Implementation and Evaluation of Telemedicine in Cardiac Rehabilitation - a Study on Health Literacy, Health Related Quality of Life, and Family Support
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cardiac Rehabilitation
- Sponsor
- Copenhagen University Hospital, Hvidovre
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Health Literacy Questonnaire
- Status
- Recruiting
- Last Updated
- 9 months ago
Overview
Brief Summary
The overall aim is to develop and test the effect of a tailored patient and family focused cardiac tele rehabilitation intervention on health literacy by comparing it to standard care. Furthermore, to evaluate health-related quality of life, family support, and how the patients experience the communication and relationship with outpatient clinic nurses.
Detailed Description
The project is designed inspired by The Complex Intervention Framework (MRC-Guidelines) combined with a patient and family participatory design. The project will consist of three sub-studies. The first study is a co-creation development of a model for the cardiac telerehabilitation intervention. The second study is a quasi-experimental study with a quantitative comparison of the group receiving the cardiac telerehabilitation intervention and control group. The third study will be a descriptive qualitative study which aim to investigate patient's experience with CTR using participant observation and individual interview or dyadic interview.
Investigators
Nina Cecilie Tjustrup
PhD student, MSc, RN
Copenhagen University Hospital, Hvidovre
Eligibility Criteria
Inclusion Criteria
- •Patients and their family members affiliated with the Department of Cardiology at Amager and Hvidovre Hospital and attending cardiac rehabilitation.
- •Patients diagnosed with ischemic heart disease, heart failure, persistent atrial fibrillation, and cardiac valve surgery.
Exclusion Criteria
- •Patients with substantial language barriers and limited cognitive function.
- •Patients who can't use a smart phone, tablet, or computer.
Outcomes
Primary Outcomes
Health Literacy Questonnaire
Time Frame: 3 months
Health literacy is investigated through instruments such as the Health Literacy Questionnaire (HQL). The HLQ contains 44 qustions that cover nine conceptually distinct areas of Health Literacy. Response options for each scale are determined by the content and nature of the items. For scale 1-5 four point ordinal response options are used (strongly disagree, disagree, agree and strongly agree), while for scales 6-9 five-point ordinal response options are used (cannot do, very difficult, quite difficult, quite easy and very easy). HLQ scale scores are calculated as unit-weighted sums of the constituents items averaged by the number of items in the scale such that the nominal range of the scale scores are 1-4 for scale 1-5 and 1-5 for scale 6-9. A low score means worse outcome and a high score means better outcome.
Secondary Outcomes
- The European Quality of life five dimensions questionnaire(3 months)
- The eHealth Literacy Questionnaire(3 months)
- The Iceland-Family Perceived Support Questionnaire(3 months)