Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-7374
Authors: | Michal, Matthias Simon, Perikles Gori, Tommaso König, Jochem Wild, Philipp Wiltink, Jörg Tug, Suzan Sterzing, Björn Unterrainer, Josef Münzel, Thomas Beutel, Manfred E. |
Title: | Psychodynamic motivation and training program (PMT) for the secondary prevention in patients with stable coronary heart disease : study protocol for a randomized controlled trial of feasibility and effects |
Online publication date: | 12-Jul-2022 |
Year of first publication: | 2013 |
Language: | english |
Abstract: | BACKGROUND: Nonpharmacological secondary prevention of coronary heart disease is considered a safe and effective measure to substantially reduce mortality. Despite the effectiveness of lifestyle changes, the compliance rate of patients is very low mainly due to psychosocial barriers. Psychotherapeutic approaches that address how persons think about themselves and their behaviors appear to have a significant potential for improving health behavior. METHODS/DESIGN: Against this background, our study aims to examine the feasibility and effects of a Psychodynamic Motivation and Training program (PMT) as compared to one session of advice in exercise training (EX) and treatment as usual (TAU). For that purpose, 90 patients with stable coronary heart disease and a physically inactive lifestyle will be randomly assigned to the three groups (each with n = 30). The primary outcome is the change in the individual anaerobic threshold as determined by spiroergometry from baseline to six month follow-up. Secondary endpoints include change in endothelial function, biomarkers of inflammation and oxidative stress, quality of life, symptoms of fatigue, illness perception and feasibility of the treatment approach. We hypothesize that physical fitness will improve more in PMT than in EX and TAU, with PMT and EX more than TAU, and that the effects will be more pronounced for participants with current mental or psychosocial distress. DISCUSSION: The results of the study will help to determine the effectiveness of a psychodynamic lifestyle change approach and to identify measures for designing specifically tailored interventions to improve compliance with cardiovascular prevention. |
DDC: | 610 Medizin 610 Medical sciences |
Institution: | Johannes Gutenberg-Universität Mainz |
Department: | FB 02 Sozialwiss., Medien u. Sport FB 04 Medizin |
Place: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-7374 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
License: | CC BY |
Information on rights of use: | https://creativecommons.org/licenses/by/2.0/ |
Journal: | Trials 14 1 |
Pages or article number: | Art. 314 |
Publisher: | BioMed central |
Publisher place: | London |
Issue date: | 2013 |
ISSN: | 1468-6694 1745-6215 |
Publisher URL: | http://dx.doi.org/10.1186/1745-6215-14-314 |
Publisher DOI: | 10.1186/1745-6215-14-314 |
Appears in collections: | DFG-OA-Publizieren (2012 - 2017) |
Files in This Item:
File | Description | Size | Format | ||
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psychodynamic_motivation_and_-20220710233030698.pdf | 500.84 kB | Adobe PDF | View/Open |