The Efficacy of Chronic Disease Self Management Programs and Tele-Health on Psychosocial Adjustment by Increasing Self-efficacy in Patients with CABG

Bazargani, Rouhieh H.; Beshārat, Mohammad Ali; Ehsan, Hadi Bahrami; Nejatian, Mostafa; Hosseini, Seyed Kianoosh

doi:10.1016/j.sbspro.2011.10.161

Cited by 8 publications

(12 citation statements)

References 11 publications

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“…Ten studies described their patient populations as having received some degree of cardiac rehabilitation [13], [15], [17], [19], [24], [31]–[33], [36], [37]. Of those 10 studies, only 7 provided the proportion of patients who participated in CR (range: from 32% to 100%) [17], [24], [31]–[33], [36], [37].…”

Section: Resultsmentioning

confidence: 99%

The Effect of Telephone Support Interventions on Coronary Artery Disease (CAD) Patient Outcomes during Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

2014

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BackgroundCardiac rehabilitation is offered to individuals after cardiac events to aid recovery and reduce the likelihood of further cardiac illness. However, patient participation remains suboptimal and the provision of high quality care to an expanding population of patients with chronic heart conditions is becoming increasingly difficult. A systematic review and meta-analysis was conducted to determine the effect of telephone support interventions compared with standard post-discharge care on coronary artery disease patient outcomes.MethodsThe Cochrane Library, MEDLINE, EMBASE, and CINAHL were searched and randomized controlled trials that directly compared telephone interventions with standard post-discharge care in adults following a myocardial infarction or a revascularization procedure were included. Study selection, data extraction and quality assessment were completed independently by two reviewers. Where appropriate, outcome data were combined and analyzed using a random effects model. For each dichotomous outcome, odds ratios (OR) and 95% confidence intervals (CI) were derived for each outcome. For continuous outcomes, weighted mean differences (WMD) and standardized mean differences (SMD) and 95% CI were calculated.Results26 studies met the inclusion criteria. No difference was observed in mortality between the telephone group and the group receiving standard care OR 1.12 (0.71, 1.77). The intervention was significantly associated with fewer hospitalizations than the comparison group OR 0.62 (0.40, 0.97). Significantly more participants in the telephone group stopped smoking OR 1.32 (1.07, 1.62); had lower systolic blood pressure WMD −0.22 (−0.40, −0.04); lower depression scores SMD −0.10 (−0.21, −0.00); and lower anxiety scores SMD −0.14 (−0.24, −0.04). However, no significant difference was observed for low-density lipoprotein levels WMD −0.10 (−0.23, 0.03).ConclusionsCompared to standard post-discharge care, regular telephone support interventions may help reduce feelings of anxiety and depression as well as, improve systolic blood pressure control and the likelihood of smoking cessation.

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Section: Resultsmentioning

confidence: 99%

The Effect of Telephone Support Interventions on Coronary Artery Disease (CAD) Patient Outcomes during Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

2014

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“…Another possible measure used in a study on myocardial revascularization patients (Bazargani et al . ), was the Cardiac Self Efficacy Questionnaire. Results following a psychoeducational intervention and telephone follow‐up showed higher mean self‐efficacy scores in the intervention group compared with controls.…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of an educational programme to improve self‐care in Brazilian patients following percutaneous coronary intervention

Furuya

Arantes²,

Dessotte³

et al. 2014

Journal of Advanced Nursing

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“…All included randomized controlled trials (4,081 participants) compared a telephone intervention designed to improve cardiac patients' outcomes directly to standard post-discharge care. Nine of the included studies were conducted in Canada [13,16,20,30,31,32,33,34,35] 8 in Australia [17,[25][26][27][28][29]37,38], 5 in the United States of America [14,[21][22][23]38] 3 in Europe [18,19,24] and 1 in Iran [15]. Thirteen studies had longer than 6 months of follow-up [19,21,22,24,25,26,28,29,30,[31][32][33]38].…”

Section: Description Of Studiesmentioning

confidence: 99%

The Effect of Telephone Support Interventions on Coronary Artery Disease (Cad) Patient Outcomes During Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

Kotb

Wells

Hsieh

2013

J Epidemiol Community Health

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Background: Cardiac rehabilitation is offered to individuals after cardiac events to aid recovery and reduce the likelihood of further cardiac illness. However, patient participation remains suboptimal and the provision of high quality care to an expanding population of patients with chronic heart conditions is becoming increasingly difficult. A systematic review and meta-analysis was conducted to determine the effect of telephone support interventions compared with standard postdischarge care on coronary artery disease patient outcomes. Methods: The Cochrane Library, MEDLINE, EMBASE, and CINAHL were searched and randomized controlled trials that directly compared telephone interventions with standard post-discharge care in adults following a myocardial infarction or a revascularization procedure were included. Study selection, data extraction and quality assessment were completed independently by two reviewers. Where appropriate, outcome data were combined and analyzed using a random effects model. For each dichotomous outcome, odds ratios (OR) and 95% confidence intervals (CI) were derived for each outcome. For continuous outcomes, weighted mean differences (WMD) and standardized mean differences (SMD) and 95% CI were calculated. Results: 26 studies met the inclusion criteria. No difference was observed in mortality between the telephone group and the group receiving standard care OR 1.12 (0.71, 1.77). The intervention was significantly associated with fewer hospitalizations than the comparison group OR 0.62 (0.40, 0.97). Significantly more participants in the telephone group stopped smoking OR 1.32 (1.07, 1.62); had lower systolic blood pressure WMD 20.22 (20.40, 20.04); lower depression scores SMD 20.10 (20.21, 20.00); and lower anxiety scores SMD 20.14 (20.24, 20.04). However, no significant difference was observed for lowdensity lipoprotein levels WMD 20.10 (20.23, 0.03). Conclusions: Compared to standard post-discharge care, regular telephone support interventions may help reduce feelings of anxiety and depression as well as, improve systolic blood pressure control and the likelihood of smoking cessation.

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The Efficacy of Chronic Disease Self Management Programs and Tele-Health on Psychosocial Adjustment by Increasing Self-efficacy in Patients with CABG

Cited by 8 publications

References 11 publications

The Effect of Telephone Support Interventions on Coronary Artery Disease (CAD) Patient Outcomes during Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

The Effect of Telephone Support Interventions on Coronary Artery Disease (CAD) Patient Outcomes during Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

A randomized controlled trial of an educational programme to improve self‐care in Brazilian patients following percutaneous coronary intervention

The Effect of Telephone Support Interventions on Coronary Artery Disease (Cad) Patient Outcomes During Cardiac Rehabilitation: A Systematic Review and Meta-Analysis

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