Psychodynamic motivation and training program (PMT) for the secondary prevention in patients with stable coronary heart disease : study protocol for a randomized controlled trial of feasibility and effects

Autoren

Matthias Michal
Perikles Simon
Tommaso Gori
Jochem Koenig
Philipp S Wild
Joerg Wiltink
Suzan Tug
Bjoern Sterzing
Josef Unterrainer
Thomas Muenzel
Manfred E Beutel

Autoren-URL

https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000325159300002&DestLinkType=FullRecord&DestApp=WOS_CPL

DOI

10.1186/1745-6215-14-314

eISSN

1745-6215

Externe Identifier

Clarivate Analytics Document Solution ID: 228BG
PubMed Identifier: 24066805

Zeitschrift

TRIALS

Schlüsselwörter

Psychodynamic psychotherapy
Coronary heart disease
Physical activity
Home based exercise training
Secondary prevention
Spiroergometry
Motivation

Artikelnummer

ARTN 314

Datum der Veröffentlichung

2013

Status

Published

Titel

Psychodynamic Motivation and Training program (PMT) for the secondary prevention in patients with stable coronary heart disease: study protocol for a randomized controlled trial of feasibility and effects

Sub types

Article

Ausgabe der Zeitschrift

14

Datenquelle: Web of Science (Lite)

Autoren

Matthias Michal
Perikles Simon
Tommaso Gori
Jochem König
Philipp S Wild
Jörg Wiltink
Suzan Tug
Björn Sterzing
Josef Unterrainer
Thomas Münzel
Manfred E Beutel

DOI

10.1186/1745-6215-14-314

ISSN

1745-6215

Ausgabe der Veröffentlichung

1

Zeitschrift

Trials

Sprache

en

Paginierung

314 - 314

Datum der Veröffentlichung

2013

Status

Published

Herausgeber

Springer Science and Business Media LLC

Herausgeber URL

http://dx.doi.org/10.1186/1745-6215-14-314

Datum der Datenerfassung

2016

Titel

Psychodynamic Motivation and Training program (PMT) for the secondary prevention in patients with stable coronary heart disease: study protocol for a randomized controlled trial of feasibility and effects

Ausgabe der Zeitschrift

14

Datenquelle: Crossref

Abstract

<h4>Background</h4>Nonpharmacological secondary prevention of coronary heart disease is considered a safe and effective measure to substantially reduce mortality. Despite the effectiveness of lifestyle changes, the compliance rate of patients is very low mainly due to psychosocial barriers. Psychotherapeutic approaches that address how persons think about themselves and their behaviors appear to have a significant potential for improving health behavior.<h4>Methods/design</h4>Against this background, our study aims to examine the feasibility and effects of a Psychodynamic Motivation and Training program (PMT) as compared to one session of advice in exercise training (EX) and treatment as usual (TAU). For that purpose, 90 patients with stable coronary heart disease and a physically inactive lifestyle will be randomly assigned to the three groups (each with n = 30). The primary outcome is the change in the individual anaerobic threshold as determined by spiroergometry from baseline to six month follow-up. Secondary endpoints include change in endothelial function, biomarkers of inflammation and oxidative stress, quality of life, symptoms of fatigue, illness perception and feasibility of the treatment approach. We hypothesize that physical fitness will improve more in PMT than in EX and TAU, with PMT and EX more than TAU, and that the effects will be more pronounced for participants with current mental or psychosocial distress.<h4>Discussion</h4>The results of the study will help to determine the effectiveness of a psychodynamic lifestyle change approach and to identify measures for designing specifically tailored interventions to improve compliance with cardiovascular prevention.<h4>Trial registration</h4>ClinicalTrials.gov Identifier: NCT01445808.

Addresses

Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Strasse 8, Mainz 55131, Germany. michal@uni-mainz.de.

Autoren

Matthias Michal
Perikles Simon
Tommaso Gori
Jochem König
Philipp S Wild
Jörg Wiltink
Suzan Tug
Björn Sterzing
Josef Unterrainer
Thomas Münzel
Manfred E Beutel

DOI

10.1186/1745-6215-14-314

eISSN

1745-6215

Externe Identifier

PubMed Identifier: 24066805
PubMed Central ID: PMC3819661

Open access

true

ISSN

1745-6215

Zeitschrift

Trials

Schlüsselwörter

Endothelium, Vascular
Humans
Coronary Disease
Treatment Outcome
Exercise Therapy
Feasibility Studies
Health Knowledge, Attitudes, Practice
Health Behavior
Patient Compliance
Risk Reduction Behavior
Motivation
Cognition
Recovery of Function
Exercise Tolerance
Research Design
Time Factors
Quality of Life
Germany
Secondary Prevention
Psychotherapy, Psychodynamic
Biomarkers

Sprache

eng

Medium

Electronic

Online publication date

2013

Open access status

Open Access

Paginierung

314

Datum der Veröffentlichung

2013

Status

Published

Publisher licence

CC BY

Datum der Datenerfassung

2013

Titel

Psychodynamic Motivation and Training program (PMT) for the secondary prevention in patients with stable coronary heart disease: study protocol for a randomized controlled trial of feasibility and effects.

Sub types

Research Support, Non-U.S. Gov't
research-article
Randomized Controlled Trial
Journal Article

Ausgabe der Zeitschrift

14

Files

https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/1745-6215-14-314 https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24066805/pdf/?tool=EBI https://europepmc.org/articles/PMC3819661?pdf=render

Datenquelle: Europe PubMed Central

Abstract

BACKGROUND: Nonpharmacological secondary prevention of coronary heart disease is considered a safe and effective measure to substantially reduce mortality. Despite the effectiveness of lifestyle changes, the compliance rate of patients is very low mainly due to psychosocial barriers. Psychotherapeutic approaches that address how persons think about themselves and their behaviors appear to have a significant potential for improving health behavior. METHODS/DESIGN: Against this background, our study aims to examine the feasibility and effects of a Psychodynamic Motivation and Training program (PMT) as compared to one session of advice in exercise training (EX) and treatment as usual (TAU). For that purpose, 90 patients with stable coronary heart disease and a physically inactive lifestyle will be randomly assigned to the three groups (each with n = 30). The primary outcome is the change in the individual anaerobic threshold as determined by spiroergometry from baseline to six month follow-up. Secondary endpoints include change in endothelial function, biomarkers of inflammation and oxidative stress, quality of life, symptoms of fatigue, illness perception and feasibility of the treatment approach. We hypothesize that physical fitness will improve more in PMT than in EX and TAU, with PMT and EX more than TAU, and that the effects will be more pronounced for participants with current mental or psychosocial distress. DISCUSSION: The results of the study will help to determine the effectiveness of a psychodynamic lifestyle change approach and to identify measures for designing specifically tailored interventions to improve compliance with cardiovascular prevention. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01445808.

Date of acceptance

2013

Autoren

Matthias Michal
Perikles Simon
Tommaso Gori
Jochem König
Philipp S Wild
Jörg Wiltink
Suzan Tug
Björn Sterzing
Josef Unterrainer
Thomas Münzel
Manfred E Beutel

Autoren-URL

https://www.ncbi.nlm.nih.gov/pubmed/24066805

DOI

10.1186/1745-6215-14-314

eISSN

1745-6215

Externe Identifier

PubMed Central ID: PMC3819661

Zeitschrift

Trials

Schlüsselwörter

Biomarkers
Cognition
Coronary Disease
Endothelium, Vascular
Exercise Therapy
Exercise Tolerance
Feasibility Studies
Germany
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Motivation
Patient Compliance
Psychotherapy, Psychodynamic
Quality of Life
Recovery of Function
Research Design
Risk Reduction Behavior
Secondary Prevention
Time Factors
Treatment Outcome

Sprache

eng

Country

England

Paginierung

314

PII

1745-6215-14-314

Datum der Veröffentlichung

2013

Status

Published online

Datum, an dem der Datensatz öffentlich gemacht wurde

2014

Titel

Psychodynamic Motivation and Training program (PMT) for the secondary prevention in patients with stable coronary heart disease: study protocol for a randomized controlled trial of feasibility and effects.

Sub types

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Ausgabe der Zeitschrift

14

Datenquelle: PubMed

Author's licence

CC-BY

Autoren

Matthias Michal
Perikles Simon
Tommaso Gori
Jochem König
Philipp Wild
Jörg Wiltink
Suzan Tug
Björn Sterzing
Josef Unterrainer
Thomas Münzel
Manfred E Beutel

Hosting institution

Universitätsbibliothek Mainz

Sammlungen

DFG-OA-Publizieren (2012 - 2017)

Resource version

Published version

DOI

10.1186/1745-6215-14-314

Funding acknowledgements

DFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin

File(s) embargoed

false

Open access

true

ISSN

1468-6694

Ausgabe der Veröffentlichung

1

Zeitschrift

Trials

Schlüsselwörter

610 Medizin
610 Medical sciences

Sprache

eng

Open access status

Open Access

Paginierung

Art. 314

Datum der Veröffentlichung

2013

Public URL

https://openscience.ub.uni-mainz.de/handle/20.500.12030/7388

Herausgeber

BioMed central

Herausgeber URL

http://dx.doi.org/10.1186/1745-6215-14-314

Datum der Datenerfassung

2022

Datum, an dem der Datensatz öffentlich gemacht wurde

2022

Zugang

Public

Titel

Psychodynamic motivation and training program (PMT) for the secondary prevention in patients with stable coronary heart disease : study protocol for a randomized controlled trial of feasibility and effects

Ausgabe der Zeitschrift

14

Files

psychodynamic_motivation_and_-20220710233030698.pdf

Datenquelle: OPENSCIENCE.UB

Psychodynamic motivation and training program (PMT) for the secondary prevention in patients with stable coronary heart disease : study protocol for a randomized controlled trial of feasibility and effects

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