Trial reportInternational journal of nursing studies2011
The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: A randomized clinical trial.
Trial report in International journal of nursing studies, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review.BMC cardiovascular disorders · 2021Pooled it
- A Systematic Review of the Diagnostic Accuracy of Depression Questionnaires for Cardiac Populations: IMPLICATIONS FOR CARDIAC REHABILITATION.Journal of cardiopulmonary rehabilitation and prevention · 2019Pooled it
- Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019Pooled it
- Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017Pooled it
- Physiological and exercise capacity improvements in women completing cardiac rehabilitation.Journal of cardiopulmonary rehabilitation and preventionTrial
- Improvements in heart rate recovery among women after cardiac rehabilitation completion.The Journal of cardiovascular nursingTrial
- Anxiety and Depression in Women's Cardiovascular Health: Risk Modifiers, Mechanisms and Clinical Implications.Journal of cardiovascular development and disease · 2026Review
- Determinants of Maximal Oxygen Consumption in Cardiac Rehabilitation Patients: The Role of Sex.Journal of clinical medicine · 2026Article
- The Bidirectionality of Psychosocial Stress and Cardiovascular Disease Risk in Women; Recognition and Strategies for Management.Current atherosclerosis reports · 2025Review
- Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review.Health psychology review · 2024Article
- Exercise-based cardiac rehabilitation in women with heart failure: a review of enrollment, adherence, and outcomes.Heart failure reviews · 2023Review
- Sex Differences in Cardiac Rehabilitation Outcomes.Circulation research · 2022Review
- Women's outcomes following mixed-sex, women-only, and home-based cardiac rehabilitation participation and comparison by sex.BMC women's health · 2021Article
- A Mobile Health Intervention System for Women With Coronary Heart Disease: Usability Study.JMIR formative research · 2020Article
- Acute myocardial infarction in young women: current perspectives.International journal of women's health · 2018Review
- Acute Coronary Syndromes: Differences in Men and Women.Current atherosclerosis reports · 2016Review
- Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science: A Scientific Statement From the American Heart Association.Circulation · 2016Review
- Cardiac rehabilitation may not provided a quality of life benefit in coronary artery disease patients.BMC health services research · 2012Article
- Clinical and scientific progress related to the interface between cardiology and psychology: lessons learned from 35 years of experience at the Thoraxcenter of the Erasmus Medical Center in Rotterdam.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2011Article
- The association between variants on chromosome 9p21 and inflammatory biomarkers in ethnically diverse women with coronary heart disease: a pilot study.Biological research for nursing · 2011Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDepression is known to co-occur with coronary heart disease (CHD). Depression may also inhibit the effectiveness of cardiac rehabilitation (CR) programs by decreasing adherence. Higher prevalence of depression in women may place them at increased risk for non-adherence.
objectiveTo assess the impact of a modified, stage-of-change-matched, gender-tailored CR program for reducing depressive symptoms among women with CHD.
methodsA two-group randomized clinical trial compared depressive symptoms of women in a traditional 12-week CR program to those completing a tailored program that included motivational interviewing guided by the Transtheoretical Model of behavior change. Women in the experimental group also participated in a gender-tailored exercise protocol that excluded men. The Center for Epidemiological Studies Depression (CES-D) Scale was administered to 225 women at baseline, post-intervention, and at 6-month follow-up. Analysis of Variance was used to compare changes in depression scores over time.
resultsBaseline CES-D scores were 17.3 and 16.5 for the tailored and traditional groups, respectively. Post-intervention mean scores were 11.0 and 14.3; 6-month follow-up scores were 13.0 and 15.2, respectively. A significant group by time interaction was found for CES-D scores (F(2, 446)=4.42, p=.013). Follow-up tests revealed that the CES-D scores for the traditional group did not differ over time (F(2, 446)=2.00, p=.137). By contrast, the tailored group showed significantly decreased CES-D scores from baseline to post-test (F(1, 223)=50.34, p<.001); despite the slight rise from post-test to 6-month follow-up, CES-D scores remained lower than baseline (F(1, 223)=19.25, p<.001).
conclusionThis study demonstrated that a modified, gender-tailored CR program reduced depressive symptoms in women when compared to a traditional program. To the extent that depression hinders CR adherence, such tailored programs have potential to improve outcomes for women by maximizing adherence. Future studies should explore the mechanism by which such programs produce benefits.
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Registered trials
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.