ArticleBMJ open2022
Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06432153 (Tampa Scale of Kinesiophobia for Heart Taiwan Version Validation), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
Tampa Scale of Kinesiophobia for Heart Taiwan Version Validation
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Intervention to improve kinesiophobia in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials.BMC cardiovascular disorders · 2026Pooled it
- Prevalence and influencing factors of kinesiophobia in patients with heart disease: a meta-analysis and systematic review.Scientific reports · 2024Pooled it
- Applying the fear-avoidance model to exercise rehabilitation after coronary artery bypass grafting a nurse-led intervention study.Journal of cardiothoracic surgery · 2026Trial
- Article
- A randomized controlled trial of staged cardiac rehabilitation based on the Health Belief Model on kinesiophobia, self-efficacy and activities of daily living in elderly patients with coronary heart disease.Frontiers in medicine · 2026Article
- Distinct kinesiophobia profiles and associated factors in patients undergoing coronary artery bypass grafting.Frontiers in psychology · 2026Article
- Article
- Impact of pathological fractures on kinesiophobia and anxiety in patients with benign and benign-aggressive lower extremity bone tumors.Joint diseases and related surgery · 2025Article
- Influence of Kinesiophobia on Rehabilitation Outcomes in Patients With Cardiovascular Disease - Protocol for Systematic Review.Circulation reports · 2025Article
- Article
- Article
- The longitudinal relationship between fear of movement and physical activity after cardiac hospitalization: A cross lagged panel model.PloS one · 2024Observational
- The chain mediating role of rumination and psychological resilience in symptom burden and kinesiophobia in patients with chronic heart failure.Frontiers in psychiatry · 2024Article
- Analysis of the trajectory and influencing factors of kinesiophobia in elderly patients during the rehabilitation phase of limb fractures.American journal of translational research · 2024Article
- Predictors of home-based cardiac rehabilitation exercise adherence among patients with chronic heart failure: a theory-driven cross-sectional study.BMC nursing · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation.
designProspective cohort study.
settingAcademic Medical Centre, Department of Cardiology.
participantsWe performed a prospective cohort study in cardiac patients recruited at hospital discharge. In total, 149 patients (78.5% male) with a median age of 65 years were included, of which 82 (59%) were referred for CR. PRIMARY AND SECONDARY OUTCOME MEASURES: We assessed kinesiophobia with the Tampa Scale for Kinesiophobia (TSK). For this study, the total score was used (range 13-52). We assessed baseline factors (demographics, cardiac disease history, questionnaire data on anxiety, biopsychosocial complexity and self-efficacy) associated with kinesiophobia using linear regression with backward elimination. For linear regression, the standardised beta (β) was reported. Prospectively, the impact of kinesiophobia on probability of CR initiation, in the first 3 months after hospital discharge (subsample referred for CR), was assessed with logistic regression. For logistic regression, the OR was reported.
resultsModerate and severe levels of kinesiophobia were found in 22.8%. In the total sample, kinesiophobia was associated with cardiac anxiety (β=0.33, 95% CI: 0.19 to 0.48), social complexity (β=0.23, 95% CI: 0.06 to 0.39) and higher education (β=-0.18, 95% CI: -0.34 to -0.02). In those referred for CR, kinesiophobia was negatively associated with self-efficacy (β=-0.29, 95% CI: -0.47 to -0.12) and positively with cardiac anxiety (β=0.43, 95% CI: 0.24 to 0.62). Kinesiophobia decreased the probability of CR initiation (OR
conclusionIn patients hospitalised for cardiovascular disease, kinesiophobia is associated with cardiac anxiety, social complexity, educational level and self-efficacy. Kinesiophobia decreased the likelihood of CR initiation with 8% per point on the TSK.
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