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Development and pilot test of a peer-support based Cardiac-Diabetes Self-Management Program: a study protocol.

Wu CJ, Chang AM, Courtney M, Shortridge-Baggett LM, Kostner K - BMC Health Serv Res (2011)

Bottom Line: Self-management is an effective approach to achieve better health outcomes; however there is a lack of specifically designed programs for patients with these dual conditions.The primary outcomes include self-efficacy, self-care behaviour and knowledge, measured by well established reliable tools.ACTRN12611000086965.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Nursing and Midwifery, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia. c3.wu@qut.edu.au

ABSTRACT

Background: People with cardiac disease and type 2 diabetes have higher hospital readmission rates (22%) compared to those without diabetes (6%). Self-management is an effective approach to achieve better health outcomes; however there is a lack of specifically designed programs for patients with these dual conditions. This project aims to extend the development and pilot test of a Cardiac-Diabetes Self-Management Program incorporating user-friendly technologies and the preparation of lay personnel to provide follow-up support.

Methods/design: A randomised controlled trial will be used to explore the feasibility and acceptability of the Cardiac-Diabetes Self-Management Program incorporating DVD case studies and trained peers to provide follow-up support by telephone and text-messaging. A total of 30 cardiac patients with type 2 diabetes will be randomised, either to the usual care group, or to the intervention group. Participants in the intervention group will received the Cardiac-Diabetes Self-Management Program in addition to their usual care. The intervention consists of three face-to-face sessions as well as telephone and text-messaging follow up. The face-to-face sessions will be provided by a trained Research Nurse, commencing in the Coronary Care Unit, and continuing after discharge by trained peers. Peers will follow up patients for up to one month after discharge using text messages and telephone support. Data collection will be conducted at baseline (Time 1) and at one month (Time 2). The primary outcomes include self-efficacy, self-care behaviour and knowledge, measured by well established reliable tools.

Discussion: This paper presents the study protocol of a randomised controlled trial to pilot evaluates a Cardiac-Diabetes Self-Management program, and the feasibility of incorporating peers in the follow-ups. Results of this study will provide directions for using such mode in delivering a self-management program for patients with both cardiac condition and diabetes. Furthermore, it will provide valuable information of refinement of the intervention program.

Trial registration number: ACTRN12611000086965.

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Related in: MedlinePlus

Overview of Data Collection.
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Related In: Results  -  Collection

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Figure 1: Overview of Data Collection.

Mentions: The nominated RA will liaise with the Nurse Unit Manager (NUM) of the CCU, to obtain a list of eligible participants from the CCU Admission Book. The RA will then approach the potential participants for their informed consent and to collect baseline data. After baseline data is collected, a computer-generated list of random numbers produced by the researcher will then be used to randomly assign participants to either the control group or the intervention group (See Figure 1: Overview of data collection). Patients are blinded to receive either usual care or usual care and CDSMP, however the RA who assisting with data analysis is not blinded.


Development and pilot test of a peer-support based Cardiac-Diabetes Self-Management Program: a study protocol.

Wu CJ, Chang AM, Courtney M, Shortridge-Baggett LM, Kostner K - BMC Health Serv Res (2011)

Overview of Data Collection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094205&req=5

Figure 1: Overview of Data Collection.
Mentions: The nominated RA will liaise with the Nurse Unit Manager (NUM) of the CCU, to obtain a list of eligible participants from the CCU Admission Book. The RA will then approach the potential participants for their informed consent and to collect baseline data. After baseline data is collected, a computer-generated list of random numbers produced by the researcher will then be used to randomly assign participants to either the control group or the intervention group (See Figure 1: Overview of data collection). Patients are blinded to receive either usual care or usual care and CDSMP, however the RA who assisting with data analysis is not blinded.

Bottom Line: Self-management is an effective approach to achieve better health outcomes; however there is a lack of specifically designed programs for patients with these dual conditions.The primary outcomes include self-efficacy, self-care behaviour and knowledge, measured by well established reliable tools.ACTRN12611000086965.

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Nursing and Midwifery, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia. c3.wu@qut.edu.au

ABSTRACT

Background: People with cardiac disease and type 2 diabetes have higher hospital readmission rates (22%) compared to those without diabetes (6%). Self-management is an effective approach to achieve better health outcomes; however there is a lack of specifically designed programs for patients with these dual conditions. This project aims to extend the development and pilot test of a Cardiac-Diabetes Self-Management Program incorporating user-friendly technologies and the preparation of lay personnel to provide follow-up support.

Methods/design: A randomised controlled trial will be used to explore the feasibility and acceptability of the Cardiac-Diabetes Self-Management Program incorporating DVD case studies and trained peers to provide follow-up support by telephone and text-messaging. A total of 30 cardiac patients with type 2 diabetes will be randomised, either to the usual care group, or to the intervention group. Participants in the intervention group will received the Cardiac-Diabetes Self-Management Program in addition to their usual care. The intervention consists of three face-to-face sessions as well as telephone and text-messaging follow up. The face-to-face sessions will be provided by a trained Research Nurse, commencing in the Coronary Care Unit, and continuing after discharge by trained peers. Peers will follow up patients for up to one month after discharge using text messages and telephone support. Data collection will be conducted at baseline (Time 1) and at one month (Time 2). The primary outcomes include self-efficacy, self-care behaviour and knowledge, measured by well established reliable tools.

Discussion: This paper presents the study protocol of a randomised controlled trial to pilot evaluates a Cardiac-Diabetes Self-Management program, and the feasibility of incorporating peers in the follow-ups. Results of this study will provide directions for using such mode in delivering a self-management program for patients with both cardiac condition and diabetes. Furthermore, it will provide valuable information of refinement of the intervention program.

Trial registration number: ACTRN12611000086965.

Show MeSH
Related in: MedlinePlus