Effect of interprofessional collaboration on quality of life in elderly patients with cardiovascular disease

Hale, Genevieve M; Joseph, Tina; Maravent, Stacey; Stern, Debra F.; Alameddine, Sarah; Stultz, Kimmi; Santiago, Alejandro Nieves; Miller, Jane Clare; Scott, Kelly; Rodriguez, Martha; Pérez, Alexandra

doi:10.1016/j.xjep.2018.05.004

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Although achieving the highest possible quality of life is a central aspect of person-centred care for NHRs [ 40 ] and collaboration impacts quality of life [ 41 ], results did not demonstrate this in our study. Perhaps, the effect would have been greater if we had fewer missing data on QoL.…”

Section: Discussioncontrasting

confidence: 85%

Cluster randomised trial of a complex interprofessional intervention (interprofACT) to reduce hospital admission of nursing home residents

et al. 2023

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Background Some hospital admissions of nursing home residents (NHRs) might be attributed to inadequate interprofessional collaboration. To improve general practitioner–nurse collaboration in nursing homes (NHs), we developed an intervention package (interprof ACT) in a previous study. Objective To assess the impact of interprof ACT on the proportion of hospitalisation and other clinical parameters within 12 months from randomisation among NHRs. Methods Multicentre, cluster randomised controlled trial in 34 German NHs. NHRs of the control group received usual care, whereas NHRs in the intervention group received interprof ACT. Eligible NHs had at least 40 long-term care residents. NHs were randomised 1:1 pairwise. Blinded assessors collected primary outcome data. Results Seventeen NHs (320 NHRs) were assigned to interprof ACT and 17 NHs (323 NHRs) to usual care. In the intervention group, 136 (42.5%) NHRs were hospitalised at least once within 12 months from randomisation and 151 (46.7%) in the control group (odds ratio (OR): 0.82, 95% confidence interval (CI): [0.55; 1.22], P = 0.33). No differences were found for the average number of hospitalisations: 0.8 hospitalisations per NHR (rate ratio (RR) 0.90, 95% CI: [0.66, 1.25], P = 0.54). Average length of stay was 5.7 days for NHRs in the intervention group and 6.5 days in the control group (RR: 0.70, 95% CI: [0.45, 1.11], P = 0.13). Falls were the most common adverse event, but none was related to the study intervention. Conclusions The implementation of interprof ACT did not show a statistically significant and clinically relevant effect on hospital admission of NHRs.

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Section: Discussioncontrasting

confidence: 85%

Cluster randomised trial of a complex interprofessional intervention (interprofACT) to reduce hospital admission of nursing home residents

et al. 2023

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“…Interventions for promoting interprofessional collaboration (IPC) and team performance have increased exponentially such as, simulation training, interprofessional training, and the use of practical tools (clinical rounds, debriefing checklists, and technology) [ 11 , 12 , 13 ]. Studies have shown that implementing interprofessional collaboration interventions improved social functioning and limitations in physical activity [ 14 ] among older adults with cardiovascular diseases and improvement in pain control among older adults in palliative care [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Improving Community Health Workers’ Attitudes toward Collaborative Practice in the Care of Older Adults: An In-Service Training Intervention Trial in the Philippines

Siongco

Nakamura

Seino

et al. 2021

IJERPH

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The objective of this study was to evaluate the efficacy of an in-service, short-term training program in improving the attitudes toward, and readiness and activities for collaboration among community health workers (CHWs) in a primary care setting in the Philippines. A randomized controlled trial was adopted dividing participants into an intervention (n = 42) and a control group (n = 39). Attitudes toward, and readiness and activities for collaboration were measured using three standardized scales before and at 6 months after the training. A significant difference (p < 0.001) was observed in the Attitudes Toward Health Care Teams Scale (ATHCTS) scores between pre- and post-test in the intervention (6.3 ± 8.3 [Mean ± SD]) and control groups (0.7 ± 8.2). Multivariate linear regression analysis showed an independent positive association between the intervention and greater improvement in the ATHCTS score (Coefficient β = 6.17; 95% CI = 0.82, 11.53; p = 0.03) at follow-up, after adjustment for age, years in current occupation, and social support role of participants. The results demonstrated the efficacy of the intervention for improving the attitudes of CHWs toward collaborative practice in the care of older adults.

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“…Despite the potential benefits of interprofessional collaboration for improving CVD care quality [ 22 , 23 , 24 ], the study found that, significantly, the majority of pharmacy professionals seldom involve other healthcare professionals in CVD risk screening due to various barriers, highlighting the need for systemic changes to promote multidisciplinary approaches [ 12 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Hospital Pharmacy Professionals and Cardiovascular Care: A Cross-Sectional Study Assessing Knowledge, Attitudes, and Practices in Saudi Arabia

Alzahrani,

Alhusayni,

Khairi

et al. 2024

Healthcare

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Background: In Saudi Arabia, cardiovascular diseases (CVDs) establish a significant health challenge, with a high prevalence and substantial impact on mortality and disability burden. Evaluating the knowledge, attitude, and practices (KAPs) of hospital pharmacy professionals towards CVDs prevention and management is crucial for effective healthcare strategies. Methods: A cross-sectional, multicenter study was conducted using a self-administered survey targeting hospital pharmacists and pharmacy technicians in the Madinah region of Saudi Arabia. The survey assessed their KAPs towards CVDs prevention and management, incorporating demographic variables and perceived barriers. Results: Out of 177 contacted pharmacy professionals, 159 (89.8%) completed the survey. The study results revealed inadequate knowledge levels with an average score of 3.87 out of 7, indicating significant gaps in comprehending drug interactions, managing lipid levels, and addressing resistant hypertension. Attitudes were generally positive towards CVDs prevention. Practices in CVDs prevention were satisfactory but varied, with notable gaps in providing educational materials and collaboration with other healthcare professionals. Major barriers included time constraints, lack of private counseling areas, and low patient expectations regarding pharmacy professionals’ roles. Conclusion: The study has uncovered notable deficiencies in cardiovascular care, especially within the realm of hospital pharmacy professionals in Saudi Arabia’s Madinah region. This finding underscores the importance of implementing specialized educational initiatives and ongoing professional development programs for these healthcare workers. By focusing on these areas and overcoming the challenges identified, we can significantly improve the contribution of hospital pharmacy professionals in Saudi Arabia toward the prevention and management of cardiovascular diseases.

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Effect of interprofessional collaboration on quality of life in elderly patients with cardiovascular disease

Cited by 5 publications

References 11 publications

Cluster randomised trial of a complex interprofessional intervention (interprofACT) to reduce hospital admission of nursing home residents

Cluster randomised trial of a complex interprofessional intervention (interprofACT) to reduce hospital admission of nursing home residents

Improving Community Health Workers’ Attitudes toward Collaborative Practice in the Care of Older Adults: An In-Service Training Intervention Trial in the Philippines

Hospital Pharmacy Professionals and Cardiovascular Care: A Cross-Sectional Study Assessing Knowledge, Attitudes, and Practices in Saudi Arabia

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