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

Publication ,  Journal Article
Mierzyńska, A; Jaworska, I; Piotrowicz, R; Kowalik, I; Pencina, M; Opolski, G; Zareba, W; Banach, M; Orzechowski, P; Główczynska, R; Pluta, S ...
Published in: Journal of Clinical Psychology in Medical Settings
January 1, 2023

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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Published In

Journal of Clinical Psychology in Medical Settings

DOI

EISSN

1573-3572

ISSN

1068-9583

Publication Date

January 1, 2023

Related Subject Headings

  • Clinical Psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology
 

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Mierzyńska, A., Jaworska, I., Piotrowicz, R., Kowalik, I., Pencina, M., Opolski, G., … Piotrowicz, E. (2023). The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial. Journal of Clinical Psychology in Medical Settings. https://doi.org/10.1007/s10880-023-09985-x
Mierzyńska, A., I. Jaworska, R. Piotrowicz, I. Kowalik, M. Pencina, G. Opolski, W. Zareba, et al. “The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial.” Journal of Clinical Psychology in Medical Settings, January 1, 2023. https://doi.org/10.1007/s10880-023-09985-x.
Mierzyńska A, Jaworska I, Piotrowicz R, Kowalik I, Pencina M, Opolski G, et al. The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial. Journal of Clinical Psychology in Medical Settings. 2023 Jan 1;
Mierzyńska, A., et al. “The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial.” Journal of Clinical Psychology in Medical Settings, Jan. 2023. Scopus, doi:10.1007/s10880-023-09985-x.
Mierzyńska A, Jaworska I, Piotrowicz R, Kowalik I, Pencina M, Opolski G, Zareba W, Banach M, Orzechowski P, Główczynska R, Szalewska D, Pluta S, Kalarus Z, Irzmanski R, Piotrowicz E. The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial. Journal of Clinical Psychology in Medical Settings. 2023 Jan 1;
Journal cover image

Published In

Journal of Clinical Psychology in Medical Settings

DOI

EISSN

1573-3572

ISSN

1068-9583

Publication Date

January 1, 2023

Related Subject Headings

  • Clinical Psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology