Key result
Higher conscientiousness was associated with non-participation in outpatient cardiac rehabilitation, whereas lower conscientiousness and higher openness predicted dropout.
Why the study?
Cardiac rehabilitation remains underutilised despite its clinical benefit, and assessing personality traits may help promote implementation by identifying determinants of health-related behaviour.
Are specific Big Five personality traits associated with non-participation or dropout in outpatient cardiac rehabilitation in Japanese patients with cardiovascular disease?
Cohort (n=163)
No
Are specific Big Five personality traits associated with non-participation or dropout in outpatient cardiac rehabilitation in Japanese patients with cardiovascular disease?
Assessment of Big Five personality traits, particularly conscientiousness and openness, may help identify patients at risk of non-participation or dropout from outpatient cardiac rehabilitation.
Answers are grounded in this paper and cite their sources.
May support personality screening to identify Japanese CVD patients at CR non-participation or dropout risk; leaves open causal effects and interventional trials.
Cardiac rehabilitation (CR) remains underutilised, despite its established clinical benefit. A personality traits assessment may help promote CR implementation, as they are determinants of health-related behaviour. This study aimed to examine the association between the Big Five personality traits and outpatient CR participation in patients with cardiovascular disease (CVD) after discharge. This retrospective cohort study included 163 patients aged <80 years, who underwent inpatient CR when hospitalised for CVD. The Big Five personality traits (conscientiousness, neuroticism, openness, extraversion, and agreeableness) of each patient were evaluated at discharge, using the Japanese version of the Ten-Item Personality Inventory. We examined the relationship of each personality trait with non-participation in outpatient CR and dropout within three months, using logistic regression analysis. Out of 61 patients who initiated the outpatient CR, 29 patients dropped out, leaving us with 32 subjects. The logistic regression analysis results showed that high conscientiousness was associated with non-participation in CR. The primary reason for this was a lack of motivation. Conversely, low conscientiousness and high openness were predictors of dropout. This study suggests that the assessment of the Big Five personality traits, especially conscientiousness and openness, can help improve health communication with patients to promote outpatient CR participation after discharge.
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Adachi et al. (2021) conducted a cohort in Cardiovascular disease (n=163). Big Five personality traits (conscientiousness and openness) vs. Lower levels of respective personality traits was evaluated on Non-participation in outpatient cardiac rehabilitation (OR 1.38, 95% CI 1.04-1.84). Higher conscientiousness was associated with non-participation in outpatient cardiac rehabilitation, whereas lower conscientiousness and higher openness predicted dropout.
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