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Improving outcomes after myocardial infarction: a randomized controlled trial evaluating effects of a telephone follow-up intervention.
Eur J Cardiovasc Prev Rehabil. 2007 Jun; 14(3):429-37.EJ

Abstract

BACKGROUND

Providing information is an important part of standard care and treatment for acute myocardial infarction inpatients. Evidence exists indicating that acute myocardial infarction patients experience an information gap in the period immediately after discharge from the hospital. The aim of this study was to assess the short-term effects of a nurse-led telephone follow-up intervention to provide information and support to patients with acute myocardial infarction after their discharge from hospital.

DESIGN AND METHOD

A prospective randomized, controlled trial with a 6-month follow-up was conducted. A total of 288 patients were allocated to either an intervention group (n=156) or a control group (n=132). The latter received routine post-discharge care. The primary endpoint measured at 3 and 6 months after discharge was the health-related quality of life using the 36-item Short Form Health Survey. Secondary endpoints included smoking and exercise habits.

RESULTS

In both groups, health-related quality of life improved significantly over time on most subscales. A statistically significant difference in favour of the intervention group was found on the 36-item Short Form Health Survey Physical Health Component Summary Scale (P=0.034) after 6 months. No difference was found between the groups on the Mental Health Component Summary Scale. We found a significant difference with respect to frequency of physical activity in favour of the intervention group after 6 months (P=0.004). More participants in the intervention group than the control group had ceased smoking at the 6-month follow-up (P=0.055).

CONCLUSION

A nurse-led systematic telephone follow-up intervention significantly improved the physical dimension of health-related quality of life in patients in the intervention group compared with usual care patients. Participation in this intervention also seemed to promote health behaviour change in patients after acute myocardial infarction.

Authors+Show Affiliations

Department of Research and Development, Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway. tove.aminda.hanssen@helse-bergen.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17568244

Citation

Hanssen, Tove Aminda, et al. "Improving Outcomes After Myocardial Infarction: a Randomized Controlled Trial Evaluating Effects of a Telephone Follow-up Intervention." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 14, no. 3, 2007, pp. 429-37.
Hanssen TA, Nordrehaug JE, Eide GE, et al. Improving outcomes after myocardial infarction: a randomized controlled trial evaluating effects of a telephone follow-up intervention. Eur J Cardiovasc Prev Rehabil. 2007;14(3):429-37.
Hanssen, T. A., Nordrehaug, J. E., Eide, G. E., & Hanestad, B. R. (2007). Improving outcomes after myocardial infarction: a randomized controlled trial evaluating effects of a telephone follow-up intervention. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 14(3), 429-37.
Hanssen TA, et al. Improving Outcomes After Myocardial Infarction: a Randomized Controlled Trial Evaluating Effects of a Telephone Follow-up Intervention. Eur J Cardiovasc Prev Rehabil. 2007;14(3):429-37. PubMed PMID: 17568244.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving outcomes after myocardial infarction: a randomized controlled trial evaluating effects of a telephone follow-up intervention. AU - Hanssen,Tove Aminda, AU - Nordrehaug,Jan Erik, AU - Eide,Geir Egil, AU - Hanestad,Berit Rokne, PY - 2007/6/15/pubmed PY - 2007/8/3/medline PY - 2007/6/15/entrez SP - 429 EP - 37 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 14 IS - 3 N2 - BACKGROUND: Providing information is an important part of standard care and treatment for acute myocardial infarction inpatients. Evidence exists indicating that acute myocardial infarction patients experience an information gap in the period immediately after discharge from the hospital. The aim of this study was to assess the short-term effects of a nurse-led telephone follow-up intervention to provide information and support to patients with acute myocardial infarction after their discharge from hospital. DESIGN AND METHOD: A prospective randomized, controlled trial with a 6-month follow-up was conducted. A total of 288 patients were allocated to either an intervention group (n=156) or a control group (n=132). The latter received routine post-discharge care. The primary endpoint measured at 3 and 6 months after discharge was the health-related quality of life using the 36-item Short Form Health Survey. Secondary endpoints included smoking and exercise habits. RESULTS: In both groups, health-related quality of life improved significantly over time on most subscales. A statistically significant difference in favour of the intervention group was found on the 36-item Short Form Health Survey Physical Health Component Summary Scale (P=0.034) after 6 months. No difference was found between the groups on the Mental Health Component Summary Scale. We found a significant difference with respect to frequency of physical activity in favour of the intervention group after 6 months (P=0.004). More participants in the intervention group than the control group had ceased smoking at the 6-month follow-up (P=0.055). CONCLUSION: A nurse-led systematic telephone follow-up intervention significantly improved the physical dimension of health-related quality of life in patients in the intervention group compared with usual care patients. Participation in this intervention also seemed to promote health behaviour change in patients after acute myocardial infarction. SN - 1741-8267 UR - https://www.unboundmedicine.com/medline/citation/17568244/Improving_outcomes_after_myocardial_infarction:_a_randomized_controlled_trial_evaluating_effects_of_a_telephone_follow_up_intervention_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=17568244.ui DB - PRIME DP - Unbound Medicine ER -