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
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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
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
Category
Detail
Condition
Kinesiophobia in patients post-percutaneous coronary intervention (PCI)
Key Mechanisms
Fear-Avoidance Model, symptom misinterpretation, cognitive and environmental factors, behavioral reinforcement
Target Population
Patients with coronary artery disease undergoing home-based cardiac rehabilitation post-PCI
Care Setting
Home-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.