Implementierung einer Verhaltensmedizinisch Orientierten Rehabilitation in der Kardiologie

Translated title of the contribution: Implementation of a Behavioral Medicine Oriented Concept in Cardiological Rehabilitation

Dieter Benninghoven, Elisabeth Menke, Claudia China, Friedrich Schroeder, Matthias Bethge


This study examined the implementation of a behavioral medicine oriented rehabilitation concept in a cardiological rehabilitation clinic. Psychotherapeutic interventions were based on an Acceptance and Commitment Therapy framework. Participants were treated in a behavioral cardiac rehabilitation program (BCR; n=149), or in a conventional cardiac rehabilitation program (CCR, n=100). We tested and compared the reach of the targeted group, the fidelity of the concept implementation in the BCR, as well as the completeness of the intervention (dose delivered) and the patient-reported behavioral medical treatment dose (dose received). Changes from beginning of rehabilitation until discharge with regard to mental and physical performance were assessed in both groups. BCR-patients were more impaired than CCR-patients, and they confirmed more behavioral medical content, a higher consistency of the behavioral medical strategy and a stronger gain of competence. Adherence ratings indicated a largely accurate implementation of the intervention. In both groups, depression, somatization, anxiety, heart anxiety, exercise self-efficacy expectation, and maximum power in bicycle ergometry improved statistically significant from admission to discharge. Large or nearly large effect sizes were found for avoidance behavior (d=0.78), somatization (d=0.82), depression (d=0.76), anxiety (d=0.72) and performance in bicycle ergometry (d=0.86) in the BCR. A further evaluation by means of a randomized controlled trial should follow this implementation study.

Translated title of the contributionImplementation of a Behavioral Medicine Oriented Concept in Cardiological Rehabilitation
Original languageGerman
JournalPPmP Psychotherapie Psychosomatik Medizinische Psychologie
Issue number9-10
Pages (from-to)429-437
Number of pages9
Publication statusPublished - 10.2022

Research Areas and Centers

  • Research Area: Center for Population Medicine and Public Health (ZBV)


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