Individual Nurse-led Counselling Programme for Patients Early Discharged After Myocardial Infarction.

NCT02640274 | Completed

• 1 other identifier: 2013/1568/REK
• Study Type: interventional
• Target: 71
• Locations: 1 country
• Sites: 1

Brief Summary

The European guidelines of cardiovascular disease prevention recommend treatment modalities, such as lifestyle changes in order to minimize the risk of further cardiac event after a myocardial infarction (MI). However, a considerable gap exists between guidelines and their implementation in clinical practise. Further, less is known about the impact of different interventions on patient's knowledge, skills and confidence necessary for self-management after MI. Aim: To evaluate and compare the short- and long-term effects of an individual nurse-led counselling programme together with usual care for patients early discharged after MI on self-management behaviour.

Conditions

Cardiovascular Diseases; Coronary Disease; Myocardial Infarction

Keywords

Practise Patterns, Nurses'; Directive Counseling; Self Care

Outcome Measures

Primary Outcomes (1)

• Changes in self-management

  Patient activation measure (PAM) consists of 13 items. The questionnaire assesses the patients' knowledge, skill and confidence for managing ones' own health care.

  from baseline to 6 and 12 months of follow-up

Secondary Outcomes (1)

• changes in health behaviour

  from baseline to 6 and 12 months of follow-up

Study Arms (2)

Intervention group

EXPERIMENTAL

The intervention is an individual nurse-led counselling programme in addition to usual care.

Behavioral: Nurse-led counselling programme; Other: Usual care

Control group

OTHER

usual care

Other: Usual care

Interventions

Nurse-led counselling programme BEHAVIORAL

The intervention is an individual nurse-led counselling programme in addition to usual care. The intervention includes 3 outpatient clinic visits (at weeks 2, 14 and 26) and two telephone calls (at weeks 4 and 16) by a cardiovascular nurse during the first 6 months early discharged. The counselling focuses on cardiac risk reduction behaviour based on guidelines issued by European Society of Cardiology and self-management support.

Intervention group

Usual care OTHER

Control group; Intervention group

Eligibility Criteria

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

You may qualify if:

• patients over 18 years old
• living at home in the local hospital area after hospital discharge
• able to receive telephone calls, fill in questionnaire and communicate in Norwegian.

You may not qualify if:

• cognitive impaired/dementia
• planning for coronary artery bypass graft surgery

Sponsors & Collaborators

• Helse Nord-Trøndelag HF: lead

Study Sites (1)

Medical Clinic

Namsos, Namsos, 7801, Norway

Location

MeSH Terms

Conditions

Cardiovascular Diseases; Coronary Disease; Myocardial Infarction

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Study Officials

• Liv Heidi Skotnes, phd

  Leangen Hospital HNT

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 22, 2015
• First Posted: December 28, 2015
• Study Start: November 1, 2013
• Primary Completion: July 1, 2016
• Study Completion: October 1, 2016
• Last Updated: November 3, 2016

Record last verified: 2016-10

Locations

NO (1)