Nurse-delivered MI-CBT did not improve cardiac rehabilitation enrolment, attendance, mortality, or readmission compared to matched historical controls; patients in 2022 attended 2 fewer lifestyle sessions (p<0.001).
Observational (n=797)
Yes
Does a nurse-delivered MI-CBT intervention improve patient enrolment, attendance, mortality, or readmission rates in patients referred to cardiac rehabilitation?
A nurse-delivered MI-CBT intervention did not improve cardiac rehabilitation enrolment, attendance, or clinical outcomes compared to a historical cohort, though pandemic-related disruptions may have influenced the results.
p-value: p=0.74 for mortality, p=0.71 for all-cause cardiac readmission after matching; no significant differences in enrolment or attendance
A nurse-delivered MI-CBT intervention did not enhance cardiac rehabilitation enrolment or attendance. However, programme stability despite pandemic-related challenges suggests resilience. Future research should explore alternative patient engagement strategies and assess MI-CBT fidelity. Findings contribute to understanding participation barriers and inform ongoing service improvements.
Marshall et al. (2026) conducted an observational in Patients referred to outpatient cardiac rehabilitation following acute cardiac events in Auckland, New Zealand in 2022 (n=797). Nurse-specialist-delivered motivational interviewing combined with cognitive behavioural therapy (MI-CBT) intervention vs. Propensity score-matched historical cohort patients from 2016-2020 who received usual cardiac rehabilitation was evaluated on Cardiac rehabilitation enrolment and attendance, all-cause mortality, and hospital readmissions over average 1.56 years follow-up (p=p=0.74 for mortality, p=0.71 for all-cause cardiac readmission after matching; no significant differences in enrolment or attendance). Nurse-delivered MI-CBT did not improve cardiac rehabilitation enrolment, attendance, mortality, or readmission compared to matched historical controls; patients in 2022 attended 2 fewer lifestyle sessions (p<0.001).