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Kinesiophobia mediates the influences on attendance at exercise-based cardiac rehabilitation in patients with coronary artery disease.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Prehospen)
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2016 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 32, no 8, 571-580 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To identify predictors of attendance at exercise-based cardiac rehabilitation (CR) and to test the hypothesis that kinesiophobia mediates the influence on attendance at CR in patients with coronary artery disease (CAD).

PATIENTS: In total, 332 patients (75 women; mean age 65 ± 9.1 years) with a diagnosis of CAD were recruited at Sahlgrenska University Hospital, Sweden.

METHODS: The patients were tested in terms of objective measurements, self-rated psychological measurements, and level of physical activity. A path model with direct and indirect effects via kinesiophobia was used to predict participation in CR. An exploratory selection of significant predictors was made.

RESULTS: A current incidence of coronary bypass grafting (p < 0.001) and a diagnosis of ST-elevation myocardial infarction (p = 0.004) increased the probability of attendance at CR, while kinesiophobia (p = 0.001) reduced attendance. As a mediator, kinesiophobia was influenced by four predictors and the following indirect effects were found. General health and muscle endurance increased the probability of attendance at CR, while self-rated anxiety and current incidence of heart failure had the opposite effect.

CONCLUSIONS: This study suggests that kinesiophobia has an influence on and a mediating role in attendance at CR. The results need to be further investigated in relation to clinical practice.

Place, publisher, year, edition, pages
2016. Vol. 32, no 8, 571-580 p.
Keyword [en]
Attendance, coronary artery disease, exercise-based cardiac rehabilitation, kinesiophobia, secondary prevention
National Category
Clinical Medicine
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-11501DOI: 10.1080/09593985.2016.1229828ISI: 000388608600001PubMedID: 27726471Scopus ID: 84991035108OAI: oai:DiVA.org:hb-11501DiVA: diva2:1059405
Available from: 2016-12-22 Created: 2016-12-22 Last updated: 2016-12-28Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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More styles
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