Evidence map›Paper›PMID 27110376›Full record

ArticleOpen heart

Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial.

Amir Vahedian-Azimi, Andrew C Miller, Mohammadreza Hajiesmaieli, Mari Kangasniemi, Fatemah Alhani, Hosseinali Jelvehmoghaddam, Mohammad Fathi, Behrooz Farzanegan, Seyed H Ardehali, Sevak Hatamian and 5 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02402582 (Family-Centered Empowerment Model With Four-stage Including Perceived Threat With Group Discussion Method, Self-efficacy With Problem Solving Method, Self-esteem With Educational Partnership, and Outcome and Process Evaluations), which is not on this map. Cited by 25 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 7 pooled it
4.0field-weighted citation impact, top 6% of its field
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.

NCT02402582 nacompletednot on this map

Family-Centered Empowerment Model With Four-stage Including Perceived Threat With Group Discussion Method, Self-efficacy With Problem Solving Method, Self-esteem With Educational Partnership, and Outcome and Process Evaluations

TypeinterventionalSponsorBaqiyatallah Medical Sciences UniversityRan2012 to 2023Enrolled70ConditionsAcute Myocardial Infarction: Rehabilitation PhaseArmsFamily-centered empowerment model, Control
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 7 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  5. Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019
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  6. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2017
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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

15 authors at 7 institutions in 3 countries.

Amir Vahedian-AzimiTrauma Research Center and Nursing Faculty , Baqiyatallah University of Medical Sciences , Tehran , Iran.
Andrew C MillerDepartment of Emergency Medicine, West Virginia University, Morgantown, West Virginia, USA; Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-8474-5090
Mohammadreza HajiesmaieliDepartment of Anesthesia and Critical Care Medicine , Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Mari KangasniemiDepartment of Nursing Science , University of Eastern Finland , Kuopio , Finland.
Fatemah AlhaniDepartment of Nursing , Tarbiat Modares University , Tehran , Iran.
Hosseinali JelvehmoghaddamDepartment of Anesthesia , Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Mohammad FathiDepartment of Anesthesia and Critical Care Medicine , Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Behrooz FarzaneganAnesthesia and Critical Care Medicine Department , Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Seyed H ArdehaliAnesthesia and Critical Care Medicine Department , Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Sevak HatamianAnesthesia and Critical Care Medicine Department , Alborz University of Medical Sciences , Tehran , Iran.
Mehdi GahremaniDepartment of Anesthesia and Critical Care Medicine , Loghman Clinical Research Development Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Seyed M M MosavinasabTrauma Research Center and Nursing Faculty , Baqiyatallah University of Medical Sciences , Tehran , Iran.
Zohreh RostamiNephrology and Urology Research Center , Baqiyatallah University of Medical Sciences , Tehran , Iran.
Seyed J MadaniTrauma Research Center , Baqiyatallah University of Medical Sciences , Tehran , Iran.
Morteza IzadiHealth Research Center , Baqiyatallah University of Medical Sciences , Tehran , Iran.
Baqiyatallah University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRAlborz University of Medical SciencesMasih Daneshvari Hospital · IRTarbiat Modares University · IRUniversity of Eastern Finland · FIWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if a hybrid cardiac rehabilitation (CR) programme using the Family-Centered Empowerment Model (FCEM) as compared with standard CR will improve patient quality of life, perceived stress and state anxiety of patients with myocardial infarction (MI).

methodsWe conducted a randomised controlled trial in which patients received either standard home CR or CR using the FCEM strategy. Patient empowerment was measured with FCEM questionnaires preintervention and postintervention for a total of 9 assessments. Quality of life, perceived stress, and state and trait anxiety were assessed using the 36-Item Short Form Health Survey (SF-36), the 14-item Perceived Stress, and the 20-item State and 20-item Trait Anxiety questionnaires, respectively.

results70 patients were randomised. Baseline characteristics were similar. Ejection fraction was significantly higher in the intervention group at measurements 2 (p=0.01) and 3 (p=0.001). Exercise tolerance measured as walking distance was significantly improved in the intervention group throughout the study. The quality of life results in the FCEM group showed significant improvement both within the group over time (p<0.0001) and when compared with control (p<0.0001). Similarly, the perceived stress and state anxiety results showed significant improvement both within the FCEM group over time (p<0.0001) and when compared with control (p<0.0001). No significant difference was found either within or between groups for trait anxiety.

conclusionsThe family-centred empowerment model may be an effective hybrid cardiac rehabilitation method for improving the physical and mental health of patients post-MI; however, further study is needed to validate these findings. Clinical Trials.gov identifier NCT02402582. TRIAL REGISTRATION NUMBER: NCT02402582.

Identifiers

PMID27110376
PMCPMC4838765
OpenAlexW2335811714

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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.