Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial.
OBJECTIVES: To determine the effectiveness of individualised educational behavioural treatment delivered by cardiac nurses in hospital compared to usual care for patients following acute myocardial infarction. METHODS: One hundred and fourteen consecutive patients were randomised to receive the int...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
2002
|
| _version_ | 1797089704457273344 |
|---|---|
| author | Mayou, R Thompson, DR Clements, A Davies, C Goodwin, S Normington, K Hicks, N Price, J |
| author_facet | Mayou, R Thompson, DR Clements, A Davies, C Goodwin, S Normington, K Hicks, N Price, J |
| author_sort | Mayou, R |
| collection | OXFORD |
| description | OBJECTIVES: To determine the effectiveness of individualised educational behavioural treatment delivered by cardiac nurses in hospital compared to usual care for patients following acute myocardial infarction. METHODS: One hundred and fourteen consecutive patients were randomised to receive the intervention or usual care. Outcome assessment was by self-report questionnaire (the Hospital Anxiety and Depression Scale and Dartmouth COOP Health Status), interview at 1 month, and self-report at 3 and 12 months. The primary outcome was improvement in the Dartmouth COOP total score from baseline to 3 months. RESULTS: Four patients needed to be treated to give an additional patient with improvement in health status at 3 months (number needed to treat [NNT] 4, 95% confidence intervals [CIs] 3 to 12). The intervention group were more confident about returning to activities 1 month after discharge from hospital. Treated patients had fewer further treatment needs. CONCLUSIONS: An individualised educational behavioural treatment delivered by cardiac nurses in hospital may have substantial benefits. A large-scale pragmatic RCT is needed. |
| first_indexed | 2024-03-07T03:07:54Z |
| format | Journal article |
| id | oxford-uuid:b32efae8-d361-4165-9ea1-488e3abf51e9 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:07:54Z |
| publishDate | 2002 |
| record_format | dspace |
| spelling | oxford-uuid:b32efae8-d361-4165-9ea1-488e3abf51e92022-03-27T04:17:11ZGuideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b32efae8-d361-4165-9ea1-488e3abf51e9EnglishSymplectic Elements at Oxford2002Mayou, RThompson, DRClements, ADavies, CGoodwin, SNormington, KHicks, NPrice, J OBJECTIVES: To determine the effectiveness of individualised educational behavioural treatment delivered by cardiac nurses in hospital compared to usual care for patients following acute myocardial infarction. METHODS: One hundred and fourteen consecutive patients were randomised to receive the intervention or usual care. Outcome assessment was by self-report questionnaire (the Hospital Anxiety and Depression Scale and Dartmouth COOP Health Status), interview at 1 month, and self-report at 3 and 12 months. The primary outcome was improvement in the Dartmouth COOP total score from baseline to 3 months. RESULTS: Four patients needed to be treated to give an additional patient with improvement in health status at 3 months (number needed to treat [NNT] 4, 95% confidence intervals [CIs] 3 to 12). The intervention group were more confident about returning to activities 1 month after discharge from hospital. Treated patients had fewer further treatment needs. CONCLUSIONS: An individualised educational behavioural treatment delivered by cardiac nurses in hospital may have substantial benefits. A large-scale pragmatic RCT is needed. |
| spellingShingle | Mayou, R Thompson, DR Clements, A Davies, C Goodwin, S Normington, K Hicks, N Price, J Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title | Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title_full | Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title_fullStr | Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title_full_unstemmed | Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title_short | Guideline-based early rehabilitation after myocardial infarction. A pragmatic randomised controlled trial. |
| title_sort | guideline based early rehabilitation after myocardial infarction a pragmatic randomised controlled trial |
| work_keys_str_mv | AT mayour guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT thompsondr guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT clementsa guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT daviesc guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT goodwins guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT normingtonk guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT hicksn guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial AT pricej guidelinebasedearlyrehabilitationaftermyocardialinfarctionapragmaticrandomisedcontrolledtrial |