The effect of an educational intervention on coronary artery bypass graft surgery patients' participation rate in cardiac rehabilitation programs: a controlled health care trial

Abstract

BackgroundCardiac rehabilitation has a beneficial effect on the prognosis and quality of life of cardiac patients, and has been found to be cost-effective. This report describes a comprehensive and low cost educational intervention designed to increase the attendance at cardiac rehabilitation programs of patients who have undergone coronary artery bypass graft surgery.Methods/DesignA controlled prospective intervention trial. The control arm comprised 520 patients who underwent coronary artery bypass graft surgery between January 2004 and May 2005 in five medical centers across Israel. This group received no additional treatment beyond usual care. The intervention arm comprised 504 patients recruited from the same cardiothoracic departments between June 2005 and November 2006. This group received oral and written explanations about the advantages of participating in cardiac rehabilitation programs and a telephone call two weeks after hospital discharge intended to further encourage their enrollment. The medical staff attended a one-hour seminar on cardiac rehabilitation. In addition, it was recommended that referral to cardiac rehabilitation be added to the letter of discharge from the hospital. Both study groups were interviewed before surgery and one-year post surgery. A one-year post-operative interview assessed factors affecting patient attendance at cardiac rehabilitation programs, as well as the structure and content of the cardiac rehabilitation programs attended. Anthropometric parameters were measured at pre- and post-operative interviews;- and medical information was obtained from patient medical records. The effect of cardiac rehabilitation on one- and three-year mortality was assessed.DiscussionWe report a low cost yet comprehensive intervention designed to increase cardiac rehabilitation participation by raising both patient and medical staff awareness to the potential benefits of cardiac rehabilitation.Trial registrationClinicalTrials.gov: NCT00356863

Secondary Prevention After Coronary Artery Bypass Graft Surgery

“…[334][335][336] In a randomized trial of 2635 patients with CAD admitted to 11 different hospitals, a referral process that consisted of a combination of CR liaisons and an automated referral system resulted in 85.8% of patients being referred to CR and 73.5% being enrolled in CR compared with 32.2% and 29.0%, respectively, in the control group. 337 In addition, strategies such as educational interventions 335 and early appointments and start dates [338][339][340] have been shown to improve CR referral and use patterns. However, as new referral strategies become adopted into clinical practice, it will be important for clinicians to remain active in the referral process because physician advocacy remains a strong factor in determining whether patients will enroll in CR programs.…”

Effectiveness of an Educational Intervention Regarding Knowledge on Prevention of Coronary Artery Disease Among Students.

“…The finding is supported by similar results. 11 In this study, the total knowledge score on prevention of coronary artery disease, there was statistically significant difference between before and after educational intervention (p <0.001). The findings of this study was supported by few studies (p <0.001 & (p = 0.002 respectively).…”

“…The findings of this study was supported by few studies (p <0.001 & (p = 0.002 respectively). 11,12 After educational intervention there is increase in few or more knowledge. But concerning the types of exercise to be performed before and after educational intervention the knowledge of percentage remain same.…”

Validation of the Hebrew Version of the MacNew Heart Disease Healthrelated Quality of Life Questionnaire in Patients Undergoing Coronary Artery Bypass Surgery

“…This study is ancillary to a multicenter prospective study conducted in five cardiothoracic departments across Israel in [2004][2005][2006]. The primary study is described in detail elsewhere [11]. In summary, it aimed to assess the effect of an educational intervention on participation rate in cardiac rehabilitation (CR) programmes of patients after coronary artery bypass grafting (CABG) surgery and to assess the effect of CR participation on clinical and psychological outcomes as well as quality of life one year after surgery.…”