Evidence map›Paper›PMID 28545400›Full record

Trial reportBMC cardiovascular disorders2017

The role of a behavioural medicine intervention in physiotherapy for the effects of rehabilitation outcomes in exercise-based cardiac rehabilitation (ECRA) - the study protocol of a randomised, controlled trial.

Sabina Borg, Birgitta Öberg, Lennart Nilsson, Anne Söderlund, Maria Bäck

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02895451 (Behavioral Interventions for Improvement of Adherence at Exercise-based Cardiac Rehabilitation), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% 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.

NCT02895451 nacompletednot on this map

Behavioral Interventions for Improvement of Adherence at Exercise-based Cardiac Rehabilitation (ECRA)

TypeinterventionalSponsorLinkoeping UniversityRan2016 to 2021Enrolled170ConditionsCoronary Artery DiseaseArmsExtended behavioral intervention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Exercise-based cardiac rehabilitation for coronary heart disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
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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

5 authors at 2 institutions in 1 country.

Sabina BorgDepartment of Medical and Health Sciences, Division of Physiotherapy, Linköping University, SE-581 83, Linköping, Sweden.
Birgitta ÖbergDepartment of Medical and Health Sciences, Division of Physiotherapy, Linköping University, SE-581 83, Linköping, Sweden.
Lennart NilssonDepartment of Medical and Health Sciences, Division of Cardiovascular Medicine, Linköping University, Linköping, Sweden.
Anne SöderlundDepartment of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Maria BäckDepartment of Medical and Health Sciences, Division of Physiotherapy, Linköping University, SE-581 83, Linköping, Sweden. maria.back@liu.se.ORCID 0000-0002-6031-7478
Linköping University · SEMälardalen University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo help patients with coronary artery disease (CAD) benefit from the positive health effects attained by exercise-based cardiac rehabilitation (CR), adherence to these programmes according to international guidelines is important. Strategies to increase adherence to exercise-based CR are mainly an unexplored area. The objective of this study is to investigate the effects of a behavioural medicine intervention in physiotherapy, containing goal-setting, self-monitoring and feedback, with the aim of improving rehabilitation outcomes for exercise-based CR, compared with usual care.

methodsThis is a randomised, controlled trial. A total of 160 patients with CAD will be included consecutively at the Coronary Care Unit at a university hospital in Sweden. Patients are randomised 1:1 using sealed envelopes to usual care or a behavioural medicine intervention in physiotherapy, in addition to usual care for 4 months. Outcome assessment at baseline, 4 and 12 months includes submaximal aerobic capacity (primary outcome), exercise adherence, muscle endurance, level of physical activity, biomarkers, anxiety and depression, health-related quality of life, patient enablement and self-efficacy (secondary outcomes). DISCUSSION: This is the first study to evaluate the role of an integrated behavioural medicine intervention in exercise-based CR in the effects of rehabilitation outcomes. The results of this study will provide valuable information about the effect of these interventions in exercise-based CR and it has the potential to inform and assist in further treatment in secondary prevention for patients with CAD.

trial registrationThe study include all items from the World Health Organization Trial Registration Data Set. TRIAL REGISTRATION NUMBER: NCT02895451, 2016-08-16, retrospectively registered.

Indexed as

Exercise TherapyHealth BehaviorBehavior TherapyCardiac RehabilitationClinical ProtocolsCoronary Artery DiseaseCoronary Care UnitsExercise ToleranceFeedback, PsychologicalGoalsHealth Knowledge, Attitudes, PracticeHospitals, UniversityHumansMental HealthPatient CompliancePatient ParticipationCoronary artery diseaseFeedbackGoal-settingPhysical fitnessPhysiotherapySelf-efficacySelf-monitoring

Identifiers

PMID28545400
PMCPMC5445354
OpenAlexW2619564104

What OpenQuestion holds

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LicenceCC BY
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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.