Cardiac Rehabilitation With Motivational Interview for Acute Myocardial Infarction

Consorci d'Atenció Primària de Salut de l'Eixample

Status: Enrolling

Conditions: Myocardial Infarction, Acute

Treatments: Behavioral: Motivational interview; Behavioral: Active Comparator: Standard care group

Study type: Interventional

Funder types: Other

Identifiers

NCT05285969

HCB/2019/0727

Details and patient eligibility

About

Introduction: Secondary prevention after acute myocardial infarction may include cardiac rehabilitation and lifestyle changes. Cardiac rehabilitation has mainly taken place in hospitals without coordination with primary healthcare. Motivational interviews have been shown to be effective as a means for change in patients after acute myocardial infarction. The objective of this study is to evaluate the effectiveness of a cardiac rehabilitation program with motivational interviews in patients discharged from hospital after acute myocardial infarction.

Methods: Randomized clinical non-pharmacological trial. A minimum sample of 284 participants requiring cardiac rehabilitation after acute myocardial infarction in six primary healthcare centers. Participants will be randomized to cardiac rehabilitation with motivational interviews or normal standard of care. All secondary results will be evaluated at 1,3 and 6 months.

Enrollment: 284 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age >18 years.
• Hospital admission for acute coronary syndrome (diagnostic codes ICD-10: I20-I22).
• Post unscheduled cardiac revascularization surgery (procedure code ICD-10: 021x).
• Discharge to home with the area of the 7 PHCs.
• Indication of RC indication.
• Voluntary participation.

Exclusion criteria

• Acute aortic disease,
• Severe pulmonary hypertension.
• Uncontrolled arrhythmias.
• Decompensated Heart Failure or significant valvular or congenital heart disease.
• Intervention in heart valves and/or interventricular septum.
• Diseases that prevent exercise.
• Osteoarticular disease that severely limits exercise.
• Severe mental disorder.
• Any severe psychiatric disorders.
• Cognitive disability.
• Verbal communication problems.
• Participation in hospital Cardiac Rehabilitation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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284 participants in 2 patient groups

Motivational interview

Experimental group

Description:

Motivation Interview program with standard care

Treatment:

Behavioral: Motivational interview

Standard care group

Active Comparator group

Description:

Standard care

Treatment:

Behavioral: Active Comparator: Standard care group