NDLI: Cardiac Home Education and Support Trial (CHEST): a pilot study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Parry, Monica J. Watt-Watson, Judy Hodnett, Ellen Tranmer, Joan Dennis, Cindy-Lee Brooks, Dina
Spatial Coverage	Ontario
Description	Country affiliation: Canada Author Affiliation: Parry MJ ( Cardiac Surgery, Kingston General Hospital, Kingston and Toronto, Canada. monica.parry@utoronto.ca)
Abstract	BACKGROUND: Coronary artery bypass graft (CABG) surgery is performed more frequently in individuals who are older and sicker than in previous years. Increased patient acuity and reduced hospital length of stays leave individuals ill prepared for their recovery. OBJECTIVES: To test the feasibility of a peer support program and determine indicators of the effects of peer support on recovery outcomes of individuals following CABG surgery. METHODS AND RESULTS: A pre-post test pilot randomized clinical trial design enrolled men and women undergoing first-time nonemergency CABG surgery at a single site in Ontario. Patients were randomly assigned to either usual care or peer support. Patients allocated to usual care (n=50) received standard preoperative and postoperative education. Patients in the peer support group (n=45) received individualized education and support via telephone from trained cardiac surgery peer volunteers for eight weeks following hospital discharge. Most (93%) peer volunteers believed they were prepared for their role, with 98% of peer volunteers initiating calls within 72 h of the patient's discharge. Peer volunteers made an average of 12 calls, less than 30 min in duration over the eight-week recovery period. Patients were satisfied with their peer support (n=45, 98%). The intervention group reported statistical trends toward improved physical function (physical component score) (t [89]=-1.6; P=0.12) role function (t [93]=-1.9; P=0.06), less pain (t [93]=1.30; P=0.20) and improved cardiac rehabilitation enrollment (chi2=2.50, P=0.11). CONCLUSIONS: These preliminary results suggest that peer support may improve recovery outcomes following CABG. Data from the present pilot trial also indicate that a home-based peer support intervention is feasible and an adequately powered trial should be conducted.
File Format	HTM / HTML
ISSN	0828282X
e-ISSN	19167075
Journal	Canadian Journal of Cardiology
Issue Number	12
Volume Number	25
Language	English
Publisher	Elsevier
Publisher Date	2009-12-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Cardiology Coronary Artery Bypass Coronary Artery Disease Surgery Patient Education As Topic Peer Group Feasibility Studies Length Of Stay Ontario Pilot Projects Randomized Controlled Trial Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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