The Effect of a Professionally-guided Telephone Peer Support Intervention on
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 185
- 试验地点
- 6
- 主要终点
- Post operative depression
研究概览
简要总结
Recovery from coronary artery bypass graft (CABG) surgery is a complex process involving physical recuperation and psychological adjustment. The high prevalence of postoperative depression in this population may threaten optimal recovery. Peer support over the recovery period has promise to mitigate this threat. The purpose of this study was to examine the effect of a professionally-guided telephone peer support intervention on recovery outcomes including depression, social support and health care resource utilization.
In a randomized controlled trial, 185 male CABG surgery patients randomly assigned to an intervention (n=61) or usual care (n=124) group. Participants in the intervention group received weekly telephone calls from a peer volunteer over 6 weeks post discharge. At hospital discharge and at 6 and 12 weeks follow up, depression was measured using the Beck Depression Scale-II, social support was measured using the Shortened Social Support Scale and health care resource utilization was measured using items in the Postoperative Self Report of Recovery Questionnaire. Participants in the intervention group were also asked questions about their perceptions regarding peer support using the Peer Support Evaluation Inventory.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 36 Years 至 87 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •English speaking
- •> 35 years of age
- •undergoing first-time traditional (sternotomy approach) CABG surgery
- •an uncomplicated postoperative course
- •standard length of hospital stay (four to eight days)
- •had a telephone in the home
- •able to hear telephone conversation.
排除标准
- •had cardiac surgery procedures other than CABG surgery
- •resided in a nursing home or long term care facility
- •had any neurological or psychiatric disorder that may have impeded ability to self reflect or communicate
- •had emergent cardiac surgery
- •had sustained in-hospital post surgical complications of major significance (i.e., stroke, GI bleed, cardiac tamponade, renal failure, cardiac arrest, major sepsis of any origin, deep sternal wound infection, myocardial infarction with significant hemodynamic compromise)
结局指标
主要结局
Post operative depression
时间窗: 12 weeks
A disorder of mood characterized by sadness and loss of interest in usually satisfying activities, a negative view of the self and hopelessness, passivity, indecisiveness, suicidal ideations, loss of appetite, weight loss, sleep disturbances, and other physical symptoms. Some or all of these symptoms may be present, and depression can be categorized as mild, moderate, or severe/major according to scores measured on the Beck Depression Inventory II (BDI-II) (Diagnostic and Statistical Manual of Mental Health Disorders - Fourth Edition) (DSM-IV criteria).
次要结局
- Perceptions of recovery(6 and 12 weeks)
- Perceptions of social support(6 and 12 weeks)
- Health services utilization(6 and 12 weeks)
研究者
Tracey JF Colella
RN, PhD
University of Calgary