Article

PURPOSE: To identify predictors of attendance at exercise-based cardiac
rehabilitation (CR) and to test the hypothesis that kinesiophobia mediates the
influence on attendance at CR in patients with coronary artery disease (CAD).
PATIENTS: In total, 332 patients (75 women; mean age 65 +/- 9.1 years) with a
diagnosis of CAD were recruited at Sahlgrenska University Hospital, Sweden.
METHODS: The patients were tested in terms of objective measurements, self-rated
psychological measurements, and level of physical activity.
A path model with
direct and indirect effects via kinesiophobia was used to predict participation
in CR. An exploratory selection of significant predictors was made. RESULTS: A
current incidence of coronary bypass grafting (p < 0.001) and a diagnosis of
ST-elevation myocardial infarction (p = 0.004) increased the probability of
attendance at CR, while kinesiophobia (p = 0.001) reduced attendance. As a
mediator, kinesiophobia was influenced by four predictors and the following
indirect effects were found. General health and muscle endurance increased the
probability of attendance at CR, while self-rated anxiety and current incidence
of heart failure had the opposite effect. CONCLUSIONS: This study suggests that
kinesiophobia has an influence on and a mediating role in attendance at CR. The
results need to be further investigated in relation to clinical practice.

Langue : ANGLAIS