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. 2019 Mar 14;2019(3):CD010748. doi: 10.1002/14651858.CD010748.pub2

Figueiras 2017.

Methods Study design: parallel RCT
Recruitment: recruitment at three CCUs
Allocation: not reported
Blinding: care‐givers were blinded
Randomisation: computer block randomisation
Follow‐up(s): 4, 8, and 12 months
Description: an inpatient individual psychological counselling with telephone follow‐ups
Participants Baseline characteristics
Intervention group
  • Number of participants randomised: 60

  • Working before CHD: 37

  • Age (SD): 56.6 (8.2) years

  • Sex (male %): 92


Control group
  • Number of participants randomised: 67

  • Working before CHD: 37

  • Age(SD): 56.8 (8.0) years

  • Sex (male %): 79


Inclusion criteria
  • Admitted for AMI

  • First uncomplicated MI

  • Able to read and write Portuguese


Exclusion criteria
  • Severe comorbid psychiatric or medical condition


Baseline imbalances:
Physically demanding work (i.e. white vs. blue collar): unknown
Severity of CHD: unknown
Interventions Intervention
In‐hospital individual participant session (about 45 min) with health psychologist including:
  • explanation of intervention

  • discussion/dispelling of participant’s cardiac misconceptions

  • identification of participant’s main cardiac risk factors, and

  • discussion of adequate risk reduction strategies


Participants were mailed a manual with illness and recovery information
Weekly phone calls were made in the first 4 weeks after discharge to discuss strategies to change behavior and recovery goals
  • Duration of intervention: 4 weeks post‐discharge

  • Providers: health psychologist


Control group
  • Standard hospital care: no structured cardiac rehabilitation was made available and counselling given individually by medical and nursing staff.

Outcomes Proportion at work at < 6 months (short term): 4 months*
Proportion at work at 6‐12 months (medium term): 8 months*
*Provided by personal communication
Hospital Anxiety & Depression Scale
Identification Sponsorship source: FEDER through COMPETE and FCT – Fundação para a Ciência e a Tecnologia – reference PTDC/PSI‐PCL/112503/2009
Country: Portugal
Setting: single setting, inpatient/outpatient (phone calls)
Possible conflicts of interest: none reported
Ethics committee approval: “The study was approved by the Ethics Commissions of all hospitals involved and by the Portuguese Data Protection Authority (CNPD) and registered with the number n º17,523/2011 – ‘Programa Coração Saudável’”
Notes RTW results were obtained through personal communication. It is unclear how many people actually responded to the follow‐ups.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: “The randomisation sequence was generated using a computer block randomisation to allocate the patients either to the control or the Intervention group after the baseline assessment.”
Allocation concealment (selection bias) Unclear risk Allocation and randomisation were conducted after the baseline assessment. No information regarding allocation concealment was provided.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: “Caregivers were blinded to the group assignment.”
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk None reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Participants not replying at all time‐points (loss‐to‐follow‐up) were similar in both groups. However, it is unclear how many actually responded regarding the RTW results.
Selective reporting (reporting bias) Unclear risk No mention of an a priori published study protocol. Non‐significant results for RTW not provided in the published articles
Other bias Unclear risk None identified