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August 11, 2006HeartOpen Access

Assessing patients’ beliefs about cardiac rehabilitation as a basis for predicting attendance after acute myocardial infarction

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Key result

Patients who attended cardiac rehabilitation had higher perceived necessity scores (17.7 vs 16.9, p=0.029) and lower scores for believing it was only suitable for younger people (4.6 vs 5.6, p=0.007) than non-attenders.

Why the study?

Do patients' beliefs about cardiac rehabilitation predict their attendance after acute myocardial infarction?

Population

130 patients with acute myocardial infarction, mean age 58.4, 83% men, from a coronary care unit of a London…

Design

Cohort

Authors

ACAndrea CooperJWJohn WeinmanMHMatthew Hankins

Discussion

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Overview

Patients' beliefs may predict CR attendance post-AMI; leaves open whether modifying perceptions increases uptake in trials.

Study Design

Type

Observational (n=130)

Multicenter

No

Structured PICO

Do patients' beliefs about cardiac rehabilitation predict their attendance after acute myocardial infarction?

P
Population
130 patients with uncomplicated acute myocardial infarction eligible for cardiac rehabilitation, assessed prospectively to evaluate the relationship between their beliefs and subsequent program attendance.
E
Exposure
Completion of a 26-item questionnaire assessing beliefs about cardiac rehabilitation.
O
Outcome
Cardiac rehabilitation attendance and patients' beliefs about cardiac rehabilitation.patient reported

Main Result

Absolute Event Rate: 17.7% vs 16.9%

p-value: p=0.029

Patients' specific beliefs about the necessity and personal suitability of cardiac rehabilitation significantly predict their likelihood of attending after an AMI.

Limitations

  • Some observations lost significance after Bonferroni correction, requiring confirmation in a larger sample.
  • Test-retest reliability needs to be confirmed.
  • Sample was predominantly white males, limiting generalizability to women and ethnic minorities.
  • External validity needs to be established for patients with other cardiac conditions like angina or post-CABG.

Cite This Study

Cooper et al. (2006) conducted an observational in Acute myocardial infarction (n=130). Beliefs about cardiac rehabilitation vs. Non-attenders was evaluated on Perceived necessity of cardiac rehabilitation score (p=0.029). Patients who attended cardiac rehabilitation had higher perceived necessity scores (17.7 vs 16.9, p=0.029) and lower scores for believing it was only suitable for younger people (4.6 vs 5.6, p=0.007) than non-attenders.

synapsesocial.com/papers/6a915dbb85dcbcf0c3dd448dhttps://doi.org/10.1136/hrt.2005.081299
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors associated with cardiac rehabilitation attendance: a systematic review of the literature2002 · 255 citations
  2. 2A realist study of the mechanisms of cardiac rehabilitation2005 · 104 citations
  3. 3‘I’m still waiting...': barriers to accessing cardiac rehabilitation services2002 · 105 citations
  4. 4Women's Views of Cardiac Rehabilitation Programs1996 · 114 citations
  5. 5Changing Illness Perceptions After Myocardial Infarction: An Early Intervention Randomized Controlled Trial2002 · 858 citations