Key result
A primary healthcare cardiac rehabilitation program with motivational interviewing is being evaluated in a planned randomized controlled trial of 284 patients following acute myocardial infarction, with no results available yet.
Why the study?
Cardiac rehabilitation often occurs in hospitals without primary healthcare coordination or focus on patient preferences, prompting evaluation of a primary care-coordinated program incorporating motivational interviews.
Does a tailored cardiac rehabilitation program with motivational interviews improve physical function in patients discharged after acute myocardial infarction?
RCT (n=284)
Single-blind
Centralized method with hidden assignation
Yes
Does a tailored cardiac rehabilitation program with motivational interviews improve physical function in patients discharged after acute myocardial infarction?
This study protocol describes an RCT evaluating whether a primary care-based cardiac rehabilitation program with motivational interviewing improves functional capacity and secondary prevention targets after acute myocardial infarction.
Planned RCT tests motivational interviewing-enhanced cardiac rehab in primary care post-MI; leaves open its efficacy versus standard care.
BACKGROUND: Cardiac rehabilitation after acute myocardial infarction permits recovery of the heart function and enables secondary prevention programs in which changes in lifestyle habits are crucial. Cardiac rehabilitation often takes place in hospitals without coordination with primary healthcare and is not focused on individual patient preferences and goals, which is the core of the motivational interview. The objective of this study was to evaluate the efficacy of a cardiac rehabilitation program with a motivational interview in patients discharged from hospital after acute myocardial infarction. METHODS/DESIGN: A randomized, non-pharmacological clinical trial in six primary healthcare centers in Barcelona (Spain) will assess whether a tailored cardiac rehabilitation program consisting of four motivational interviews and visits with family physicians, primary healthcare nurses and a cardiologist, coordinated with the reference hospital, results in better cardiac rehabilitation than standard care. A minimum sample of 284 participants requiring cardiac rehabilitation after acute myocardial infarction will be randomized to a cardiac rehabilitation group with a motivational interview program or to standard primary healthcare. The main outcome will be physical function measured by the six-minute walk test, and the secondary outcome will be the effectiveness of secondary prevention: a composite outcome comprising control of blood pressure, cholesterol, diabetes mellitus, smoking and body weight. Results will be evaluated at 1,3 and 6 months. DISCUSSION: This is the first clinical trial to study the impact of a new primary healthcare cardiac rehabilitation program with motivational interviews for patients discharged from hospital after myocardial infarction. Changes in lifestyles and habits after myocardial infarction are a core element of secondary prevention and require patient-centered care strategies such as motivational interviews. Therefore, this study could clarify the impact of this approach on health indicators, such as functional capacity. TRIAL REGISTRATION: ClinicalTriasl.gov NCT05285969 registered on March 18, 2022.
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Rodríguez‐Romero et al. (2022) conducted an RCT in Acute myocardial infarction (n=284). Cardiac rehabilitation program with motivational interviewing vs. Standard primary healthcare care was evaluated on Physical functional capacity measured by the six-minute walk test. A primary healthcare cardiac rehabilitation program with motivational interviewing is being evaluated in a planned randomized controlled trial of 284 patients following acute myocardial infarction, with no results available yet.
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