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2022-05-06

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cc-by (c) Rodríguez-Romero, Rocío et al., 2022
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/191409

A motivational interview program for cardiac rehabilitation after acute myocardial infarction: study protocol of a randomized controlled trial in primary healthcare

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https://doi.org/10.1186/s12875-022-01721-y

Resum

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.

Matèries

Infart de miocardi, Rehabilitació mèdica, Hàbits alimentaris, Estils de vida

Matèries (anglès)

Myocardial infarction, Medical rehabilitation, Food habits, Lifestyles

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Col·leccions

Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

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. A motivational interview program for cardiac rehabilitation after acute myocardial infarction: study protocol of a randomized controlled trial in primary healthcare. _BMC Family Practice_. 2022. Vol. 23, núm. 1, pàgs. 106. [consulta: 23 de gener de 2026]. ISSN: 1471-2296. [Disponible a: https://hdl.handle.net/2445/191409]

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