Exploring the Mechanism of Effectiveness of a Psychoeducational Intervention in a Rehabilitation Program (CopenHeartRFA) for Patients Treated with Ablation for Atrial Fibrillation: A Mixed Methods Study

Signe Stelling Risom, Johanne Lind, Victoria Vaughan Dickson, Selina Kikkenborg Berg

Research output: Contribution to journalArticle

Abstract

Background Patients treated for atrial fibrillation with an ablation can experience decreased mental health. Little is known about the effect of a psychoeducation intervention on this patient group. Objectives The aim of this study was to explore the effect of a psychoeducation intervention on patients' mental health after participating in a cardiac rehabilitation program, with a focus on elaborating on the lack of mental health improvements. Method Sequential explanatory mixed methods including secondary analysis of qualitative and quantitative data collected in a randomized rehabilitation trial was performed. Perceived health was measured by a questionnaire (n = 95), and qualitative interviews were performed (n = 10). Results Patients scoring high on perceived health experienced positive effects of the intervention. Patients scoring low appear to have either low physical capacity and severe atrial fibrillation symptoms, bigger life issues, or lack of social support. Conclusion: A more in-depth understanding of the effect of a psychoeducational intervention included in a cardiac rehabilitation program has been achieved.

Original languageEnglish (US)
Pages (from-to)336-343
Number of pages8
JournalJournal of Cardiovascular Nursing
Volume34
Issue number4
DOIs
StatePublished - Jul 1 2019

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Atrial Fibrillation
Rehabilitation
Mental Health
Health
Social Support
Interviews
Cardiac Rehabilitation

Keywords

  • Atrial fibrillation
  • Mental health
  • Mixed methods
  • Quality of life
  • Rehabilitation
  • Subjective health

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

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title = "Exploring the Mechanism of Effectiveness of a Psychoeducational Intervention in a Rehabilitation Program (CopenHeartRFA) for Patients Treated with Ablation for Atrial Fibrillation: A Mixed Methods Study",
abstract = "Background Patients treated for atrial fibrillation with an ablation can experience decreased mental health. Little is known about the effect of a psychoeducation intervention on this patient group. Objectives The aim of this study was to explore the effect of a psychoeducation intervention on patients' mental health after participating in a cardiac rehabilitation program, with a focus on elaborating on the lack of mental health improvements. Method Sequential explanatory mixed methods including secondary analysis of qualitative and quantitative data collected in a randomized rehabilitation trial was performed. Perceived health was measured by a questionnaire (n = 95), and qualitative interviews were performed (n = 10). Results Patients scoring high on perceived health experienced positive effects of the intervention. Patients scoring low appear to have either low physical capacity and severe atrial fibrillation symptoms, bigger life issues, or lack of social support. Conclusion: A more in-depth understanding of the effect of a psychoeducational intervention included in a cardiac rehabilitation program has been achieved.",
keywords = "Atrial fibrillation, Mental health, Mixed methods, Quality of life, Rehabilitation, Subjective health",
author = "Risom, {Signe Stelling} and Johanne Lind and {Vaughan Dickson}, Victoria and Berg, {Selina Kikkenborg}",
year = "2019",
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AU - Risom, Signe Stelling

AU - Lind, Johanne

AU - Vaughan Dickson, Victoria

AU - Berg, Selina Kikkenborg

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N2 - Background Patients treated for atrial fibrillation with an ablation can experience decreased mental health. Little is known about the effect of a psychoeducation intervention on this patient group. Objectives The aim of this study was to explore the effect of a psychoeducation intervention on patients' mental health after participating in a cardiac rehabilitation program, with a focus on elaborating on the lack of mental health improvements. Method Sequential explanatory mixed methods including secondary analysis of qualitative and quantitative data collected in a randomized rehabilitation trial was performed. Perceived health was measured by a questionnaire (n = 95), and qualitative interviews were performed (n = 10). Results Patients scoring high on perceived health experienced positive effects of the intervention. Patients scoring low appear to have either low physical capacity and severe atrial fibrillation symptoms, bigger life issues, or lack of social support. Conclusion: A more in-depth understanding of the effect of a psychoeducational intervention included in a cardiac rehabilitation program has been achieved.

AB - Background Patients treated for atrial fibrillation with an ablation can experience decreased mental health. Little is known about the effect of a psychoeducation intervention on this patient group. Objectives The aim of this study was to explore the effect of a psychoeducation intervention on patients' mental health after participating in a cardiac rehabilitation program, with a focus on elaborating on the lack of mental health improvements. Method Sequential explanatory mixed methods including secondary analysis of qualitative and quantitative data collected in a randomized rehabilitation trial was performed. Perceived health was measured by a questionnaire (n = 95), and qualitative interviews were performed (n = 10). Results Patients scoring high on perceived health experienced positive effects of the intervention. Patients scoring low appear to have either low physical capacity and severe atrial fibrillation symptoms, bigger life issues, or lack of social support. Conclusion: A more in-depth understanding of the effect of a psychoeducational intervention included in a cardiac rehabilitation program has been achieved.

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