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May 7, 2026BMJ OpenOpen Access

Integrated Psychocardiology Transitional Care linked to improved 12-month self-management trajectories post-PCI.

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Why the study?

Adequate self-management support following PCI remains a recognised challenge.

Does an Integrated Psychocardiology Transitional Care (IPTC) programme improve self-management and quality of life in patients undergoing percutaneous coronary intervention?

Population

697 propensity score-matched patients from an initial PCI registry cohort of 1148

Comparison

Integrated Psychocardiology Transitional Care (IPTC) programme vs control

Design

Retrospective cohort study

Follow-up

12 months

Key result

The Integrated Psychocardiology Transitional Care programme significantly improved self-management trajectories over 12 months (group × time interaction F=183.1, p<0.001) in patients post-PCI.

Authors

LTLei TaoDLDan LuoLTLimin Tan

Discussion

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Overview

IPTC was associated with better post-PCI QoL; leaves open causality and requires RCTs before practice adoption.

Key Points

  • The study aims to evaluate how the IPTC program affects self-management and quality of life in patients after PCI.
  • Retrospective cohort analysis with propensity score matching of 697 patients from an initial cohort of 1148.
  • Primary outcome assessed was change in self-management over 12 months using the Coronary Artery Disease Self-Management Scale.
  • Secondary outcomes included various validated questionnaires assessing quality of life and anxiety.
  • No significant difference in self-management at 1 month post-PCI; however, significant improvements were observed at 3, 6, and 12 months (all p<0.001).
  • IPTC group had higher SF-36 physical (45.6 vs 39.8, p<0.001) and mental scores (44.9 vs 41.7, p<0.001) at 12 months.
  • Self-management improvement mediated the positive effects on quality of life.

Study Design

Type

Cohort (n=697)

Structured PICO

Does an Integrated Psychocardiology Transitional Care (IPTC) programme improve self-management and quality of life in patients undergoing percutaneous coronary intervention?

P
Population
697 patients undergoing percutaneous coronary intervention (PCI) (propensity score-matched from an initial registry cohort of 1148)
I
Intervention
Integrated Psychocardiology Transitional Care (IPTC) programme
C
Comparator
Control group (not explicitly described, likely standard care)
O
Outcome
Change in Coronary Artery Disease Self-Management Scale Score over 12 monthspatient reported

Main Result

Effect estimate: F=183.1

p-value: p=<0.001

Integrating psychology-informed transitional care into post-PCI management significantly improves patient self-management and quality of life at 12 months.

Cite This Study

Tao et al. (2026) conducted a cohort in Percutaneous coronary intervention (PCI) (n=697). Integrated Psychocardiology Transitional Care (IPTC) programme vs. Control group was evaluated on Change in Coronary Artery Disease Self-Management Scale Score over 12 months (F=183.1, p=<0.001). The Integrated Psychocardiology Transitional Care programme significantly improved self-management trajectories over 12 months (group × time interaction F=183.1, p<0.001) in patients post-PCI.

synapsesocial.com/papers/69fc2c718b49bacb8b347f1chttps://doi.org/10.1136/bmjopen-2026-116363
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