A Randomised Trial of a Positive Intervention to Promote Well‐Being in Cardiac Patients

Sanjuán, Pilar; Montalbetti, Tomas; Pérez-García, Ana M.; Bermúdez, José; Arranz, Henar; Castro, Almudena

doi:10.1111/aphw.12062

Cited by 27 publications

(17 citation statements)

References 64 publications

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“…Scores range from 10 to 40, with a higher score indicating a greater sense of self-efficacy. The scale has a high internal consistency (α = .87) and considerable predictive validity (Sanjuán, Pérez, & Bermúdez, 2000). Registration of pleasant social contacts.…”

Section: Sociodemographicmentioning

confidence: 99%

Eysenck Personality Questionnaire Revised-Abbreviated for Informal Caregivers

2019

Rev. iberoam. psicol. salud

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The objective of this study was to analyze the psychometric properties of the Spanish version of the Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A) in informal caregivers. Trained, independent evaluators administered the EPQR-A and evaluated informal caregivers' depressive symptoms, automatic negative thoughts, self-efficacy, and pleasant social contacts, and clinical experts assessed major depressive episode in 592 caregivers (87.2% women, mean age 55.4 years). Women scored significantly higher on Neuroticism than men (p < .001). Subscale internal consistencies were .77 for Neuroticism, .75 for Extraversion, .47 for Sincerity; and .24 for Psychoticism. These four factors accounted for 38.1% of total variance. However, a three-factor model (excluding Psychoticism) better fit the data. Neuroticism was significantly, inversely correlated with both self-efficacy (r =-.35) and pleasant social contacts (r =-.22), and positively correlated with both depressive symptoms (r = .59) and negative thoughts (r = .53). Extraversion was significantly, inversely correlated with both depressive symptoms (r =-.22) and negative thoughts (r =-.22), and positively correlated with both selfefficacy (r = .36) and pleasant social contacts (r = .16). A cutoff score of 4 on Neuroticism suitably discriminated between depressed and non-depressed informal caregivers (sensitivity = 68.1%, specificity = 79.9%).

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Section: Sociodemographicmentioning

confidence: 99%

Eysenck Personality Questionnaire Revised-Abbreviated for Informal Caregivers

2019

Rev. iberoam. psicol. salud

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“…Coronary artery diseases are estimated to cause approximately 13% of total deaths worldwide according to the World Health Organization in 2014 . About 80% of deaths from cardiovascular diseases occur in low‐income and middle‐income countries …”

Section: Introductionmentioning

confidence: 99%

“…1,2 Coronary artery diseases are estimated to cause approximately 13% of total deaths worldwide according to the World Health Organization in 2014. 3 About 80% of deaths from cardiovascular diseases occur in low-income and middle-income countries. 4 In Egypt, cardiovascular diseases were responsible for 21% of deaths in 2013 with a prevalence of 8.3%.…”

Section: Introductionmentioning

confidence: 99%

Management of pharmacotherapy‐related problems in acute coronary syndrome: Role of clinical pharmacist in cardiac rehabilitation unit

Casper

Wakeel

Saleh

et al. 2019

Basic Clin Pharma Tox

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Acute coronary syndrome (ACS) is one of the leading causes of mortality worldwide and negatively impacts healthcare costs, productivity and quality of life. Polymorbidity and polypharmacy predispose ACS patients to medication discrepancies between cardiologist‐prescribed medication and drug use by the patient, drug‐related problems (DRPs) and inadequate drug adherence. This study aimed to evaluate the impact of clinical pharmacist–provided services on the outcome of ACS patients. This was a prospective, randomized, controlled study on ACS patients participating in a cardiac rehabilitation programme. Forty ACS patients were randomly assigned to either control group, who received standard medical care, or intervention group, who received standard medical care plus clinical pharmacist–provided services. Services included DRP management, clinical assessment and enforcing the patient education and adherence. For both groups, the following were assessed at baseline and after 3 months: DRPs, adherence (assessed by 8‐item Morisky Adherence Questionnaire), patient's knowledge (assessed by Coronary Artery Disease Questionnaire), 36‐Short Form Health Survey (SF‐36), heart rate, systolic and diastolic blood pressure, low‐density lipoprotein (LDL), total cholesterol (TC) and fasting blood glucose (FBG). After 3 months, there was a significant difference between the intervention and control groups in the per cent change of DRPs (median: −100 vs 5.882, P = 0.0001), patient's adherence score (median: 39.13 vs −14.58, P = 0.0001), knowledge score (median: 30.28 vs −5.196, P = 0.0001), SF‐36 scores, heart rate (mean: −10.04 vs 6.791, P = 0.0001), diastolic blood pressure (mean: −17.87 vs 10.45, P = 0.0001), systolic blood pressure (mean: −16.22 vs 4.751, P = 0.0001), LDL (median: −25.73 vs −0.2538, P = 0.0071), TC (median: −14.62 vs 4.123, P = 0.0005) and FBG (median: −11.42 vs 5.422, P = 0.0098). Clinical pharmacists can play an important role as part of a cardiac rehabilitation team through patient education and interventions to minimize DRPs.

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“…Randomized controlled trials of positive affect and self-affirmation interventions [78], in combination with patient education, have shown clinically significant increases in physical activity among patients after percutaneous coronary intervention [124] and improvements in medication adherence among hypertensive African Americans [125], compared with patient education alone. In a recent study, patients assigned to cardiac rehabilitation combined with a positive well-being program showed improvements in their emotional states and reduced hostility 8 weeks later, compared to the control group that participated in only cardiac rehabilitation [126]. Positive psychology interventions have also shown promising effects for improving biomarkers of inflammation and cortisol in a pilot trial of patients with recent coronary artery bypass graft surgery or percutaneous intervention, relative to a wait-list control group [127].…”

Section: Discussionmentioning

confidence: 99%

The Protective Role of Positive Well-Being in Cardiovascular Disease: Review of Current Evidence, Mechanisms, and Clinical Implications

Sin

2016

Curr Cardiol Rep

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Positive psychological aspects of well-being—including positive emotions, optimism, and life satisfaction—are increasingly considered to have protective roles for cardiovascular disease (CVD) and longevity. A rapidly-growing body of literature has linked positive well-being with better cardiovascular health, lower incidence of CVD in healthy populations, and reduced risk of adverse outcomes in patients with existing CVD. This review first examines evidence on the associations of positive well-being with CVD and mortality, focusing on recent epidemiological research as well as inconsistent findings. Next, an overview is provided of putative biological, behavioral, and stress-buffering mechanisms that may underlie the relationship between positive well-being and cardiovascular health. Key areas for future inquiry are discussed, in addition to emerging developments that capitalize on technological and methodological advancements. Promising initial results from randomized controlled trials suggest that efforts to target positive well-being may serve as valuable components of broader CVD management programs.

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A Randomised Trial of a Positive Intervention to Promote Well‐Being in Cardiac Patients

Abstract: Positive interventions effectively improve the emotional state of cardiac patients. We suggest that specific modules should be included in the CRP to improve well-being.

Cited by 27 publications

References 64 publications

Eysenck Personality Questionnaire Revised-Abbreviated for Informal Caregivers

Eysenck Personality Questionnaire Revised-Abbreviated for Informal Caregivers

Management of pharmacotherapy‐related problems in acute coronary syndrome: Role of clinical pharmacist in cardiac rehabilitation unit

The Protective Role of Positive Well-Being in Cardiovascular Disease: Review of Current Evidence, Mechanisms, and Clinical Implications

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