At 6 months , patients receiving standard care were more likely to have died ( adjusted hazard ratio , 4.44 ; 95 % confidence interval [ CI ] , 1.24-15 .87 ) ; for morbidity outcomes , a 6-point difference in the Physical Component Summary score of the 36-item Short Form Questionnaire ( 95 % CI , 4.2-8 .7 ) , a 7-point difference for the Mental Component Summary score ( 95 % CI , 4.5-9 .5 ) , a 13-point difference in Modified Barthel Index scores ( 95 % CI , 6.8-18 .3 ) , and a 6-point difference in Self-Rating Anxiety Scale scores ( 95 % CI , 4.4-8 .3 ) was reported in favor of the intervention groups .