Guideline-based early rehabilitation after myocardial infarction: A pragmatic randomised controlled trial

Mayou, Richard A., Thompson, David R., Clements, Alison, Davies, Crispin H., Goodwin, Sarah J., Normington, Kathryn, Hicks, Nicholas and Price, Jonathan (2002) Guideline-based early rehabilitation after myocardial infarction: A pragmatic randomised controlled trial. Journal of Psychosomatic Research, 52 2: 89-95. doi:10.1016/S0022-3999(01)00300-2


Author Mayou, Richard A.
Thompson, David R.
Clements, Alison
Davies, Crispin H.
Goodwin, Sarah J.
Normington, Kathryn
Hicks, Nicholas
Price, Jonathan
Title Guideline-based early rehabilitation after myocardial infarction: A pragmatic randomised controlled trial
Journal name Journal of Psychosomatic Research   Check publisher's open access policy
ISSN 0022-3999
Publication date 2002-02-01
Sub-type Article (original research)
DOI 10.1016/S0022-3999(01)00300-2
Open Access Status
Volume 52
Issue 2
Start page 89
End page 95
Total pages 7
Place of publication Oxford
Publisher Elsevier
Language eng
Subject 1110 Nursing
Abstract Objectives: To determine the effectiveness of individualised educational behavioural treatment delivered by cardiac nurses in hospital compared to usual care for patients following acute myocardial infarction. Methods: One hundred and fourteen consecutive patients were randomised to receive the intervention or usual care. Outcome assessment was by self-report questionnaire (the Hospital Anxiety and Depression Scale and Dartmouth COOP Health Status), interview at 1 month, and self-report at 3 and 12 months. The primary outcome was improvement in the Dartmouth COOP total score from baseline to 3 months. Results: Four patients needed to be treated to give an additional patient with improvement in health status at 3 months (number needed to treat [NNT] 4, 95% confidence intervals [CIs] 3 to 12). The intervention group were more confident about returning to activities 1 month after discharge from hospital. Treated patients had fewer further treatment needs. Conclusions: An individualised educational behavioural treatment delivered by cardiac nurses in hospital may have substantial benefits. A large-scale pragmatic RCT is needed.
Keyword Medicine, Psychosomatic - Research
Cardiac rehabilitation
Heart
Myocardial infarction
Psychological
Randomised controlled trial
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 29 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 33 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 24 Mar 2009, 01:21:07 EST by Ms Karen Naughton on behalf of School of Nursing, Midwifery and Social Work