Trial reportJournal of pain research2025
Targeting Kinesiophobia After Thoracic Surgery with an Integrated Protection Motivation and Exposure Intervention: A Randomized Controlled Trial.
Trial report in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Fear of movement and its associated psychosocial factors in patients with acute cardiovascular disease: a retrospective cohort study.BMC cardiovascular disorders · 2026Observational
- Postoperative kinesiophobia in patients undergoing video-assisted thoracoscopic lung surgery: a longitudinal study.Frontiers in surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Kinesiophobia is a significant barrier to recovery after thoracic surgery. We aimed to determine the efficacy of an integrated intervention combining Protection Motivation Theory (PMT) and exposure therapy for reducing kinesiophobia and improving postoperative outcomes. Methods: In this single-center, randomized, double-blind, controlled trial, we enrolled 144 patients with kinesiophobia (Tampa Scale for Kinesiophobia [TSK-17-C] score ≥37) following thoracoscopic pulmonary surgery. Participants were randomized 1:1 to receive either a structured PMT-based psychological and graded exposure-behavioral intervention on postoperative day 1 (POD1) (experimental group, n=72) or routine care with standard pain education (control group, n=72). The primary outcome was the TSK-17-C score on POD3. Results: The experimental group exhibited a significantly lower adjusted mean TSK-17-C score on POD3 compared to the control group (28.26 vs 36.13, respectively; adjusted mean difference, -7.86; 95% CI, -8.37 to -7.35; Conclusion: An integrated psychological-behavioral intervention combining PMT and exposure therapy effectively reduces kinesiophobia, alleviates pain, and improves cough capacity in the early postoperative period for patients undergoing thoracic surgery. This nurse-led protocol provides a non-pharmacological approach that may enhance recovery and help mitigate the "pain-fear-avoidance" cycle.
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