European journal of cardiovascular nursing · 2026
Evaluating the feasibility of a novel multidisciplinary residential rehabilitation program for managing fatigue in patients with spontaneous coronary artery dissection.
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Gulstad Verena Elisabeth, Svendsen Julie Cecilie, Madsen Helene Beyer, Andersen Dorrit Grosen, Wagner Mette Kirstine, Kirk Bettina Højberg, Larsen Jane, Zwisler Ann-Dorthe, Palm Pernille
Аннотация
AIM: This study investigated the feasibility of a novel multidisciplinary residential rehabilitation programme for managing fatigue and psychological consequences in patients with SCAD.
METHODS AND RESULTS: A prospective single-arm feasibility study was conducted as the "SCAD, Fatigue, and Everyday Life" programme, a four-day residential intervention, at the Danish Knowledge Centre for Rehabilitation and Palliative Care (REHPA). Fatigue management was addressed through individual and group-based sessions, including energy conservation strategies, nervous system regulating techniques and psychological approaches incorporating value-based, goal-oriented approaches. Feasibility was evaluated using Bowen's framework focusing on demand, acceptability and practicality. Demand was assessed through adherence and attendance rates, acceptability through satisfaction rates and practicality through available resources. Fatigue and psychological associations were assessed using patient reported outcome measures (PROMs): the Modified Fatigue Impact Scale (MFIS), Brief Fatigue Inventory (BFI), Insomnia Severity Index (ISI), the General Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and EQ-5D-5L. Data were collected at baseline and 8 weeks post-intervention. Participant satisfaction was high (median 4.5/5), and completion rate was 78.5%, exceeding the defined threshold of 70%. Modest improvements were observed across PROMs, with small effect sizes and statistically significant changes limited to selected outcomes.
CONCLUSION: The rehabilitation programme was found feasible in terms of high participant satisfaction, satisfying attendance and adherence rates. Intervention elements show potential in reducing fatigue and other psychological consequences following SCAD, taking the small sample size and the single-armed design into account.
METHODS AND RESULTS: A prospective single-arm feasibility study was conducted as the "SCAD, Fatigue, and Everyday Life" programme, a four-day residential intervention, at the Danish Knowledge Centre for Rehabilitation and Palliative Care (REHPA). Fatigue management was addressed through individual and group-based sessions, including energy conservation strategies, nervous system regulating techniques and psychological approaches incorporating value-based, goal-oriented approaches. Feasibility was evaluated using Bowen's framework focusing on demand, acceptability and practicality. Demand was assessed through adherence and attendance rates, acceptability through satisfaction rates and practicality through available resources. Fatigue and psychological associations were assessed using patient reported outcome measures (PROMs): the Modified Fatigue Impact Scale (MFIS), Brief Fatigue Inventory (BFI), Insomnia Severity Index (ISI), the General Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and EQ-5D-5L. Data were collected at baseline and 8 weeks post-intervention. Participant satisfaction was high (median 4.5/5), and completion rate was 78.5%, exceeding the defined threshold of 70%. Modest improvements were observed across PROMs, with small effect sizes and statistically significant changes limited to selected outcomes.
CONCLUSION: The rehabilitation programme was found feasible in terms of high participant satisfaction, satisfying attendance and adherence rates. Intervention elements show potential in reducing fatigue and other psychological consequences following SCAD, taking the small sample size and the single-armed design into account.