Abstract 2282: An Illness Perceptions Intervention to Address Cardiac Misconceptions and Increase Attendance at Cardiac Rehabilitation Post Myocardial Infarction: Results of a Pilot Randomised Controlled Trial
Introduction: Patients’ illness perceptions have previously been shown to be associated with attendance at cardiac rehabilitation (CR).
Hypothesis: We hypothesised that a single session in-patient intervention designed to address cardiac misconceptions could increase attendance at CR following acute myocardial infarction.
Method: Perceptions regarding AMI were ascertained in 81 consecutive patients during hospitalisation through completion of the Revised Illness Perceptions Questionnaire (IPQ-R). Patients were randomly allocated to receive either a single session of cognitively oriented psycho-education or usual care during their hospital stay. The intervention was designed to be more than a simple educational information giving package; it elicited patients initial perceptions about their AMI and subsequent attendance at CR and discussed any misconceptions which were found. Attendance at CR was ascertained through hospital records whilst follow-up questionnaires were completed at three and six months to assess illness perceptions, emotional distress and aspects of physical and social functioning.
Results: At three months the intervention group perceived significantly greater consequences as a result of their AMI but at six months experienced less distress and held more positive views about undertaking physical activity. There was no significant difference in CR attendance between the intervention and control groups with 66% and 71% attending respectively.
Conclusion: A single session intervention aimed at addressing cardiac misconceptions was not effective at increasing attendance at cardiac rehabilitation but resulted in patients experiencing both less distress and more positive views about undertaking participation in physical activity at six months. These results now need confirmation in a larger patient sample.