ArticleBMC health services research2025
Adaptation of a person-centred care intervention to enhance self-efficacy in patients following a myocardial infarction (P2MIR): a qualitative study exploring the needs and preferences of key stakeholders within a Portuguese healthcare context.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite advances in treatment and the well-established benefits of cardiac rehabilitation in Portugal, patient engagement in recovery after myocardial infarction remains limited. One contributing factor is the insufficient integration of person-centred care (PCC), which emphasises collaborative partnerships between patients and healthcare professionals to support recovery. PCC practices have been shown to improve self-efficacy in managing recovery from acute cardiac events. This study aimed to adapt a Swedish evidence-based PCC intervention to the Portuguese healthcare context, with the goal of enhancing patients’ self-efficacy following myocardial infarction.
methodsThe Portuguese person-centred care intervention to enhance self-efficacy in patients following a myocardial infarction (P2MIR) was adapted to the Portuguese healthcare context based on the Medical Research Council framework further enhanced by best practices for adapting interventions. A two-phase exploratory and qualitative study was conducted in co-design with several stakeholders, including researchers, patients who experienced a myocardial infarction, and healthcare professionals from a cardiology department. Implementation outcomes and key adaptations were assessed through four semi-structured focus group discussions with patients (n = 6) and healthcare professionals (n = 11). Data were analysed using a deductive content analysis approach.
resultsIn Phase I, the intervention was systematically adapted to the Portuguese healthcare context, resulting in P2MIR 1.0. Phase II findings showed that participants perceived the PCC intervention to be acceptable and seemed appropriate, and feasible, with promising potential to integrate care across hospital, outpatient and primary care settings. Patients reported that PCC had the potential to lead to better care experiences, increased involvement in their recovery, and fewer unplanned visits, while professionals noted potential benefits for job satisfaction and clinical support. These insights guided the refinement of the intervention, leading to a final version, P2MIR 2.0.
conclusionsThe P2MIR 2.0 retain components from the original intervention with additional two co-designed components to further strengthen the possibility to create a partnership between healthcare professionals and myocardial infarction patients after hospital discharge, thereby enhancing self-efficacy in recovery. Targeted training in PCC for health care professionals, along with culturally adapted tools, will support integration and future scaling.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.