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Title: A motivational interview program for cardiac rehabilitation after acute myocardial infarction: study protocol of a randomized controlled trial in primary healthcare
Author: Rodríguez-Romero, Rocío
Falces Salvador, Carles
Kostov, Belchin
García-Planas, Noemi
Blat-Guimerà, Esther
Alvira Balada, Maria del Carme
López Poyato, Mireia
Benito-Serrano, María L.
Vidiella-Piñol, Ingrid
Zamora-Sánchez, Juan José
Benet, Marta
Garnacho Castaño, Manuel Vicente
Santos-Ruiz, Susana
Santesmases Masana, Rosalia
Roura-Rovira, Silvia
Benavent Àreu, Jaume
Sisó Almirall, Antoni
González-de Paz, Luis
Keywords: Infart de miocardi
Rehabilitació mèdica
Hàbits alimentaris
Estils de vida
Myocardial infarction
Medical rehabilitation
Food habits
Issue Date: 6-May-2022
Publisher: BioMed Central
Abstract: Background: Cardiac rehabilitation after acute myocardial infarction permits recovery of the heart function and enables secondary prevention programs in which changes in lifestyle habits are crucial. Cardiac rehabilitation often takes place in hospitals without coordination with primary healthcare and is not focused on individual patient preferences and goals, which is the core of the motivational interview. The objective of this study was to evaluate the efficacy of a cardiac rehabilitation program with a motivational interview in patients discharged from hospital after acute myocardial infarction. Methods/design: A randomized, non-pharmacological clinical trial in six primary healthcare centers in Barcelona (Spain) will assess whether a tailored cardiac rehabilitation program consisting of four motivational interviews and visits with family physicians, primary healthcare nurses and a cardiologist, coordinated with the reference hospital, results in better cardiac rehabilitation than standard care. A minimum sample of 284 participants requiring cardiac rehabilitation after acute myocardial infarction will be randomized to a cardiac rehabilitation group with a motivational interview program or to standard primary healthcare. The main outcome will be physical function measured by the six-minute walk test, and the secondary outcome will be the effectiveness of secondary prevention: a composite outcome comprising control of blood pressure, cholesterol, diabetes mellitus, smoking and body weight. Results will be evaluated at 1,3 and 6 months. Discussion: This is the first clinical trial to study the impact of a new primary healthcare cardiac rehabilitation program with motivational interviews for patients discharged from hospital after myocardial infarction. Changes in lifestyles and habits after myocardial infarction are a core element of secondary prevention and require patient-centered care strategies such as motivational interviews. Therefore, this study could clarify the impact of this approach on health indicators, such as functional capacity.
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It is part of: BMC Family Practice, 2022, vol. 23, num. 1, p. 106
Related resource:
ISSN: 1471-2296
Appears in Collections:Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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