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Journal of Complementary and Integrative Medicine

Editor-in-Chief: Lui, Edmund

Ed. by Ko, Robert / Leung, Kelvin Sze-Yin / Saunders, Paul / Suntres, PH. D., Zacharias

CiteScore 2017: 1.41

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Evaluating the effect of lifestyle education based on peer model on anxiety in patients with acute myocardial infarction

Randomized controlled trial of a peer based intervention on anxiety in patients with myocardial infarction

Reza MohammadpourhodkiORCID iD: https://orcid.org/0000-0001-5677-0133 / Hosein Bagheri
  • Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Mohammad Hasan Basirinezhad
  • Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Hosein Ramzani / Maryam Keramati
Published Online: 2019-01-19 | DOI: https://doi.org/10.1515/jcim-2018-0132



Anxiety in patients with myocardial infarction (MI) which has a very negative effect on the prognosis of their disease and their physical and mental health. We performed this study in order to find the impact of a peer based education (PE) on anxiety in patients with MI.


This was a randomized clinical trial study. The study participants included 60 patient with MI, who were randomly divided into two groups. The first group received routine education and the other one received PE. We assessed anxiety before and 30 days after the intervention through a valid questionnaires. Data were analyzed by independent sample t-test, two-way ANOVA and the Bonferroni test.


The majority of samples were male, married, self-employer, and living in city. After 30 days intervention the anxiety score was significantly lower in the PE group compare to the control group.


Our findings indicated that the implication of PE as an educational element in decreasing anxiety score and can be considered as a method for continuing of care, and could as well as be a good approach for other patients.

Keywords: anxiety; education; myocardial infarction


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About the article

Received: 2018-08-19

Accepted: 2018-10-26

Published Online: 2019-01-19

Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

Research funding: This article is the outcome of an investigation project at the Zabol University of Medical Sciences which is sponsored by the university and the support is acknowledge.

Employment or leadership: None declared.

Honorarium: None declared

Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

Citation Information: Journal of Complementary and Integrative Medicine, 20180132, ISSN (Online) 1553-3840, DOI: https://doi.org/10.1515/jcim-2018-0132.

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