The feasibility of delivering cardiac brief intervention to patients following ST-elevation myocardial infarction: Protocol for a pilot randomised controlled trial

Patients experience emotional distress and hold cardiac misconceptions following ST-elevation myocardial infarction. These issues informed the co-production of Cardiac Brief Intervention with patients and clinicians. The current study will establish a knowledge base for the feasibility of delivering...

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Veröffentlicht in:PloS one 2024-07, Vol.19 (7), p.e0306406
Hauptverfasser: Thompson, Gareth, Caughers, Gemma, Bradley, Judy, Donnelly, Patrick, Mooney, Maria, Fitzsimons, Donna
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container_issue 7
container_start_page e0306406
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creator Thompson, Gareth
Caughers, Gemma
Bradley, Judy
Donnelly, Patrick
Mooney, Maria
Fitzsimons, Donna
description Patients experience emotional distress and hold cardiac misconceptions following ST-elevation myocardial infarction. These issues informed the co-production of Cardiac Brief Intervention with patients and clinicians. The current study will establish a knowledge base for the feasibility of delivering this intervention to patients following ST-elevation myocardial infarction, with a preliminary exploration of impact on associated outcomes (ClinicalTrials.gov: NCT05848674). A pilot randomised controlled trial incorporating a mixed-methods design will be conducted. Patients with ST-elevation myocardial infarction (number = 40) will be recruited from coronary care units at two hospital centres in Northern Ireland, with participants randomised (1:1) to the intervention or control group. Cardiac Brief Intervention constitutes a nurse-led, short (20 minutes) emotional and educational support discussion with a patient, with a leaflet that serves as a memory-aid. It will be delivered to the intervention group prior to discharge from a coronary care unit. The control group will receive standard care information. Data will be collected at baseline, post-intervention, 4 weeks from diagnosis, and 14 weeks from diagnosis. Feasibility measurements and process evaluation (quantitative and qualitative) will assess the viability of the research design and intervention delivery. Cardiac rehabilitation attendance data will be collected, and participants will complete questionnaires related to associated outcomes. Quantitative data will be reported with descriptive statistics and qualitative data will be analysed using framework analysis, with data integrated to achieve triangulation of findings. Educational and emotional difficulties following ST-elevation myocardial infarction may impede patient outcomes and cardiac rehabilitation participation. These issues informed the co-production of Cardiac Brief Intervention with patients and clinicians. This study will evaluate the feasibility of delivering Cardiac Brief Intervention to patients. These results will inform large-scale definitive testing of the intervention, which may lead to adoption in clinical practice to improve cardiac rehabilitation uptake and patient outcomes.
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The control group will receive standard care information. Data will be collected at baseline, post-intervention, 4 weeks from diagnosis, and 14 weeks from diagnosis. Feasibility measurements and process evaluation (quantitative and qualitative) will assess the viability of the research design and intervention delivery. Cardiac rehabilitation attendance data will be collected, and participants will complete questionnaires related to associated outcomes. Quantitative data will be reported with descriptive statistics and qualitative data will be analysed using framework analysis, with data integrated to achieve triangulation of findings. Educational and emotional difficulties following ST-elevation myocardial infarction may impede patient outcomes and cardiac rehabilitation participation. These issues informed the co-production of Cardiac Brief Intervention with patients and clinicians. This study will evaluate the feasibility of delivering Cardiac Brief Intervention to patients. These results will inform large-scale definitive testing of the intervention, which may lead to adoption in clinical practice to improve cardiac rehabilitation uptake and patient outcomes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38954674</pmid><doi>10.1371/journal.pone.0306406</doi><tpages>e0306406</tpages><orcidid>https://orcid.org/0000-0002-4658-8132</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Public Library of Science; PubMed Central; Directory of Open Access Journals; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library
subjects Biology and Life Sciences
Cardiac patients
Cardiovascular disease
Co-design
Coronary vessels
Data analysis
Diagnosis
Education
Emotions
Evaluation
Feasibility
Feasibility Studies
Female
Heart
Heart attack
Heart attacks
Hospitals
Humans
Illnesses
Intervention
Knowledge bases (artificial intelligence)
Male
Medical research
Medicine and Health Sciences
Medicine, Experimental
Memory aids
Middle Aged
Myocardial infarction
Northern Ireland
Nurses
Patients
People and Places
Pilot Projects
Qualitative analysis
Questionnaires
Rehabilitation
Research and Analysis Methods
Research design
Social Sciences
ST Elevation Myocardial Infarction - rehabilitation
ST Elevation Myocardial Infarction - therapy
Statistical analysis
Strategic management
Study Protocol
Teams
Triangulation
Vein & artery diseases
Working groups
title The feasibility of delivering cardiac brief intervention to patients following ST-elevation myocardial infarction: Protocol for a pilot randomised controlled trial
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