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Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis
OBJECTIVES: To identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation. DESIGN: Prospective cohort study. SETTING: Academic Medical Centre, Department of Cardiology. PARTICIPAN...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9703333/ https://www.ncbi.nlm.nih.gov/pubmed/36428018 http://dx.doi.org/10.1136/bmjopen-2022-066435 |
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author | Keessen, Paul Kan, Kees-Jan Ter Riet, Gerben Visser, Bart Jørstad, Harald Latour, Corine van Duijvenbode, Ingrid Scholte op Reimer, Wilma |
author_facet | Keessen, Paul Kan, Kees-Jan Ter Riet, Gerben Visser, Bart Jørstad, Harald Latour, Corine van Duijvenbode, Ingrid Scholte op Reimer, Wilma |
author_sort | Keessen, Paul |
collection | PubMed |
description | OBJECTIVES: To identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation. DESIGN: Prospective cohort study. SETTING: Academic Medical Centre, Department of Cardiology. PARTICIPANTS: We performed a prospective cohort study in cardiac patients recruited at hospital discharge. In total, 149 patients (78.5% male) with a median age of 65 years were included, of which 82 (59%) were referred for CR. PRIMARY AND SECONDARY OUTCOME MEASURES: We assessed kinesiophobia with the Tampa Scale for Kinesiophobia (TSK). For this study, the total score was used (range 13–52). We assessed baseline factors (demographics, cardiac disease history, questionnaire data on anxiety, biopsychosocial complexity and self-efficacy) associated with kinesiophobia using linear regression with backward elimination. For linear regression, the standardised beta (β) was reported. Prospectively, the impact of kinesiophobia on probability of CR initiation, in the first 3 months after hospital discharge (subsample referred for CR), was assessed with logistic regression. For logistic regression, the OR was reported. RESULTS: Moderate and severe levels of kinesiophobia were found in 22.8%. In the total sample, kinesiophobia was associated with cardiac anxiety (β=0.33, 95% CI: 0.19 to 0.48), social complexity (β=0.23, 95% CI: 0.06 to 0.39) and higher education (β=−0.18, 95% CI: −0.34 to −0.02). In those referred for CR, kinesiophobia was negatively associated with self-efficacy (β=−0.29, 95% CI: −0.47 to −0.12) and positively with cardiac anxiety (β=0.43, 95% CI: 0.24 to 0.62). Kinesiophobia decreased the probability of CR initiation (OR(Range13–52 points)=0.92, 95% CI: 0.85 to 0.99). CONCLUSION: In patients hospitalised for cardiovascular disease, kinesiophobia is associated with cardiac anxiety, social complexity, educational level and self-efficacy. Kinesiophobia decreased the likelihood of CR initiation with 8% per point on the TSK. |
format | Online Article Text |
id | pubmed-9703333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-97033332022-11-29 Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis Keessen, Paul Kan, Kees-Jan Ter Riet, Gerben Visser, Bart Jørstad, Harald Latour, Corine van Duijvenbode, Ingrid Scholte op Reimer, Wilma BMJ Open Rehabilitation Medicine OBJECTIVES: To identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation. DESIGN: Prospective cohort study. SETTING: Academic Medical Centre, Department of Cardiology. PARTICIPANTS: We performed a prospective cohort study in cardiac patients recruited at hospital discharge. In total, 149 patients (78.5% male) with a median age of 65 years were included, of which 82 (59%) were referred for CR. PRIMARY AND SECONDARY OUTCOME MEASURES: We assessed kinesiophobia with the Tampa Scale for Kinesiophobia (TSK). For this study, the total score was used (range 13–52). We assessed baseline factors (demographics, cardiac disease history, questionnaire data on anxiety, biopsychosocial complexity and self-efficacy) associated with kinesiophobia using linear regression with backward elimination. For linear regression, the standardised beta (β) was reported. Prospectively, the impact of kinesiophobia on probability of CR initiation, in the first 3 months after hospital discharge (subsample referred for CR), was assessed with logistic regression. For logistic regression, the OR was reported. RESULTS: Moderate and severe levels of kinesiophobia were found in 22.8%. In the total sample, kinesiophobia was associated with cardiac anxiety (β=0.33, 95% CI: 0.19 to 0.48), social complexity (β=0.23, 95% CI: 0.06 to 0.39) and higher education (β=−0.18, 95% CI: −0.34 to −0.02). In those referred for CR, kinesiophobia was negatively associated with self-efficacy (β=−0.29, 95% CI: −0.47 to −0.12) and positively with cardiac anxiety (β=0.43, 95% CI: 0.24 to 0.62). Kinesiophobia decreased the probability of CR initiation (OR(Range13–52 points)=0.92, 95% CI: 0.85 to 0.99). CONCLUSION: In patients hospitalised for cardiovascular disease, kinesiophobia is associated with cardiac anxiety, social complexity, educational level and self-efficacy. Kinesiophobia decreased the likelihood of CR initiation with 8% per point on the TSK. BMJ Publishing Group 2022-11-25 /pmc/articles/PMC9703333/ /pubmed/36428018 http://dx.doi.org/10.1136/bmjopen-2022-066435 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Rehabilitation Medicine Keessen, Paul Kan, Kees-Jan Ter Riet, Gerben Visser, Bart Jørstad, Harald Latour, Corine van Duijvenbode, Ingrid Scholte op Reimer, Wilma Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title | Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title_full | Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title_fullStr | Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title_full_unstemmed | Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title_short | Impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
title_sort | impact of kinesiophobia on initiation of cardiac rehabilitation: a prospective cohort path analysis |
topic | Rehabilitation Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9703333/ https://www.ncbi.nlm.nih.gov/pubmed/36428018 http://dx.doi.org/10.1136/bmjopen-2022-066435 |
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