Fear of MOVEment After Myocardial Infarction or Atrial Fibrillation - Patient Education Via InterneT- a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 14
- 试验地点
- 1
- 主要终点
- Kinesiophobia
研究概览
简要总结
The overall aim with the project is to evaluate if a digital patient group-education can reduce kinesiophobia and promote physical activity in patients with myocardial infarction (MI) and/or atrial fibrillation (AF)
Research questions
- Can a digital patient group-education reduce kinesiophobia and promote PA in patients with MI and/or AF?
- Is a digital patient group-education feasible based on the patients' experiences?
Intervention: Patients with MI and/or AF and kinesiophobia meet 7 times in a group education via Zoom® video meetings with a tutor (nurse, physiotherapist) for 8 weeks and learn about PA, kinesiophobia, AF and/or CAD. The education involves four real life scenarios as a starting point for the learning process inspired by problem-based learning, live stream/recorded lectures/resource, behavioral activation and exposure to PA in order to reduce kinesiophobia and promote PA.
详细描述
Patients with myocardial infarction (MI) and/or atrial fibrillation (AF) and kinesiophobia meet 7 times in a group education via Zoom® video meetings with a tutor (nurse, physiotherapist) for 8 weeks and learn about physical activity (PA), kinesiophobia, AF and/or MI. The education involves four real life scenarios as a starting point for the learning process inspired by problem-based learning (PBL) live stream/recorded lectures/resources and exposure to PA to reduce kinesiophobia and promote PA.
Intervention: Digital fear of movement programme:
Week 1: Introduction of programme Aim: Patients reflect on expectations of the program and formulate individual goals. Home assignment: Watch digital lecture about PA after MI/AF and SMART Goals.
Week 2: Start Scenario 1: Why PA after MI/AF? Aim: Patients reflect on pros and cons of PA. Discuss lectures watched. Group thoughts and reflections and formulate questions to be answered next meeting (home assignment).
Week 3: Scenario 2: What is MI/AF. Follow-up scenario 1: How does the knowledge affect me. Aim: To reflect on PA and MI/AF. Start scenario 2: Think free and group thoughts and reflections about PA and formulate questions to be answered next meeting (home assignment).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients (n=16 with MI and/or AF with kinesiophobia score of >
- •Recruitment: around six months after the heart event (MI and or/AF)
排除标准
- •ongoing investigation of coronary artery disease and/or atrial fibrillation or other disease that results in a negative prognosis within 1 year.
- •patients who have difficulty participating in and cooperating with other people in groups due to, for example, mental illness, obvious abuse of alcohol or drugs, difficulties communicating or reading the Swedish language,
- •or participation in other studies that may affect the results are excluded.
研究组 & 干预措施
Digital patient education to reduce kinesiophobia
Intervention: Patients with MI and/or AF and kinesiophobia meet 7 times in a group education via Zoom® video meetings with a tutor (nurse, physiotherapist) for 8 weeks and learn about PA, kinesiophobia, AF and/or CAD.
干预措施: Digital patient education to reduce kinesiophobia after MI and/or AF (Behavioral)
结局指标
主要结局
Kinesiophobia
时间窗: At baseline, after the 8-week programme and 3 months after the programme is completed.
The Tampa Scale of Kinesiophobia - Swedish version for the heart is a scale which comprises 17 items that assess the subjective rating of kinesiophobia. Each item is rated on a 4-point Likert scale with scoring alternatives ranging from "strongly disagree" to "strongly agree". The total score varies between 17 and 68. A high value indicates a high level of kinesiophobia. A cut-off \> 37 is defined as a high level of kinesiophobia.
次要结局
- Self-efficacy(At baseline, after the 8-week programme and 3 months after the programme is completed.)
- Self-rated health(At baseline, after the 8-week programme and 3 months after the programme is completed.)
- Heart focused anxiety(At baseline, after the 8-week programme and 3 months after the programme is completed.)
- ActiGraph (accelerometer)(At baseline, after the 8-week programme and 3 months after the programme is completed.)
- Physical exercise behaviour(At baseline, after the 8-week programme and 3 months after the programme is completed.)
- Patients' experiences of the digital programme(After the 8-week programme)
研究者
Anita Karner
Associate professor
Linkoeping University