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(20)Tj
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T*
[(dat)12.7(a;)-262.7(an)13.9(d)-266(\(5\))-256.7(col)12.7(lat)12.6(e,)-259.1(sum)12.9(ma)12.7(riz)12.7(e,)-264.9(an)13.9(d)-266(rep)12.8(ort)-256.8(the)-252.3(res)13(ult)13.7(s.)]TJ
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9.843 0 0 9.843 72 184.422 Tm
[(The)-414.6(CINAHL,)-423.8(PubMed,)-415.1(and)-419.2(Web)-415.7(of)-416.9(Science)-421.3(databases)]TJ
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T*
[(and)-378.8(December)-389.9(20,)-374.3(2017,)-382.2(using)-379.8(the)-379(terms)-382.2(\(serious)-384(game)-382.3(or)]TJ
T*
[(video)-369.7(game)-370.8(or)-370.8(gaming)-372(or)-370.8(digital)-366.5(game)-370.8(or)-370.8(computer)-375.3(game\))]TJ
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[(and)-344.3(\(cvd)-345.4(or)-347.8(cardiovascular)-349.5(or)-347.7()50.8(heart)-343.1(failure)46.3()-346.6(o)0(r)-342(cardiac)-352.3(or)]TJ
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[(hypertension)-522.4(or)-520.5(myocardial)-522.8(infarction)-520.5(or)-520.5(coronary)-523.7(artery)]TJ
T*
[(disease\).)-591.4(Articles)-588.1(were)-589.3(exported)-587.2(and)-580.4(mana)-8(ged)-580.4(with)-587.3(the)]TJ
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[(EndNote)-304.8(referencing)-304.8(software)-305.6(program)-303.8(\(vX8.1,)-301.2(Clarivate\).)]TJ
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[(Study)-332.3(selection)]TJ
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(21)Tj
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(a)Tj
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[(di)5.7(gi)5.7(ta)5.8(l)-357.2(g)5.8(a)5.8(m)-.8(e)]TJ
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[(virtual)-233.9(game)-226.8(world.)-228.8(In)-226.8(our)-227.9(initial)-228.4(search,)-232.2(we)-228.9(included)-224.5(articles)]TJ
T*
[(published)-316.4(in)-307.6(English)-308.5(that)-311.1(presented)-312.8(\(1\))-308.5(one)-309.7(or)-313.2(more)-306.3(partici-)]TJ
T*
[(pants)-438.6(diagnosed)-438.4(with)-431.7(a)-434.2(CVD)-438.1(condition,)-435.4(\(2\))-429.5(a)-434.2(videogame,)]TJ
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[(digital)-464.4(game,)-466.4(or)-462.9(exergame)-463.9(with)-466.3(or)-457.2(without)-464(sensors)-469(as)-458.2(an)]TJ
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[(interventio)-9.2(n;)-330.6(\(3\))-331.5(CVD-related)-341.1(physiological,)-337.2(psychological,)]TJ
T*
[(or)-232.6(behavioral)-233.6(outcomes;)-232.4(and)-229.1(\(4\))-227.9(participants)-236.9(adherence)-234.6(with)]TJ
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[(use)-465(of)-457.2(the)-459.6(gaming)-458.4(technology)-462.9(for)-458.3(CVD)-461.1(SM.)-455.6(This)-460.6(search)]TJ
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[(yielded)-384.7(1083)-384.5(articles,)-384.5(of)-382.3(which)-387.8(175)-377.7(were)-387.7(discarded)-381.9(as)-383.3(du-)]TJ
T*
[(plicates.)-476.7(Studies)-475.3(that)-478.1(did)-470(not)-475.7(report)-474.4(original)-471.1(results)-475.2(\(e.g.,)]TJ
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[(commentar)-10.2(ies,)-422.5(reviews,)-428.9(study)-425.9(protocols,)-429.2(and)-424.9(letters)-430.6(to)-428.5(the)]TJ
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[(editor\))-360.4(or)-359.3(were)-358.9(reported)-356.8(as)-360.3(poster)-359(abstracts)-358.8(or)-359.3(dissertations)]TJ
T*
[(were)-376.2(also)-374.1(excluded.)-373(The)-374.3(remaining)-370.8(abstracts)-376.1(and)-373.1(full)-373.3(texts)]TJ
T*
[(were)-353.2(then)-345.5(retrieved)-347.7(to)-342.1(conrm)-348.6(that)-345.6(they)-345.5(met)-345.6(our)-348.9(inclusion/)]TJ
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[(exclu)-8(sion)-424.8(criteria.)-425(The)-426.1(reference)-430.3(lists)-426(of)-422.6(the)-430.8(retrieved)-428.3(full)]TJ
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[(texts)-392.6(were)-393.5(also)-385.6(perused)-390(to)-388.2(identify)-390.5(any)-390.4(additional)-388.2(relevant)]TJ
T*
[(articles.)-321.2(Two)-316.4(articles)-317.7(that)-316.8(reported)-322.2(use)-315.3(of)-313.2(gaming)-320.2(platforms)]TJ
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/F9 1 Tf
1.8489 0 TD
()Tj
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[(,)-251.1(Xbox)]TJ
/F9 1 Tf
7.3823 0 0 6.5614 366.6896 532.2329 Tm
()Tj
/F6 1 Tf
9.843 0 0 9.843 372.529 527.8676 Tm
[(\))-248.7(a)0(s)-250.8(a)-249.9(telehealth)-252.3(application)-252.3(but)-245.3(not)-251.1(as)-245.1(a)-249.9(game)]TJ
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[(were)-284(excluded.)]TJ
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[(22,2)-8.6(3)]TJ
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[(Finally,)-277.5(eight)-283.4(articles)-288.9(met)-276.5(our)-285.5(inclusion/)]TJ
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[(exclu)-8(sion)-275(criteria)-277.6(for)-273.9(this)-275.2(scoping)-279.5(review.)-272.5(This)-276.2(included)-282.1(one)]TJ
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[(qualitative)-310(study)-299.2(in)-301.8(which)-301.4(participants)-305(diagnosed)-300.2(with)-305(heart)]TJ
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[(failur)-8(e)-249.9(were)-249.5(interviewed)-258.7(after)-249.8(participating)-254.6(in)-250(a)-249.9(randomized-)]TJ
T*
[(controlled)-342(trial)-341.1(\(RCT\))-342.8(of)-336.2(a)-336.3(gaming)-343.2(intervention)-338.6(that)-339.9(is)-342(cur-)]TJ
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[(rently)-301.7(in)-296.1(progress.)]TJ
7.3823 0 0 6.5614 385.455 466.5258 Tm
(24)Tj
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[(Figure)-301.4(1)-294.8(illustrates)-302.7(the)-298.3(searchs)-299.8(details.)]TJ
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[(Data)-337.7(abstraction)-337.1(and)-329.4(analysis)]TJ
/F6 1 Tf
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[(From)-523.8(the)-523(nal)-529.7(eight)-519.5(articles,)-528.5(the)-523(following)-529.5(data)-525.2(were)]TJ
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[(charted:)-571.2(\(1\))-567.7(study)-564.1(design;)-567.6(\(2\))-567.7(participants)-571(demographic)]TJ
T*
[(chara)-9(cteristics,)-450(including)-449.2(diagnosis;)-449.9(\(3\))-446.7(game)-451.5(intervention)]TJ
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[(and)-482.5(timing)-480.5(of)-480.2(use;)-483.6(\(4\))-481.3(duration)-482.5(of)-480.2(study)-483.5(period;)-481.4(and)-476.8(\(5\))]TJ
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[(measures)-422.1(and)-419.2(outcomes.)-418.9(These)-417.8(data)-421.6(were)-416.5(categorized)-427.1(and)]TJ
T*
[(organized)-324.5(in)-324.9(Microsoft)-323(Excel)-320.2(with)-322.3(use)-321(of)-319(narrative)-324.6(summa-)]TJ
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[(ries)-305(to)-301.8(report)-301.6(the)-298.3(outcomes)-306.1(from)-299.3(the)-304.1(studies.)]TJ
/F4 1 Tf
8.9663 0 0 8.9663 313.0582 332.3905 Tm
(Results)Tj
/F6 1 Tf
9.843 0 0 9.843 323.0361 315.9495 Tm
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[(A)-735.9(d)-3.5(etaile)-4.7(d)-735(o)-3.5(ve)-4.7(rvie)-4.7(w)-735.9(o)2.2(f)-735(t)-3.6(he)]TJ
13.5929 0 TD
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[(charac)-4.8(te)-4.8(ristics)-734.9(o)-3.6(f)-735.1(a)-4.8(nd)]TJ
-14.6066 -1.1116 TD
.0118 Tc
[(key)-219.7(o)4.9(ut)4.8(comes)-225.2(f)5(rom)-220.9(t)4.8(h)-.8(e)-220.8(e)3.8(igh)4.9(t)-219.8(ar)5(ticles)-219.5(i)-.9(s)-219.5(pro)4.9(vi)4.8(ded)-219.7(i)-.9(n)-219.7(T)-2(abl)4.8(e)-2(s)-219.5(1)]TJ
T*
0 Tc
[(an)25.4(d)-317.9(2)16.2(,)-320.2(r)16.2(es)25.6(p)16.2(e)15(c)15(t)0(i)26.3(v)16.2(e)15(l)0(y)26.5(.)-320.2(A)15.3(l)16.1(t)16.1(h)16.2(ou)26.6(g)16.2(h)-317.9(th)26.5(e)-319(s)16.4(e)15(a)0(r)25.5(c)15(h)-317.9(w)15.3(as)-308.4(r)16.2(e)15(st)26.7(r)16.2(i)16.1(ct)25.3(e)15(d)-317.9(t)16(o)-323.6(a)15(r)16.2(-)]TJ
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T*
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[(E)-16.2(u)9.2(rop)-16.2(e)9.2(,)]TJ
7.3823 0 0 6.5614 343.0487 265.5495 Tm
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[(24)-7.7(2)-7.7(8)]TJ
9.843 0 0 9.843 363.7416 261.1842 Tm
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[(two)-304.8(i).4(n)-299(U)-.4(n)-15.7(i)10.8(ted)-304.8(S).7(tate)-15.7(s)9.9(,)]TJ
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[(29)-5.6(,3)-5.6(0)]TJ
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[(an)25.4(d)-283.3(o)16.2(ne)-274.1(i)16.1(n)-283.3(Ja)25.6(m)15(a)15(i)16.1(ca)24.3(.)]TJ
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(31)Tj
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[(Study)-338.6(design)]TJ
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[(Because)-289.7(the)-286.8(application)-286.8(of)-284.4(gaming)-285.6(for)-285.5(CVD)-282.5(management)]TJ
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T*
[(were)-261(feasibility)-256.8(or)-255.6(pilot)-253.6(studies.)-259.8(Only)-253.1(two)-252(of)-255.6(the)-258(eight)-254.6(\(25%\))]TJ
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[(studie)-7.8(s)-421.4(reported)-431.7(a)-422.7(control)-429.6(group.)]TJ
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[(25,2)-8.6(9)]TJ
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[(Three)-429.5(studies)-429.2(\(38%\))]TJ
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[(used)-270.3(a)-267.2(pretestposttest)-274.6(design,)]TJ
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[(26,)-9.4(30,31)]TJ
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[(and)-269.4(three)-272.9(others)-266.9(\(38%\))]TJ
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[(evalu)-8(ated)-473.4(the)-471.1(feasibility)-475.6(of)-468.7(the)-476.9(intervention)-471(by)-474.5(collecting)]TJ
T*
[(adherence)-418.9(outcomes)]TJ
7.3823 0 0 6.5614 395.0361 159.5905 Tm
(27,28)Tj
9.843 0 0 9.843 415.6723 155.2252 Tm
[(or)-411.1(perspectives)-415.1(on)-405.4(the)-413.5(use)-407.4(of)-411.1(the)]TJ
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[(gaming)-360.5(intervention.)]TJ
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(24)Tj
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[(Six)-354.6(studies)-360.1(did)-354.8(not)-354.8(report)-359.2(any)-355.8(theo-)]TJ
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[(retical)-351.4(framework)-354.1(guiding)-342(the)-350.2(design)-347.5(of)-347.7(either)-349(the)-344.4(study)-345.3(or)]TJ
T*
[(the)-453.8(game)-445.7(intervention.)-451.4(The)-449.2(remaining)-451.4(two)-447.8(studie)-7.8(s)-444.4(used)-448.9(a)]TJ
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(28)Tj
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[(\),)-298.2(fr)20.9(am)18.5(ew)18.8(or)20.9(k)-306.4(t)0(o)-301.8(i)0(n)20.7(f)0(o)20.9(r)0(m)]TJ
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7.3823 0 0 6.5614 444.8125 82.885 Tm
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(30)Tj
9.843 0 0 9.843 323.0361 67.5212 Tm
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(29)Tj
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(Study)Tj
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(66)Tj
42.256 0 TD
[(RADHAKRISHNAN)-335.9(ET)-338.7(AL.)]TJ
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[(or)-313.2(older,)-309.7(with)-310.8(ve)-309.6(studies)-314(reporting)-310.8(majority)-311.1(of)-313.2(participants)]TJ
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