Anna Mierzyńska, Izabela Jaworska, Ryszard Piotrowicz, Ilona Kowalik, Michael Pencina, Grzegorz Opolski, Wojciech Zareba, Maciej Banach, Piotr Orzechowski, Renata Główczynska, Dominika Szalewska, Sławomir Pluta, Zbigniew Kalarus, Robert Irzmanski, Ewa Piotrowicz
{"title":"混合综合远程康复对心衰患者焦虑的影响:TELEREH-HF随机临床试验","authors":"Anna Mierzyńska, Izabela Jaworska, Ryszard Piotrowicz, Ilona Kowalik, Michael Pencina, Grzegorz Opolski, Wojciech Zareba, Maciej Banach, Piotr Orzechowski, Renata Główczynska, Dominika Szalewska, Sławomir Pluta, Zbigniew Kalarus, Robert Irzmanski, Ewa Piotrowicz","doi":"10.1007/s10880-023-09985-x","DOIUrl":null,"url":null,"abstract":"<p>Telerehabilitation for heart failure (HF) patients is beneficial for physical functioning, prognosis, and psychological status. The study aimed at evaluating the influence of hybrid comprehensive telerehabilitation (HCTR) on the level of anxiety in comparison to usual care (UC). The TELEREH-HF study was a multicenter prospective RCT in 850 clinically stable HF participants. Patients underwent clinical examinations, including the assessment of anxiety, at entry and after the 9-week training program (HCTR) or observation (UC). The State-Trait Anxiety Inventory (STAI) was used. 20.3% HCTR and 20.1% UC patients reported high level of anxiety as a state at baseline, with higher STAI results in younger participants (< 63 y.o.) (<i>p</i> = .048 for HCTR; <i>p</i> = .026 for UC). At both stages of the study, patients with lower level of physical capacity (measured by a peak VO<sub>2</sub>) had shown significantly higher level of anxiety. There were no significant changes in anxiety levels during the 9-week observation for the entire study population, although there were different patterns of change in anxiety (both trait and state) in younger and older groups,with the decrease in younger patients, and the increase—in the older group.</p><p><i>Trial registry number</i> NCT 02523560 (Clinical Trials.gov), date of registration: August 14, 2015.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial\",\"authors\":\"Anna Mierzyńska, Izabela Jaworska, Ryszard Piotrowicz, Ilona Kowalik, Michael Pencina, Grzegorz Opolski, Wojciech Zareba, Maciej Banach, Piotr Orzechowski, Renata Główczynska, Dominika Szalewska, Sławomir Pluta, Zbigniew Kalarus, Robert Irzmanski, Ewa Piotrowicz\",\"doi\":\"10.1007/s10880-023-09985-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Telerehabilitation for heart failure (HF) patients is beneficial for physical functioning, prognosis, and psychological status. 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The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial
Telerehabilitation for heart failure (HF) patients is beneficial for physical functioning, prognosis, and psychological status. The study aimed at evaluating the influence of hybrid comprehensive telerehabilitation (HCTR) on the level of anxiety in comparison to usual care (UC). The TELEREH-HF study was a multicenter prospective RCT in 850 clinically stable HF participants. Patients underwent clinical examinations, including the assessment of anxiety, at entry and after the 9-week training program (HCTR) or observation (UC). The State-Trait Anxiety Inventory (STAI) was used. 20.3% HCTR and 20.1% UC patients reported high level of anxiety as a state at baseline, with higher STAI results in younger participants (< 63 y.o.) (p = .048 for HCTR; p = .026 for UC). At both stages of the study, patients with lower level of physical capacity (measured by a peak VO2) had shown significantly higher level of anxiety. There were no significant changes in anxiety levels during the 9-week observation for the entire study population, although there were different patterns of change in anxiety (both trait and state) in younger and older groups,with the decrease in younger patients, and the increase—in the older group.
Trial registry number NCT 02523560 (Clinical Trials.gov), date of registration: August 14, 2015.
期刊介绍:
Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.