaseE‑HealthExercisePrevention

Identifiers

PMID41954703
PMCPMC13090453

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.