Key result
Health Belief Model-based cardiac rehab reduces kinesiophobia ~6% vs usual care in elderly CHD patients.
Why the study?
Kinesiophobia is prevalent in elderly CHD patients and limits cardiac rehabilitation participation, but phased, theory-based interventions are lacking.
Does a staged Health Belief Model-based cardiac rehabilitation program improve kinesiophobia, activities of daily living, and exercise self-efficacy in elderly patients with coronary heart disease?
RCT (n=139)
Single-blind
Odd and even numbers using Medsci software
No
Does a staged Health Belief Model-based cardiac rehabilitation program improve kinesiophobia, activities of daily living, and exercise self-efficacy in elderly patients with coronary heart disease?
Absolute Event Rate: 39.57% vs 42.16%
p-value: p=0.003
A staged Health Belief Model-based cardiac rehabilitation program effectively reduces kinesiophobia and improves activities of daily living and exercise self-efficacy in elderly patients with coronary heart disease.
Staged HBM-based cardiac rehab improves function and reduces kinesiophobia in elderly CHD patients; extends theory-driven rehabilitation evidence.
Introduction Kinesiophobia is highly prevalent in elderly patients with coronary heart disease (CHD) and severely limits participation in cardiac rehabilitation. However, phased, theory-based interventions targeting this population are lacking. Methods This single-blind randomized controlled trial of 139 elderly CHD patients evaluated a staged cardiac rehabilitation intervention based on the Health Belief Model (HBM). The intervention group ( n = 69) received a staged HBM-based programme plus usual care; the control group ( n = 70) received usual care only. Outcomes (TSK-SV Heart, Barthel Index, SEE) were measured at admission (T0), discharge (T1), and 1 month (T2) and 3 months (T3) post-discharge. Results Repeated-measures ANOVA revealed significant time, group, and interaction effects for all outcomes ( P < 0.05). The intervention group showed significantly higher Barthel Index and SEE scores at T1, T2, and T3, and lower TSK-SV Heart scores at T2 and T3 versus controls ( P < 0.05). Within the intervention group, kinesiophobia at T2/T3 was lower than at T0/T1, and self-efficacy at T1–T3 was higher than at T0 ( P < α'). No exercise-related adverse events occurred. Discussion A staged HBM-based cardiac rehabilitation programme reduces kinesiophobia, improves ADL, and enhances exercise self-efficacy in elderly CHD patients, with sustained effects and excellent safety. This nurse-led, low-cost programme can be integrated into standard cardiac rehabilitation pathways for older adults.
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Zheng et al. (2026) conducted an RCT in Coronary heart disease with kinesiophobia (n=139). Staged cardiac rehabilitation based on the Health Belief Model vs. Usual care was evaluated on Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) score at 3 months post-discharge (p=0.003). A staged Health Belief Model-based cardiac rehabilitation programme significantly reduced kinesiophobia scores (39.57 vs 42.16) at 3 months post-discharge compared to usual care in elderly patients with coronary heart disease.
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