What is the clinical evidence from this study?

Study design: Other. Population: Spontaneous coronary artery dissection (SCAD). Intervention: Multidisciplinary residential rehabilitation programme. Primary outcome: Feasibility (demand, acceptability, and practicality).

What does this research mean for the field?

A novel multidisciplinary residential rehabilitation program is feasible, highly acceptable, and shows potential for modestly reducing fatigue and psychological symptoms in patients with spontaneous coronary artery dissection. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study aimed to evaluate the feasibility of a multidisciplinary rehabilitation program for managing fatigue and psychological issues in SCAD patients.

June 1, 2026

Evaluating the feasibility of a novel multidisciplinary residential rehabilitation program for managing fatigue in patients with spontaneous coronary artery dissection

Key Result

A four-day multidisciplinary residential rehabilitation program for SCAD patients was feasible, achieving a 78.5% completion rate and high participant satisfaction (median 4.5/5).

Key Points

This study aimed to evaluate the feasibility of a multidisciplinary rehabilitation program for managing fatigue and psychological issues in SCAD patients.
Conducted a four-day residential feasibility study at the Danish Knowledge Centre for Rehabilitation and Palliative Care.
Implemented individual and group sessions focusing on energy conservation, nervous system techniques, and goal-oriented psychological approaches.
Assessed feasibility through adherence, satisfaction, and resources using patient-reported outcome measures at baseline and 8 weeks post-intervention.
Participant satisfaction was high with a median score of 4.5/5 and a completion rate of 78.5%.
Modest improvements were seen in fatigue and psychological outcomes with small effect sizes.
Only select outcomes showed statistically significant changes post-intervention.

Structured PICO

Does a four-day multidisciplinary residential rehabilitation program improve feasibility and patient-reported outcomes in patients with SCAD?

Population

Patients with spontaneous coronary artery dissection (SCAD) experiencing fatigue and psychological consequences

Intervention

A four-day multidisciplinary residential rehabilitation program ('SCAD, Fatigue, and Everyday Life') including energy conservation strategies, nervous system regulating techniques, and psychological approaches

Outcome

Feasibility evaluated using Bowen's framework focusing on demand (adherence/attendance), acceptability (satisfaction), and practicality (resources)patient reported

A four-day multidisciplinary residential rehabilitation program is feasible and highly acceptable for patients with SCAD, showing potential to modestly improve fatigue and psychological outcomes.

Limitations

Small sample size
Single-armed design

Abstract

Abstract Aim This study investigated the feasibility of a novel multidisciplinary residential rehabilitation programme for managing fatigue and psychological consequences in patients with SCAD. Methods and results A prospective single-arm feasibility study was conducted as the “SCAD, Fatigue, and Everyday Life” programme, a four-day residential intervention, at the Danish Knowledge Centre for Rehabilitation and Palliative Care (REHPA). Fatigue management was addressed through individual and group-based sessions, including energy conservation strategies, nervous system regulating techniques and psychological approaches incorporating value-based, goal-oriented approaches. Feasibility was evaluated using Bowen’s framework focusing on demand, acceptability and practicality. Demand was assessed through adherence and attendance rates, acceptability through satisfaction rates and practicality through available resources. Fatigue and psychological associations were assessed using patient reported outcome measures (PROMs): the Modified Fatigue Impact Scale (MFIS), Brief Fatigue Inventory (BFI), Insomnia Severity Index (ISI), the General Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and EQ-5D-5L. Data were collected at baseline and 8 weeks post-intervention. Participant satisfaction was high (median 4.5/5), and completion rate was 78.5%, exceeding the defined threshold of 70%. Modest improvements were observed across PROMs, with small effect sizes and statistically significant changes limited to selected outcomes. Conclusion The rehabilitation programme was found feasible in terms of high participant satisfaction, satisfying attendance and adherence rates. Intervention elements show potential in reducing fatigue and other psychological consequences following SCAD, taking the small sample size and the single-armed design into account.

Bookmark