Blended collaborative care in the secondary prevention of coronary heart disease improves risk factor control: Results of a randomised feasibility study
| Autor: | Rolf Wachter, Jonas Nagel, Mira-Lynn Chavanon, Stella V Fangauf, Claudia Neitzel, Lena Bosselmann, Eva Hummers, Christoph Herrmann-Lingen, Birgit Herbeck Belnap, Anna Schertz |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Randomization Collaborative Care Coronary Disease Pilot Projects 030204 cardiovascular system & hematology Random Allocation 03 medical and health sciences 0302 clinical medicine Risk Factors Germany Secondary Prevention Humans Medicine In patient 030212 general & internal medicine Risk factor Intensive care medicine Aged Aged 80 and over Advanced and Specialized Nursing Secondary prevention Behaviour modification business.industry Limiting Middle Aged Coronary heart disease 3. Good health Medical–Surgical Nursing Caregivers Feasibility Studies Patient Compliance Female Patient Participation Cardiology and Cardiovascular Medicine business Risk Reduction Behavior |
| Zdroj: | European Journal of Cardiovascular Nursing. 19:134-141 |
| ISSN: | 1873-1953 1474-5151 |
| DOI: | 10.1177/1474515119880062 |
| Popis: | Background: Risk factor control is essential in limiting the progression of coronary heart disease, but the necessary active patient involvement is often difficult to realise, especially in patients suffering psychosocial risk factors (e.g. distress). Blended collaborative care has been shown as an effective treatment addition, in which a (non-physician) care manager supports patients in implementing and sustaining lifestyle changes, follows-up on patients, and integrates care across providers, targeting both, somatic and psychosocial risk factors. Aims: The aim of this study was to test the feasibility, acceptance and effect of a six-month blended collaborative care intervention in Germany. Methods: For our randomised controlled pilot study with a crossover design we recruited coronary heart disease patients with ⩾1 insufficiently controlled cardiac risk factors and randomised them to either immediate blended collaborative care intervention (immediate intervention group, n=20) or waiting control (waiting control group, n=20). Results: Participation rate in the intervention phase was 67% ( n=40), and participants reported high satisfaction ( M=1.63, standard deviation=0.69; scale 1 (very high) to 5 (very low)). The number of risk factors decreased significantly from baseline to six months in the immediate intervention group ( t(60)=3.07, p=0.003), but not in the waiting control group t(60)=−0.29, p=0.77). Similarly, at the end of their intervention following the six-month waiting period, the waiting control group also showed a significant reduction of risk factors ( t(60)=3.88, pConclusion: This study shows that blended collaborative care can be a feasible, accepted and effective addition to standard medical care in the secondary prevention of coronary heart disease in the German healthcare system. |
| Databáze: | OpenAIRE |
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