ArticleBMJ open2025
Exploring the causes of elevated kinesiophobia in post-coronary stenting patients: a qualitative analysis in a cardiac rehabilitation setting.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Self-Rated Health Associated with Chronic Diseases and Types of Physical Activity Among Middle-Aged and Older Adults: A Cross-Sectional Study Using Explainable Machine Learning.Journal of clinical medicine · 2026Article
- Identifying factors contributing to kinesiophobia in kidney transplant patients based on the fear-avoidance model: a qualitative study.Frontiers in psychology · 2026Article
- Development and validation of an interpretable machine learning model for concurrent identification of kinesiophobia in older patients with coronary heart disease after percutaneous coronary intervention.Frontiers in medicine · 2026Article
- Latent profile analysis and influencing factors of kinesiophobia among young and middle-aged patients with coronary heart disease.Frontiers in medicine · 2026Article
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7 authors.
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Abstract
objectivesThe primary aim of this study is to investigate the factors contributing to the development of kinesiophobia in patients following coronary artery stent implantation, integrating perspectives from both patients and healthcare professionals. The main hypothesis is that understanding and methods for effectively overcoming the fear of exercise and improving the effectiveness of cardiac rehabilitation require further exploration from both patient and professional viewpoints.
designThis qualitative study used a semi-structured interview approach to gather data from participants.
settingThe study was conducted at a hospital in Gansu province, China, focusing on the level of care provided to cardiac rehabilitation patients.
participantsA total of 11 cardiac rehabilitation patients identified as having kinesiophobia (Tampa Scale for kinesiophobia Heart, TSK-SV Heart >37) through screening and nine healthcare professionals participated in the study. The selection criteria included patients undergoing cardiac rehabilitation and professionals involved in their care.
resultsThe study identified a core theme, 'Navigating Fear and Uncertainty', encompassing five themes that elucidate how various factors contribute to the prevalent phenomenon of kinesiophobia among patients. These were further delineated into 11 subthemes: (1) physiological factors (fatigue, negative illness experiences), (2) psychological factors (hypervigilance, psychogenic anxiety and depression), (3) capacity factors (reduced physical abilities, lack of rehabilitation knowledge and skills), (4) motivational factors (low exercise self-efficacy, rehabilitation cognitive errors) and (5) support systems (primary caregivers, healthcare professionals and medical support). The results provide a qualitative understanding rather than quantitative measures, hence no CIs or statistical significance levels are provided.
conclusionsThe kinesiophobia observed in patients following coronary artery stent implantation stems from the combined influence of multiple factors, warranting early assessment and intervention by healthcare professionals. The study suggests that healthcare institutions should address the practical concerns faced by cardiac rehabilitation patients and enhance familial, medical and societal support systems to increase patient engagement and compliance with exercise rehabilitation. Further research is needed to develop and validate interventions based on these findings.
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