Blended collaborative care in the secondary prevention of coronary heart disease improves risk factor control: Results of a randomised feasibility study.
Adult
Aged
Aged, 80 and over
Caregivers
/ psychology
Coronary Disease
/ nursing
Feasibility Studies
Female
Germany
Humans
Male
Middle Aged
Patient Compliance
/ psychology
Patient Participation
/ psychology
Pilot Projects
Random Allocation
Risk Factors
Risk Reduction Behavior
Secondary Prevention
/ methods
Coronary heart disease
behaviour modification
collaborative care
patient-centred care
risk factors
stress
Journal
European journal of cardiovascular nursing
ISSN: 1873-1953
Titre abrégé: Eur J Cardiovasc Nurs
Pays: England
ID NLM: 101128793
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
1
10
2019
medline:
2
2
2021
entrez:
1
10
2019
Statut:
ppublish
Résumé
Risk factor control is essential in limiting the progression of coronary heart disease, but the necessary active patient involvement is often difficult to realise, especially in patients suffering psychosocial risk factors (e.g. distress). Blended collaborative care has been shown as an effective treatment addition, in which a (non-physician) care manager supports patients in implementing and sustaining lifestyle changes, follows-up on patients, and integrates care across providers, targeting both, somatic and psychosocial risk factors. The aim of this study was to test the feasibility, acceptance and effect of a six-month blended collaborative care intervention in Germany. For our randomised controlled pilot study with a crossover design we recruited coronary heart disease patients with ⩾1 insufficiently controlled cardiac risk factors and randomised them to either immediate blended collaborative care intervention (immediate intervention group, Participation rate in the intervention phase was 67% ( This study shows that blended collaborative care can be a feasible, accepted and effective addition to standard medical care in the secondary prevention of coronary heart disease in the German healthcare system.
Sections du résumé
BACKGROUND
Risk factor control is essential in limiting the progression of coronary heart disease, but the necessary active patient involvement is often difficult to realise, especially in patients suffering psychosocial risk factors (e.g. distress). Blended collaborative care has been shown as an effective treatment addition, in which a (non-physician) care manager supports patients in implementing and sustaining lifestyle changes, follows-up on patients, and integrates care across providers, targeting both, somatic and psychosocial risk factors.
AIMS
The aim of this study was to test the feasibility, acceptance and effect of a six-month blended collaborative care intervention in Germany.
METHODS
For our randomised controlled pilot study with a crossover design we recruited coronary heart disease patients with ⩾1 insufficiently controlled cardiac risk factors and randomised them to either immediate blended collaborative care intervention (immediate intervention group,
RESULTS
Participation rate in the intervention phase was 67% (
CONCLUSION
This study shows that blended collaborative care can be a feasible, accepted and effective addition to standard medical care in the secondary prevention of coronary heart disease in the German healthcare system.
Identifiants
pubmed: 31564125
doi: 10.1177/1474515119880062
doi:
Banques de données
ClinicalTrials.gov
['NCT02389153']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM