Evidence map›Paper›PMID 41975295›Full record

SynthesisBMC cardiovascular disorders2026

Intervention to improve kinesiophobia in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials.

Lingqiao Gong, Panpan Xu, Xue Chen, Yue Kuang, Hong Tang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Lingqiao Gong *Faculty of Nursing, Jilin University, Changchun, People's Republic of China.ORCID http://orcid.org/0009-0006-3847-5118
Panpan Xu *Faculty of Nursing, Jilin University, Changchun, People's Republic of China.
Xue ChenFaculty of Nursing, Jilin University, Changchun, People's Republic of China. 960546493@qq.com.
Yue KuangDa Ping Hospital, Chongqing, People's Republic of China.
Hong TangThe Third Hospital of Jilin University, Changchun, People's Republic of China.

Funding

Education Department of Jilin Province JJKH20250224KJJilin Provincial Department of Health 2024A042
6 · The paper itself

Abstract

aimTo describe interventions aimed at improving kinesiophobia in patients with coronary artery disease and provide an estimate of their effectiveness.

methodA systematic review was conducted from 10 databases including PubMed, Web of Science, Cochrane Library, CINAHL, Embase, APA-PsycInfo, CNKI, VIP, Sinomed, and WangFang to identify all randomized controlled trials that were published from the time of database creation through August 2024. Quality assessment and data extraction were performed independently by two researchers. Using the Cochrane Risk of Bias Assessment Tool for quality assessment and RevMan 5.4 and Stata 15.0 for data syntheses. Subgroup analysis, sensitivity analysis, and publication bias were also conducted.

designA systematic review and meta-analysis of randomized controlled trials.

resultA total of 16 randomized controlled trials (N = 1408) were included. Interventions to improve kinesiophobia in patients with coronary artery disease include cognitive behavioral interventions, psychological interventions, exercise interventions, multi-modal combined interventions, online and offline of home rehabilitation, and Preoperative Physical Therapy, and all interventions were effective(P < 0.01).These interventions were statistically significant at 1–2 months(SMD=-1.75; 95% CI=-2.16, -1.34), 3 months(SMD=-2.04; 95% CI=-2.66, -1.42), and 6 months(SMD = -4.90; 95% CI = -7.59, -2.20), there was no difference in kinesiophobia between 1 and 3 months after the intervention. These Interventions to reduce patients’ kinesiophobia can also promote the overall improvement of psychological status, cardiac function, exercise capacity, and quality of life(P < 0.01). Although publication bias was detected, sensitivity analyses confirmed the robustness of pooled results.

conclusionSix intervention modalities identified across 16 included studies were effective in reducing kinesiophobia and demonstrated beneficial short- to mid-term effects. Early identification and intervention targeting kinesiophobia may improve psychological well-being and functional recovery. Further reduction may require individualized approaches and hybrid rehabilitation models combining tele- and center-based strategies. Future standardized, high-quality randomized controlled trials with extended follow-up are needed to clarify long-term effectiveness and support personalized rehabilitation strategies.

Indexed as

Cardiac RehabilitationCognitive Behavioral TherapyCoronary Artery DiseaseExercise TherapyKinesiophobiaAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeRandomized Controlled Trials as TopicRecovery of FunctionTime FactorsTreatment OutcomeCoronary artery diseaseExercise fearInterventionKinesiophobiaMeta-analysis

Identifiers

PMID41975295
PMCPMC13214101

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.