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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Pages (from-to)89-95
Number of pages7
JournalJournal of Psychosomatic Research
Volume52
Issue number2
DOIs
Publication statusPublished - 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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