ArticleFrontiers in medicine2026
A randomized controlled trial of staged cardiac rehabilitation based on the Health Belief Model on kinesiophobia, self-efficacy and activities of daily living in elderly patients with coronary heart disease.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Introduction: Kinesiophobia is highly prevalent in elderly patients with coronary heart disease (CHD) and severely limits participation in cardiac rehabilitation. However, phased, theory-based interventions targeting this population are lacking. Methods: This single-blind randomized controlled trial of 139 elderly CHD patients evaluated a staged cardiac rehabilitation intervention based on the Health Belief Model (HBM). The intervention group ( Results: Repeated-measures ANOVA revealed significant time, group, and interaction effects for all outcomes ( Discussion: A staged HBM-based cardiac rehabilitation programme reduces kinesiophobia, improves ADL, and enhances exercise self-efficacy in elderly CHD patients, with sustained effects and excellent safety. This nurse-led, low-cost programme can be integrated into standard cardiac rehabilitation pathways for older adults.
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