Clinical trial NCT01566214: Vet-Harts Pilot Intervention for Veterans With Coronary Heart Disease
Official title: Representational Telehealth Nursing Intervention for Veterans With CHD
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Heart Disease
Keywords: coronary heart disease (CHD)
myocardial infarction (MI)
acute coronary syndromes (ACS)
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
Collaborators: name: University of Iowa
First posted: 2012-03-29
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this research study is to survey patients to learn about their beliefs and behaviors related to the management of heart disease and to discuss options for making healthy lifestyle changes. From the information the investigators get from patients, the investigators hope to develop better methods for taking care of patients who have heart disease.

Detailed description: Coronary heart disease (CHD) is a significant health threat among veterans. Compared to their civilian counterparts, veterans experience greater disability, reinfarction, and mortality following myocardial infarction (MI) and other acute coronary syndromes (ACS). High rates of hypertension, diabetes, and cardiac risk behaviors (e.g., smoking) and low socioeconomic status (SES) further increase veterans' CHD-related morbidity and mortality. The proposed pilot project will establish the feasibility of a telehealth nursing intervention for veterans with CHD who are recovering from MI/ACS. The Veterans Heart Attack Representations Telehealth (Vet-HART) intervention is designed to promote adaptive conceptual change in veterans' beliefs (common sense models or representations) about CHD etiology and self-management and facilitate health behavior changes (e.g., smoking cessation, medication adherence, diet management, and increased physical activity). The long-term goal of this research program is to improve veterans' quality of life (QoL) and reduce their CHD-related morbidity/mortality. The proposed project is the requisite next step in attaining that goal.

Eligibility criteria: Inclusion Criteria:

* Admission to an inpatient medicine unit for MI, ACS, and coronary angiography
* Age

Exclusion Criteria:

* Altered mental status
* Language barriers
* Dementia or Cognitive Impairment
* Diagnostic Study
* Resident in long-term care facility prior to the present admission
* Planned discharge to a skilled or intermediate care facility or hospice
* Lack of access to a functioning phone

Primary outcomes:
measure: SF-36v Physical Function Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Role Limitations Due to Physical Health Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Role Limitations Due to Emotional Problems Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Energy-Fatigue Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Emotional Well-Being Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Social Functioning Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v Pain Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: SF-36v General Health Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: Seattle Angina Questionnaire Physical Limitations Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: Seattle Angina Questionnaire Angina Stability Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: Seattle Angina Questionnaire Angina Frequency Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: Seattle Angina Questionnaire Treatment Satisfaction Scale
timeFrame: Change from baseline to 3-months post hospital discharge
measure: Seattle Angina Questionnaire Disease Perception Scale
timeFrame: Change from baseline to 3-months post hospital discharge
Secondary outcomes:
Other outcomes:
Locations:
city: Iowa City
country: United States
facility: Iowa City VA Health Care System, Iowa City, IA
state: Iowa
Study officials:
affiliation: Iowa City VA Health Care System, Iowa City, IA
name: Mark W Vander Weg, PhD MS BA
role: PRINCIPAL_INVESTIGATOR
References: