Evidence map›Paper›PMID 36964593›Full record

ArticleBMC sports science, medicine & rehabilitation2023

Effectiveness of a behavioral medicine intervention in physical therapy on secondary psychological outcomes and health-related quality of life in exercise-based cardiac rehabilitation: a randomized, controlled trial.

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

Registry-linked trialFull text read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2023. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Sabina BorgDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, 581 83, Linköping, Sweden. sabina.borg@liu.se.
Birgitta ÖbergDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, 581 83, Linköping, Sweden.
Lennart NilssonDepartment of Health, Medicine and Caring Sciences, Unit of Cardiovascular Sciences, Linköping University, Linköping, Sweden.
Joakim AlfredssonDepartment of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Anne SöderlundDepartment of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Maria BäckDepartment of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, 581 83, Linköping, Sweden.

Funding

Region Östergötland RÖ-725541Region Östergötland RÖ-827011Region Östergötland RÖ-938232the Swedish Heart and Lung Association E 118-16the Swedish Heart and Lung Association E 133-15the Swedish Society of Medical Research main applicant Maria Bäck
6 · The paper itself

Abstract

backgroundInterventions promoting adherence to exercise-based cardiac rehabilitation (exCR) are important to achieve positive physical and psychological outcomes, but knowledge of the added value of behavioral medicine interventions for these measures is limited. The aim of the study was to investigate the added value of a behavioral medicine intervention in physical therapy (BMIP) in routine exCR on psychological outcomes and health-related quality of life (HRQoL) versus routine exCR alone (RC).

methodsA total of 170 patients with coronary artery disease (136 men), mean age 62.3 ± 7.9 years, were randomized at a Swedish university hospital to a BMIP plus routine exCR or to RC for four months. The outcome assessments included HRQoL (SF-36, EQ-5D), anxiety and depression (HADS), patient enablement and self-efficacy and was performed at baseline, four and 12 months. Between-group differences were tested with an independent samples t-test and, for comparisons within groups, a paired t-test was used. An intention-to-treat and a per-protocol analysis were performed.

resultsNo significant differences in outcomes between the groups were shown between baseline and four months or between four and 12 months. Both groups improved in most SF-36 domains, EQ-VAS and HADS anxiety at the four-month follow-up and sufficient enablement remained at the 12-months follow-up.

conclusionA BMIP added to routine exCR care had no significant effect on psychological outcomes and HRQoL compared with RC, but significant improvements in several measures were shown in both groups at the four-month follow-up. Since recruited participants showed a better psychological profile than the general coronary artery disease population, further studies on BMIP in exCR, tailored to meet individual needs in broader patient groups, are needed. Trial registration number NCT02895451, 09/09/2016, retrospectively registered.

Indexed as

Control theoryCoronary artery diseasePatient-reported outcome measurementsSecondary preventionSelf-efficacy

Identifiers

PMID36964593
PMCPMC10037812

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Read underepoch 390

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.