Face to Face vs. Group Training Methods on Pulse Rate Taking in Patients With Cardiovascular Diseases.

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to compare the efficacy of group training using a tutorial film and one-to-one face-to-face training in calculating the pulse rate and detecting irregularity in the pulse rhythm in patients with cardiovascular diseases.

Detailed Description
-----------------
Pulse rate self-examination can provide a fairly good assessment of the patient's condition and helps the physician with drug dosage adjustment in patients with cardiac problems. This study will be conducted in the Cardiology wards of Modarres and Loghman hospitals in Tehran. These are two educational general referral hospitals of Shahid Beheshti University of medical sciences covering northern and southern part of Tehran, the capital of Iran respectively. After obtaining a written consent the patients will randomly assign into two groups using random number table. One group will receive a 20-minute face-to-face training session by a nurse on how to calculate the pulse rate in a minute and detect irregularities in the pulse rhythm whereas a 10-minute tutorial film with the same content will be shown to the other group. Three practical test sessions are arranged for each patient, before the training session, right after the training session and at least 48 hours after the training session. The tests contain two parts and evaluate the patients' ability in calculating the exact pulse rate in a minute and detecting irregularities in the pulse rhythm. A special data-collecting questionnaire is designed for this study. This questionnaire contains background information such as sex, age, and literacy level as well as the practical test results. Data gathering process will be performed by nurses in these hospitals. Nurses, who participate in this study, will attend in briefing sessions on how to fill the data-collecting questionnaires. The sample size consists of 300 patients who admitted in Cardiology ward (200 in Modarres hospital and 100 in Loghman hospital). The data will be inserted to the computer and the variables will be compared within and between groups using SPSS software version 16.

Official Title
-----------------
Comparison of the Short-term Efficacy of Two Training Methods (Face to Face vs. Group Training) on Pulse Rate Taking in Patients With Cardiovascular Diseases, a Randomized Trial.

Conditions
-----------------
Arrythmia

Intervention / Treatment
-----------------
* Other: Face-to-face training
* Other: Group training


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients admitted in cardiology ward Literacy (ability to read and write) Exclusion Criteria: -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Face-to-face training<br>One-to-one face-to-face training on calculating the pulse rate and detecting pulse abnormalities performed by the nurse. | Other: Face-to-face training<br>* One-to-one face-to-face training on calculating the pulse rate and detecting abnormalities.<br>|
| Experimental: Group training<br>Group training using a tutorial film on calculating the pulse rate and detecting pulse abnormalities. | Other: Group training<br>* Group training using a tutorial film on calculating the pulse rate and detecting abnormalities.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ability to calculated the pulse rate correctly and detected pulse irregularity | The number of participants who can calculate the pulse rate correctly and detect pulse irregularity, and the participants' improvement in the ability to calculated the pulse rate correctly and detected pulse irregularity on the three time points, will be compared between the two groups. | The outcome will be measured on three distinct time points; before the training session(base line), right after the training session, and at least 48 hours after the training session | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
pulse rate, patient education, training