ArticleBMJ open2026
Effects of a multidisciplinary transitional care programme on self-management and quality of life in patients undergoing percutaneous coronary intervention: a propensity score-matched analysis.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
objectivesAdequate self-management support following percutaneous coronary intervention (PCI) remains a recognised challenge. This study evaluated the Integrated Psychocardiology Transitional Care (IPTC) programme's effect on self-management and quality of life, and the mechanism of their interaction.
designRetrospective cohort study.
participantsOutcomes were analysed for 697 patients after propensity score matching from an initial PCI registry cohort of 1148. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was change in Coronary Artery Disease Self-Management Scale Score over 12 months. Secondary outcomes included the Seattle Angina Questionnaire (SAQ), 36-Item Short Form Health Survey (SF-36), Generalised Anxiety Disorder 7 and Patient Health Questionnaire 9 scores. Mixed-effects models and time-lagged mediation analysis were used to examine longitudinal changes and the mediating role of self-management.
resultsNo between-group difference in self-management was observed at 1 month. Significant differences in self-management emerged at 3 months, 6 months and 12 months (all p<0.001). The mixed-effects model for repeated measures analysis revealed significant group × time interaction effects (F=183.1, p<0.001), indicating differential improvement trajectories favouring the IPTC group. The IPTC group showed significantly better SF-36 physical (45.6±9.6 vs 39.8±8.4, 95% CI 4.5 to 7.2, p<0.001) and mental (44.9±8.3 vs 41.7±8.1, 95% CI 2.0 to 4.4, p<0.001) scores at 12 months. Time-lagged mediation analysis confirmed self-management improvement mediated quality of life effects.
conclusionsThe IPTC programme is associated with improved quality of life in PCI patients, and this association appears to be partly explained by enhanced self-management. These findings suggest that integrating psychology-informed transitional care into post-PCI care may be beneficial.
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