Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services

Lewin, Bob; Robertson, Ian R.; Cay, E. L.; Irving, John B.; Campbell, Mhairi

doi:10.1016/0140-6736(92)90547-g

Cited by 275 publications

(46 citation statements)

References 25 publications

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“…32,34,35,143,144 Both Allen 143 and Heller and colleagues 144 report a similar rate of smoking cessation to that seen in the BRUM study in their intervention groups. We found a greater fall in TC than in the control arms of Bell 34 and the SCRIP trial 145 and a greater fall in the HADS anxiety score than the control arm of Lewin and colleagues, 35 but a similar fall to that in the control arm of Bell 34 and Higgins and colleagues. 32 Published randomised comparisons of home-based comprehensive CR with usual care have mixed results of the change in exercise capacity from baseline to follow-up.…”

Section: Internal Validitymentioning

confidence: 56%

“…138 A previous trial using the Heart Manual reported a significant reduction in the numbers of cases of depression at the follow-up points of 6 weeks, 6 months and 1 year, but no difference in HADS depression score after 6 weeks between the intervention and control groups. 35 The other evaluation using the Heart Manual failed to find either significant differences in depression scores between Heart Manual and either control or centre-based groups, or significant changes in depression score over time in any group. 34 We found a rise of 10 mmHg in blood pressure from the baseline to the 6-month assessment.…”

Section: Comparison With the Results Of Previous Trialsmentioning

confidence: 99%

“…Home-based programmes were first described in the mid-1980s and range in level of intensity and supervision, including telemetrically monitored exercise at home on bicycle ergometers, [28][29][30][31] home visits from physicians or nurses 32,33 or a manual and telephone support. 34,35 Uptake and adherence…”

Section: Models Of Cardiac Rehabilitationmentioning

confidence: 99%

See 2 more Smart Citations

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Jolly¹,

Taylor²,

Gy³

et al. 2007

Health Technol Assess

174

262

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA The Birmingham Rehabilitation Uptake Maximisation Study (BRUM NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) programme, now part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the costs, effectiveness and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs-led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, the public and consumer groups and professional bodies such as royal colleges and NHS trusts. These suggestions are carefully prioritised by panels of independent experts (including NHS service users). The HTA Programme then commissions the research by competitive tender. Secondly, the HTA Programme provides grants for cl...

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Section: Internal Validitymentioning

confidence: 56%

Section: Comparison With the Results Of Previous Trialsmentioning

confidence: 99%

See 1 more Smart Citation

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Jolly¹,

Taylor²,

Gy³

et al. 2007

Health Technol Assess

174

262

View full text Add to dashboard Cite

show abstract

“…The HAD has been demonstrated to be sensitive, reliable and valid in cardiac patients. 26,38,[41][42][43] Additional data were collected at baseline related to perceptions of control over the cardiac illness using the Control Attitudes Scale (CAS) as these scores are predictive of scores on the PAIS in cardiac patients. 34,44 The CAS consists of four belief statements measuring perceptions of personal and family control in the context of cardiac disease.…”

Section: Interventionmentioning

confidence: 99%

“…This may be particularly necessary given that the women in this study demonstrated a frequency of readmission, which was higher than previous reports. 43,60,61 12 Finally, the PAIS is designed to measure adjustment in chronic illness over time and it is likely that changes in social adjustment may take six to twelve months to become evident given the unexpectedly high rate of readmissions. 12,29,51,52 Continuing to measure outcomes at 6 and 12 months may have been more appropriate.…”

mentioning

confidence: 99%

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Gallagher¹,

McKinley²,

Dracup³

2003

Heart & Lung

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The effect of a telephone counseling intervention, providing education and support and specifically designed to promote adjustment in women was trialed on 196 women admitted for myocardial infarction (MI) (19%), coronary artery bypass grafts (CABG) (55%), coronary angioplasty (PTCA) (9%) or stable angina (17%). Women were randomized to usual care (n = 103) or the intervention (n = 93) delivered during admission and 1, 2, 3 and 6 weeks postdischarge. The sample had a mean age of 67 years (range 34 -92), had not completed high school (92%), and were not employed (84%).At 12 weeks the intervention had no effect, with no significant differences between group mean scores on psychosocial adjustment (F[1,182] During admission women at risk of poor outcomes should be targeted i.e., women aged less than 55 years, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission. An effective intervention for women, which can cater for a wide range of ages, multiple role demands, readmissions and stress at home, remains to be established. 3 Effects of a Telephone Counseling Intervention on Psychosocial Function inWomen Following a Cardiac Event.Patient participation in postdischarge interventions including education and support, particularly when conducted with cardiac rehabilitation programs, have been demonstrated to improve psychosocial wellbeing following a cardiac event. 1-3 However, the relative benefit of these interventions for women has not been determined, as most interventions have been designed and tested on men. When women have been recruited, low participation rates have limited gender subgroup analyses . 1,4-6 Furthermore, men and women are likely to respond differently to the same intervention due to gender based differences in psychosocial recovery patterns. 7 Most of these differences arise from women's older age when first diagnosed with coronary heart disease and women's identification with traditional, gender-based roles. [8][9][10][11][12] Age-related factors such as increased incidence of comorbidities and fatigue, and multiple role commitments also limit women's ability to participate in cardiac rehabilitation and other outpatient based interventions. [13][14][15][16] Delivery of an education and support intervention, specifically designed for women and delivered by telephone, offers an inexpensive, convenient, alternative method of delivery. It is unclear what factors other than the intervention might influence psychosocial recovery in women. Therefore the purpose of this study was twofold: 1) to determine the effectiveness of a telephone follow-up intervention providing information and support in improving psychosocial adjustment in women following a cardiac event, and 2) to determine the predictors of psychosocial adjustment in women following a cardiac event. 4 METHODSThe study was reviewed and approved by the appropriate hospital review boards.All participating patients were provided with information sheets and ...

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Psychological Factors in Heart Failure

Macmahon¹,

Lip²

2002

Arch Intern Med

216

138

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Congestive heart failure (CHF) is the end stage of many diseases of the heart and a major cause of morbidity and mortality. The incidence of CHF is increasing steadily as treatment for its coronary antecedents, such as myocardial infarction, advances. Treatment of CHF generally relies on a battery of pharmacological interventions, alongside exercise and diet regimens. It is only in recent years that the psychological impact of heart failure has been explored, which is reflected by the absence of standardized psychological assessment for patients with CHF. In this article, we review studies that have addressed the effects of depression, anxiety, coping style, and level of social support in CHF. From the available evidence, it appears that patients generally experience moderate levels of depression, but not greatly heightened anxiety. Level of social support and style of coping with the disease are, however, important prognostic factors. It is difficult to draw definitive conclusions owing to the paucity of literature. Further work examining this issue is needed if the psychological issues of heart failure are not to be neglected.

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Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services

Cited by 275 publications

References 25 publications

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Psychological Factors in Heart Failure

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