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Randomized controlled trial of an intervention to change cardiac misconceptions in myocardial infarction patients

dc.contributor.authorFigueiras, Maria João
dc.contributor.authorMaroco, João
dc.contributor.authorMonteiro, Rita
dc.contributor.authorCaeiro, Raúl
dc.contributor.authorNeto, David Dias
dc.date.accessioned2016-11-23T20:06:30Z
dc.date.available2016-11-23T20:06:30Z
dc.date.issued2016
dc.description.abstractThere is converging evidence that changing beliefs about an illness leads to positive recovery outcomes. However, cardiac misconceptions interventions have been investigated mainly in Angina or Coronary Heart Disease patients, and less in patients following Myocardial Infarction (MI). In these patients, cardiac misconceptions may play a role in the adjustment or lifestyle changes. This article reports a randomized controlled trial of an intervention designed to reduce the strength of misconceptions in patients after a first MI. The primary outcome was the degree of change in misconceptions and the secondary outcomes were: exercise, smoking status, return to work and mood (anxiety and depression). Patients in the intervention condition (n = 60) were compared with a control group (n = 67) receiving usual care. Both groups were evaluated at baseline and 4, 8 and 12 months after hospital discharge. There was a significant time-by-group interaction for the total score of cardiac misconceptions. Patients in the intervention group significantly decreased their total score of cardiac misconceptions at 4 months compared with the control group and this difference was sustained over time. Patients in the intervention group were also more likely to exercise at the follow-up period after MI than the control group. This intervention was effective in reducing the strength of cardiac misconceptions in MI patients and had a positive impact on health behaviour outcomes. These results support the importance of misconceptions in health behaviours and the utility of belief change interventions in promoting health in patients with Myocardial Infarction.pt_PT
dc.description.sponsorshipFundação para a Ciência e a Tecnologia (FCT); FEDERpt_PT
dc.identifier.citationPsychology, Health and Medicine, 1-12. Doi: 10.1080/13548506.2016.1153677pt_PT
dc.identifier.doi10.1080/13548506.2016.1153677pt_PT
dc.identifier.issn1354-8506
dc.identifier.urihttp://hdl.handle.net/10400.12/5076
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relationIllness misconceptions about heart disease: implications for cardiac rehabilitation
dc.relation.publisherversionhttp://www.tandfonline.com/doi/full/10.1080/13548506.2016.1153677pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCardiac misconceptionspt_PT
dc.subjectMyocardial infarctionpt_PT
dc.subjectRandomised controlled trialpt_PT
dc.subjectExercise behaviourpt_PT
dc.subjectPsychological interventionpt_PT
dc.subjectIllness beliefspt_PT
dc.subjectCardiac rehabilitationpt_PT
dc.subjectSelf-managementpt_PT
dc.titleRandomized controlled trial of an intervention to change cardiac misconceptions in myocardial infarction patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleIllness misconceptions about heart disease: implications for cardiac rehabilitation
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876-PPCDTI/PTDC%2FPSI-PCL%2F112503%2F2009/PT
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage11pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePsychology, Health and Medicinept_PT
oaire.fundingStream5876-PPCDTI
person.familyNameDias Neto
person.givenNameDavid Manuel
person.identifierED9GlDUAAAAJ&hl
person.identifier.ciencia-id1D1F-3898-6061
person.identifier.orcid0000-0002-3129-262X
person.identifier.scopus-author-id25931317400
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6cb32e2b-ac90-4bd8-bae8-7f2938993bd5
relation.isAuthorOfPublication.latestForDiscovery6cb32e2b-ac90-4bd8-bae8-7f2938993bd5
relation.isProjectOfPublication026a7cc0-6a6b-41db-8f66-e644c52fcae9
relation.isProjectOfPublication.latestForDiscovery026a7cc0-6a6b-41db-8f66-e644c52fcae9

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