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Kinesiophobia mediates the influences on attendance at exercise-based cardiac rehabilitation in patients with coronary artery disease
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Sahlgrens University Hospital, Sweden; University of Gothenburg, Sweden.
Sahlgrens University Hospital, Sweden; University of Gothenburg, Sweden.
University of Borås, Sweden.
University of Gothenburg, Sweden.
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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 amp;lt; 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
TAYLOR & FRANCIS INC , 2016. Vol. 32, no 8, 571-580 p.
Keyword [en]
Attendance; coronary artery disease; exercise-based cardiac rehabilitation; kinesiophobia; secondary prevention
National Category
Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:liu:diva-133398DOI: 10.1080/09593985.2016.1229828ISI: 000388608600001PubMedID: 27726471OAI: oai:DiVA.org:liu-133398DiVA: diva2:1060033
Note

Funding Agencies|Swedish Heart and Lung Association, Rehabilitation Research Foundation; Allied Health Professions within Cardiology, Renee Eanders Foundation; Memorial Foundation

Available from: 2016-12-27 Created: 2016-12-22 Last updated: 2016-12-27

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CiteExportLink to record
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Citation style
  • apa
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