Cardiac Rehabilitation Peer Mentorship

NCT02204449 | Completed Results

• 1 other identifier: 13-7183
• Study Type: interventional
• Target: 94
• Locations: 1 country
• Sites: 2

Brief Summary

The current study is a randomized controlled trial, being conducted at two hospitals in Toronto, Ontario, Canada, involving the randomization of cardiac inpatients into an intervention group, in which they will receive mentorship from a volunteer cardiac rehabilitation peer mentor, and a control group, in which they will receive usual care. Patients in both groups will be tracked to determine if they are referred to cardiac rehabilitation and if they enroll in cardiac rehabilitation. We hypothesize that compared to cardiac inpatients who receive usual care, those cardiac inpatients who receive cardiac rehabilitation peer mentorship will be more likely to be referred to and enroll in cardiac rehabilitation.

Conditions

Percutaneous Coronary Intervention; Coronary Artery Bypass Graft Surgery, With or Without Valve Surgery; Acute Coronary Syndrome; Chronic Stable Heart Failure; Coronary Artery Disease

Keywords

cardiac rehabilitation; peer mentorship; healthcare utilization; continuity of cardiac care

Outcome Measures

Primary Outcomes (1)

• Cardiac Rehabilitation Enrollment

  A blinded research assistant will either examine medical records or call the participant (i.e., patient) at home to determine if they have enrolled in cardiac rehabilitation.

  12 weeks after patient is discharged from hospital

Secondary Outcomes (1)

• Cardiac Rehabilitation Referral

  12 weeks after patient has been discharged from hospital

Other Outcomes (1)

• Cardiac Rehabilitation Enrollment in Site Closer to Home

  8 weeks after patient is discharged from hospital

Study Arms (2)

Cardiac Rehabilitation Peer Mentorship

EXPERIMENTAL

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral, and arrange a time to call the patient/participant at home to find out about their CR progress. One week post-discharge the peer mentor will mail a card to the patient to remind them of the planned call. Two weeks post-discharge the peer mentor will call the patient at home to determine if they were referred and if they are planning to attend CR. If any barriers are stated by patient the peer mentors will work with the patient to develop possible solutions. Patients can request up to two additional phone calls from the mentors.

Behavioral: Cardiac Rehabilitation Peer Mentorship

Usual Care

NO INTERVENTION

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.

Interventions

Cardiac Rehabilitation Peer Mentorship BEHAVIORAL

Cardiac Rehabilitation Peer Mentorship

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Any condition indicated for cardiac rehabilitation: Acute coronary syndrome, percutaneous coronary intervention, coronary artery bypass graft +/- valve surgery or procedure (e.g., TAVI), heart transplant, ventricular assist device, heart failure, arrhythmia, rhythm device (i.e. implantable cardioverter-defibrillator, cardiac resynchronization therapy, pacemaker), congenital heart disease, minor non-disabling stroke or transient ischemic attack (i.e., can ambulate), peripheral vascular disease
• Proficiency in English language

You may not qualify if:

• Any musculoskeletal, neuromuscular, visual, cognitive or non-dysphoric psychiatric condition, or any serious or terminal illness not otherwise specified which would preclude CR eligibility based on CR guidelines
• Being discharged to long-term care
• Inability to ambulate (i.e. walk unaided at 2mph)

Sponsors & Collaborators

• University Health Network, Toronto: lead
• Stony Brook University: collaborator
• York University: collaborator

Study Sites (2)

Toronto General Hospital

Toronto, Ontario, M5G2C4, Canada

Location

Toronto Western Hospital

Toronto, Ontario, M5T2S8, Canada

Location

Related Publications (1)

• Ali-Faisal SF, Benz Scott L, Johnston L, Grace SL. Cardiac rehabilitation referral and enrolment across an academic health sciences centre with eReferral and peer navigation: a randomised controlled pilot trial. BMJ Open. 2016 Mar 21;6(3):e010214. doi: 10.1136/bmjopen-2015-010214.

  PMID: 27000785 DERIVED

MeSH Terms

Conditions

Acute Coronary Syndrome; Coronary Artery Disease

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Coronary Disease; Arteriosclerosis; Arterial Occlusive Diseases

Results Point of Contact

• Title: Dr. Sherry Grace
• Organization: UHN Toronto

sgrace@yorku.ca

416.736.2100

Study Officials

• Sherry Grace, PhD

  York University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Full Professor

Study Record Dates

• First Submitted: July 28, 2014
• First Posted: July 30, 2014
• Study Start: July 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: January 1, 2015
• Last Updated: December 30, 2015
• Results First Posted: June 22, 2015

Record last verified: 2015-11

Locations

CA (2)