Another Piece of the Puzzle

Davidson, Patricia M.

doi:10.1161/circoutcomes.115.002292

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Utilising a novel approach such as meditation addresses a clearly identified need to reframe cardiac rehabilitation service provision from a conventional prescriptive approach to an integrated disease management model (Davidson, 2015). Small group meditation instruction also provides an opportunity for peer support and trust building, provides a safe environment for relaxation and promotes positive interaction between care provider and participant, which is vital to maintain health behaviour change (Clark, Whelan, Barbour, & MacIntyre, 2005).…”

Section: Implications For Practicementioning

confidence: 99%

Meditation and Secondary Prevention of Depression and Anxiety in Heart Disease: a Systematic Review

et al. 2018

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Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmacological and non-pharmacological interventions, including meditation. Meditation is a means of generating selfawareness and has implications for enhanced self-management of depression and anxiety symptoms. This review aims to identify high-level quantitative evidence for meditation interventions designed to improve depression and/or anxiety symptoms among adults with heart disease and ascertain the most important elements of meditation interventions that facilitate positive depression and/or anxiety outcomes. This systematic review and narrative synthesis was completed in accordance with the PRISMA Statement and has adhered to the Cochrane Risk of Bias guideline. Six databases were searched between 1975 and 2017. Statistically significant outcomes were demonstrated in over half (5/9) of the phase II meditation studies for depression and/or anxiety and involved 477 participants. Meditation interventions that generated positive outcomes for depression and/or anxiety included elements such as focused attention to body parts (or body scan) (3/4 studies) and/or group meetings (4/5 studies). Meditation is a means of reframing heart disease outpatient services towards an integrated model of care. Future adequately powered phase III studies are needed to confirm which meditation elements are associated with reductions in depression and anxiety; and the differential effects between concentrative and mindfulness-based meditation types among adults with heart disease.

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Section: Implications For Practicementioning

confidence: 99%

Meditation and Secondary Prevention of Depression and Anxiety in Heart Disease: a Systematic Review

et al. 2018

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Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women

Rao

Newton

DiGiacomo

et al. 2018

Journal of Cardiopulmonary Rehabilitation and Prevention

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Cardiac rehabilitation referral and enrolment across an academic health sciences centre with eReferral and peer navigation: a randomised controlled pilot trial

et al. 2016

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ObjectivesTo describe (1) cardiac rehabilitation (CR) referral across cardiac units in a tertiary centre with eReferral; (2) characteristics associated with CR referral and enrolment and (3) the effects of peer navigation (PN) on referral and enrolment. This pilot was a 2 parallel-arm, randomised, single-blind trial with allocation concealment.Setting3 cardiac units (ie, interventional, general cardiology, and cardiac surgery) in 1 of 2 hospitals of a tertiary centre.ParticipantsCR-eligible adult cardiac inpatients were randomised to PN or usual care. 94 (54.7%) patients consented, of which 46 (48.9%) were randomised to PN. Outcomes were ascertained in 76 (80.9%) participants.InterventionThe PN (1) visited participant at the bedside, (2) mailed a card to participant's home reminding about CR and (3) called participant 2 weeks postdischarge to discuss CR barriers.Outcome measuresThe primary outcome of enrolment was defined as participant attendance at a scheduled CR intake appointment (yes/no). The secondary outcome was referral. Blinded outcome assessment was conducted 12 weeks postdischarge, via CR chart extraction.ResultsThose who received care on the cardiac surgery unit (77.9%) were more likely to be referred than those treated on the general cardiology (61.1%) or interventional unit (33.3%; p=0.04). Patients who had cardiac surgery, hypertension and hyperlipidaemia were significantly more likely, and those with congenital heart disease, cancer and a previous cardiac diagnosis were less likely to be referred. Participants referred to a site closer to home (76.2% of those referred) were more likely to enrol than those not (23.7%, p<0.05). PN had no effect on referral (77.6%, p=0.45) or enrolment (46.0%, p=0.24).ConclusionsThere is wide variability in CR referral, even within academic centres, and despite eReferral. Referral was quite high, and thus, PN did not improve CR utilisation. Results support triaging patients to the CR programme closest to their home.Trial registration numberNCT02204449; Results.

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Another Piece of the Puzzle

Cited by 3 publications

References 14 publications

Meditation and Secondary Prevention of Depression and Anxiety in Heart Disease: a Systematic Review

Meditation and Secondary Prevention of Depression and Anxiety in Heart Disease: a Systematic Review

Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women

Cardiac rehabilitation referral and enrolment across an academic health sciences centre with eReferral and peer navigation: a randomised controlled pilot trial

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