OBJECTIVE: This pilot study examined the effect of a home communication intervention (HCI) to augment home health care (HHC) on functioning and recovery outcomes of elderly patients undergoing coronary artery bypass graft. DESIGN: A randomized, experimental two-group (N = 50) repeated-measures design was used. Both HCI and control subjects received HHC, and the HCI group also received the 12-week HCI delivered by a telehealth device, the Health Buddy (Health Hero Network). The Medical Outcome Study Short Form-36 measured physiologic and psychosocial functioning at baseline, 6 weeks, and 3 months after surgery. Follow-up subject interviews ascertained self-report of postoperative problems and health care use. SAMPLE: Subjects had an average age of 75.3 years and included males (56%) and females (44%). RESULTS: By using repeated-measures analyses of covariance, covariating for the total number of HHC visits, HCI subjects, compared with the HHC group only, had a significantly higher adjusted mean general health functioning score (F = 8.41 [1, 36], P < .01). There were significant time effects on physical, role-physical, and mental health functioning, indicating that both groups improved over time. The groups reported similar postoperative problems; however, the control group had more emergency department visits than the HCI group. CONCLUSIONS: Findings demonstrate the potential benefit of using an HCI to further augment outcomes of high-risk patients undergoing coronary artery bypass graft surgery referred to HHC after hospitalization.
RCT Entities:
OBJECTIVE: This pilot study examined the effect of a home communication intervention (HCI) to augment home health care (HHC) on functioning and recovery outcomes of elderly patients undergoing coronary artery bypass graft. DESIGN: A randomized, experimental two-group (N = 50) repeated-measures design was used. Both HCI and control subjects received HHC, and the HCI group also received the 12-week HCI delivered by a telehealth device, the Health Buddy (Health Hero Network). The Medical Outcome Study Short Form-36 measured physiologic and psychosocial functioning at baseline, 6 weeks, and 3 months after surgery. Follow-up subject interviews ascertained self-report of postoperative problems and health care use. SAMPLE: Subjects had an average age of 75.3 years and included males (56%) and females (44%). RESULTS: By using repeated-measures analyses of covariance, covariating for the total number of HHC visits, HCI subjects, compared with the HHC group only, had a significantly higher adjusted mean general health functioning score (F = 8.41 [1, 36], P < .01). There were significant time effects on physical, role-physical, and mental health functioning, indicating that both groups improved over time. The groups reported similar postoperative problems; however, the control group had more emergency department visits than the HCI group. CONCLUSIONS: Findings demonstrate the potential benefit of using an HCI to further augment outcomes of high-risk patients undergoing coronary artery bypass graft surgery referred to HHC after hospitalization.
Authors: Patricia Flatley Brennan; Gail R Casper; Laura J Burke; Kathy A Johnson; Roger Brown; Rupa S Valdez; Marge Sebern; Oscar A Perez; Billie Sturgeon Journal: Heart Lung Date: 2010 Nov-Dec Impact factor: 2.210
Authors: Eva van der Meij; Judith Af Huirne; Esther Va Bouwsma; Johanna M van Dongen; Caroline B Terwee; Peter M van de Ven; Chantal M den Bakker; Suzan van der Meij; W Marchien van Baal; Wouter Kg Leclercq; Peggy Maj Geomini; Esther Cj Consten; Steven E Schraffordt Koops; Paul Jm van Kesteren; Hein Bac Stockmann; A Dorien Ten Cate; Paul Hp Davids; Petrus C Scholten; Baukje van den Heuvel; Frederieke G Schaafsma; Wilhelmus Jhj Meijerink; H Jaap Bonjer; Johannes R Anema Journal: JMIR Res Protoc Date: 2016-12-21
Authors: Eva van der Meij; Johannes R Anema; René H J Otten; Judith A F Huirne; Frederieke G Schaafsma Journal: PLoS One Date: 2016-07-06 Impact factor: 3.240