A Randomized Controlled Trial of a Discharge Nursing Intervention to Promote Self-Regulation of Care for Early Discharge Interventional Cardiology Patients

Gould, Kathleen Ahern

doi:10.1097/dcc.0b013e3182052324

Cited by 12 publications

(17 citation statements)

References 30 publications

(39 reference statements)

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“…A sole home-based educational visit by a nurse, one week after discharge was associated with a reduction in ED visits and unplanned readmissions, improved quality of life, and reduced healthcare costs [74,79,80]. An RCT for patients with cardiovascular disease included a discharge nursing intervention (DNI) but despite this, there was no significant impact on patient’s visiting to hospital [81]. Overall, home-based interventions appeared to offer some positive effects.…”

Section: Resultsmentioning

confidence: 99%

Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review

Coffey

Leahy‐Warren

Savage

et al. 2019

IJERPH

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Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i) hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions were categorized into: (1) pre-discharge exclusively delivered in the acute care hospital, (2) pre- and post-discharge delivered by acute care hospital, (3) post-discharge delivered at home and (4) delivered only in a post-acute facility. Mixed results were found regarding the effectiveness of many types of interventions. Interventions exclusively delivered in the acute hospital pre-discharge and those involving education were most common but their effectiveness was limited in avoiding (re)admission. Successful pre- and post-discharge interventions focused on multidisciplinary approaches. Post-discharge interventions exclusively delivered at home reduced hospital stay and contributed to patient satisfaction. Existing systematic reviews on tele-health and long-term care interventions suggest insufficient evidence for admission avoidance. The most effective interventions to avoid inappropriate re-admission to hospital and promote early discharge included integrated systems between hospital and the community care, multidisciplinary service provision, individualization of services, discharge planning initiated in hospital and specialist follow-up.

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Section: Resultsmentioning

confidence: 99%

Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review

Coffey

Leahy‐Warren

Savage

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…9–14,24–41 Additional coding information was found in 4 companion reports about the same primary studies. 42–45 Three primary study reports contained multiple comparison groups. 33,36,37 There were 28 treatment versus control group posttest comparisons, 9 treatment group pretest-posttest comparisons, and 6 control group pretest-posttest comparisons.…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Medication Adherence Interventions Among Patients With Coronary Artery Disease

et al. 2016

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Background Despite the known benefits of medication therapy for secondary prevention of coronary artery disease (CAD), many patients do not adhere to prescribed medication regimens. Medication nonadherence is associated with poor health outcomes and higher health care cost. Objective The purpose of this meta-analysis was to determine the overall effectiveness of interventions designed to improve medication adherence (MA) among adults with CAD. Additionally, sample, study design, and intervention characteristics were explored as potential moderators to intervention effectiveness. Methods Comprehensive search strategies facilitated identification of two-group, treatment versus control design studies testing MA interventions among patients with CAD. Data were independently extracted by two trained research specialists. Standardized mean difference effect sizes were calculated for eligible primary studies, adjusted for bias, then synthesized under a random effects model. Homogeneity of variance was explored using a conventional heterogeneity statistic. Exploratory moderator analyses were conducted using meta-analytic analogues for ANOVA and regression for dichotomous and continuous moderators, respectively. Results Twenty-four primary studies were included in this meta-analysis. The overall effect size of MA interventions, calculated from 18,839 participants, was 0.229 (p<.001). The most effective interventions utilized nurses as interventionists, initiated interventions in the inpatient setting, and informed providers of patients' medication adherence behaviors. MA interventions tested among older patients were more effective than those among younger patients. Interventions were equally effective regardless of number of intervention sessions, targeting MA behavior alone or with other behaviors, and the use of written instructions only. Conclusions Interventions to increase medication adherence among patients with CAD were modestly effective. Nurses can be instrumental in improving MA among these patients. Future research is needed to investigate nurse-delivered MA interventions across varied clinical settings. Additionally, more research testing MA interventions among younger populations and more racially diverse groups is needed.

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“…Information on each of the nine studies is summarised in Table 1. Four of these studies were conducted in the United Kingdom (Cunningham et al, 2012; Elliott et al, 2008; French et al, 2008; Karamanidou et al, 2008), two in New Zealand (Broadbent et al, 2009; Petrie et al, 2002), one each in Ireland (Keogh et al, 2011), The Netherlands (Theunissen et al, 2003) and United States (Gould, 2011). Studies spanned two decades; six studies were published in the 2000s and three since 2010.…”

Section: Resultsmentioning

confidence: 99%

“…We applied the taxonomy of behaviour change (Michie et al, 2013) to identify behaviour change techniques used in each intervention. Eight studies described their interventions in sufficient detail to identify which techniques were used, although one of the more recent studies did not (Gould, 2011). There was a common lack of description about which technique was used to influence which CS-SRM construct.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the effectiveness of interventions using the Common Sense Self-Regulatory Model to improve adherence behaviours

2016

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This systematic review assessed the effectiveness of the Common Sense Self-Regulatory Model in the design of interventions to improve adherence behaviours. Of nine eligible studies, six reported improvements in adherence behaviours and three showed moderate to large effects on return to work and lifestyle recommendations. Four studies stated how Common Sense Self-Regulatory Model constructs were addressed in the intervention and five measured illness perceptions as outcomes. Evidence was found for targeting cure/control perceptions in studies aimed at improving adherence behaviours. Future studies need to measure illness perceptions pre- and post-intervention to enable mediational analyses to assess the effect of Common Sense Self-Regulatory Model interventions on improving health outcomes.

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A Randomized Controlled Trial of a Discharge Nursing Intervention to Promote Self-Regulation of Care for Early Discharge Interventional Cardiology Patients

Cited by 12 publications

References 30 publications

Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review

Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review

The Effectiveness of Medication Adherence Interventions Among Patients With Coronary Artery Disease

A systematic review of the effectiveness of interventions using the Common Sense Self-Regulatory Model to improve adherence behaviours

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