The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2023-12-18 DOI:10.1007/s10880-023-09985-x

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

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Abstract

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.

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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

远程康复治疗对心力衰竭（HF）患者的身体功能、预后和心理状态都有好处。该研究旨在评估混合综合远程康复（HCTR）与常规护理（UC）相比对焦虑水平的影响。TELEREH-HF研究是一项多中心前瞻性研究，共有850名临床病情稳定的高血压患者参加。患者在入院时和接受为期 9 周的训练（HCTR）或观察（UC）后接受了包括焦虑评估在内的临床检查。使用的是状态-特质焦虑量表（STAI）。20.3%的HCTR患者和20.1%的UC患者在基线时报告了高度焦虑状态，年轻参与者（< 63 y.o.）的STAI结果更高（HCTR为p = .048；UC为p = .026）。在研究的两个阶段，体能水平较低（以峰值 VO2 测量）的患者焦虑程度明显较高。在为期9周的观察期间，整个研究人群的焦虑水平没有明显变化，但年轻组和年长组的焦虑（特质和状态）变化模式不同，年轻患者焦虑水平下降，年长组焦虑水平上升。试验登记号为NCT 02523560（Clinical Trials.gov），登记日期为2015年8月14日：注册日期：2015年8月14日。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

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.