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

Richard A. Mayou; David, R. Thompson; Alison Clements; Crispin H. Davies; Sarah J. Goodwin; Kathryn Normington; Nicholas Hicks; Jonathan Price

doi:10.1016/S0022-3999(01)00300-2

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

Richard A. Mayou^*, David, R. Thompson , Alison Clements, Crispin H. Davies, Sarah J. Goodwin, Kathryn Normington, Nicholas Hicks, Jonathan Price

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

35 Citations (Scopus)

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.

Original language	English
Pages (from-to)	89-95
Number of pages	7
Journal	Journal of Psychosomatic Research
Volume	52
Issue number	2
DOIs	https://doi.org/10.1016/S0022-3999(01)00300-2
Publication status	Published - 14 Mar 2002

Keywords

Cardiac rehabilitation
Heart
Myocardial infarction
Psychological
Randomised controlled trial

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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title = "Guideline-based early rehabilitation after myocardial infarction: A pragmatic randomised controlled trial",

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.",

keywords = "Cardiac rehabilitation, Heart, Myocardial infarction, Psychological, Randomised controlled trial",

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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; Price, Jonathan.

In: Journal of Psychosomatic Research, Vol. 52, No. 2, 14.03.2002, p. 89-95.

Research output: Contribution to journal › Article › peer-review

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AU - Mayou, Richard A.

AU - Thompson , David, R.

AU - Clements, Alison

AU - Davies, Crispin H.

AU - Goodwin, Sarah J.

AU - Normington, Kathryn

AU - Hicks, Nicholas

AU - Price, Jonathan

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N2 - 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.

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