Proposing an explanatory framework based on the fear-avoidance model: a mixed-methods analysis of kinesiophobia in patients after percutaneous coronary intervention in home-based cardiac rehabilitation - Scorecard - MDSpire

Proposing an explanatory framework based on the fear-avoidance model: a mixed-methods analysis of kinesiophobia in patients after percutaneous coronary intervention in home-based cardiac rehabilitation

  • By

  • Li Sun

  • Chunlei Nie

  • Dandan Xu

  • Lan Wei

  • Weiwei Zong

  • Yanli Hu

  • Yuan Li

  • Xinyue Zhang

  • June 4, 2026

  • 0 min

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Clinical Scorecard: Developing a Conceptual Framework Utilizing the Fear-Avoidance Model: A Mixed-Methods Study on Kinesiophobia in Patients Following Percutaneous Coronary Intervention During Home-Based Cardiac Rehabilitation

At a Glance

CategoryDetail
ConditionKinesiophobia in patients post-percutaneous coronary intervention (PCI)
Key MechanismsFear-Avoidance Model, symptom misinterpretation, cognitive and environmental factors, behavioral reinforcement
Target PopulationPatients with coronary artery disease undergoing home-based cardiac rehabilitation post-PCI
Care SettingHome-based cardiac rehabilitation

Key Highlights

  • 75.7% of CAD patients experience varying degrees of exercise-related fear.
  • Kinesiophobia negatively impacts adherence to rehabilitation and recovery outcomes.
  • Home-based rehabilitation can reduce kinesiophobia levels over time.
  • Multiple factors predict kinesiophobia, including living situation, comorbidities, and knowledge deficits.

Guideline-Based Recommendations

Diagnosis

  • Assessment of kinesiophobia using the Tampa Scale for Kinesiophobia (TSK).

Management

  • Implementing educational interventions to address knowledge deficits and misinformation.

Monitoring & Follow-up

  • Regular evaluation of kinesiophobia levels during rehabilitation.

Risks

  • Elevated kinesiophobia increases the risk of reduced compliance with exercise regimens and adverse cardiac events.

Patient & Prescribing Data

Post-PCI patients with coronary artery disease

Home-based cardiac rehabilitation is effective but may be hindered by psychological barriers such as kinesiophobia.

Clinical Best Practices

  • Utilize digital platforms for remote monitoring and personalized guidance in rehabilitation.
  • Address psychological barriers through targeted interventions.

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