Exploring Potential Associations Between Rurality and Hopelessness in IHD Patients

NCT04498975 | Completed

• 1 other identifier: Hopelessness-Rurality
• Study Type: observational
• Target: 125
• Locations: 1 country
• Sites: 2

Brief Summary

Hopelessness is associated with 3.4 times increased risk of mortality or nonfatal myocardial infarction in patients with ischemic heart disease (IHD), independent of depression. Hopelessness has been identified in 27-52% of patients with IHD and can persist for up to 12 months after hospital discharge. Hopelessness, a negative outlook and sense of helplessness toward the future, can be a temporary response to an event (state) or a habitual outlook (trait). Hopelessness is associated with decreased physical functioning and lower physical activity (PA) levels in individuals with IHD. Low levels of PA independently contribute to increased death and adverse events in patients with IHD. Rates of PA in IHD patients continue to be unacceptably low in both hospital-based cardiac rehabilitation and home settings. Compounding this issue is often the symptom of hopelessness. The links among hopelessness, PA and mortality and morbidity for patients with IHD remain largely unknown, especially in rural and minority IHD patients. The purpose of this study is to delineate differences in hopelessness between urban and rural patients with IHD, as well as between racial minority, including Hispanic and Native American, and White patients with IHD. Potential mediation of urbanicity and race/ethnicity by social connectedness, a key variable in rural settings, will also be examined. A 6-month longitudinal study will be conducted at Sanford Heart Hospital and Avera Health in Sioux Falls, South Dakota. Hopelessness will be measured using the State-Trait Hopelessness Scale. The results of this study have potential to transform nursing practice by providing a better understanding of hopelessness in IHD patients and informing future exercise rehabilitation studies and interventions in rural and minority populations.

Conditions

Cardiac Disease; Mental Health Issue

Keywords

Rurality

Outcome Measures

Primary Outcomes (1)

• State and Trait levels of Hopelessness

  State-Trait Hopelessness Scale (values range from 1-4 on both subscales with larger values meaning more hopelessness)

  Six-month

Secondary Outcomes (1)

• Participation (yes/no) and Levels (frequency; vigor) of Exercise

  Six-month

Study Arms (1)

Patients with IHD

No intervention

Other: Rurality; Ethnicity; Exercise; Hopelessness

Interventions

Rurality; Ethnicity; Exercise; Hopelessness OTHER

Observational study exploring rurality, ethnicity, exercise and hopelessness patterns cross-sectionally and longitudinally

Patients with IHD

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Hospitalized individuals

You may qualify if:

• Myocardial infarction or unstable angina or having undergone a percutaneous coronary intervention or coronary artery bypass surgery
• ≥ 18 years
• planned discharge home
• cognitive and physical ability to complete the study measures.

You may not qualify if:

• None

Sponsors & Collaborators

• Dordt University: lead
• Sanford Health: collaborator
• Avera McKennan Hospital & University Health Center: collaborator
• University of Illinois at Chicago: collaborator

Study Sites (2)

Avera Health

Sioux Falls, South Dakota, 57108, United States

Location

Sanford Health

Sioux Falls, South Dakota, 57108, United States

Location

Related Publications (1)

• Bomgaars D, Jensen GA, White LL, Van De Griend KM, Visser AK, Goodyke MP, Luong A, Tintle NL, Dunn SL. Investigating Rurality as a Risk Factor for State and Trait Hopelessness in Hospitalized Patients With Ischemic Heart Disease. J Am Heart Assoc. 2021 Sep 7;10(17):e020768. doi: 10.1161/JAHA.121.020768. Epub 2021 Sep 1.

  PMID: 34465185 DERIVED

MeSH Terms

Conditions

Heart Diseases

Interventions

Ethnicity; Exercise

Condition Hierarchy (Ancestors)

Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Demography; Population Characteristics; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Nathan Tintle

  Dordt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 28, 2020
• First Posted: August 5, 2020
• Study Start: June 1, 2018
• Primary Completion: August 1, 2020
• Study Completion: August 1, 2020
• Last Updated: May 18, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)