Key result
Person-centred care for six months did not significantly improve the primary composite outcome at two years compared with usual care (18.1% vs 10.5%; P=0.127).
Why the study?
Does person-centred care added to usual care improve a composite of self-efficacy, return to work, re-hospitalisation, or death in patients with acute coronary syndrome?
RCT (n=199)
randomly assigned
Does person-centred care added to usual care improve a composite of self-efficacy, return to work, re-hospitalisation, or death in patients with acute coronary syndrome?
Answers are grounded in this paper and cite their sources.
Person-centred care added to usual care for six months after an acute coronary syndrome may lead to sustained improvements in self-efficacy and composite health outcomes at two years.
AIM: To assess the long-term effect of person-centred care (PCC) in patients with acute coronary syndrome (ACS). METHOD: Patients with ACS were randomly assigned to treatment as usual (control group) or an added PCC intervention for six months. The primary endpoint was a composite score of changes in general self-efficacy≥five units, return to work or to a prior activity level and re-hospitalisation or death. RESULTS: The composite score improved in the PCC intervention group (n=94) at a two-year follow-up compared with the control group (n=105) (18.1%, n=17 vs. 10.5%, n=11; P=0.127). In the per-protocol analysis (n=183) the improvement was significant in favour of the PCC intervention (n=78) compared with usual care (n=105) (21.8%, n=17 vs. 10.5%, n=11; P=0.039). This effect was driven by the finding that more patients in the PCC group improved their general self-efficacy score≥5units (32.2%, n=19 vs. 17.3%, n=14; P=0.046). The composite score improvement was significantly higher in the PCC intervention group without post-secondary education (n=33) in comparison with corresponding patients in the control group (n=50) (30.3%, n=10 vs. 10.0%, n=5; P=0.024). CONCLUSION: Implementation of PCC results in sustained improvements in health outcome in patients with ACS. PCC can be incorporated into conventional cardiac prevention programmes to improve equity in uptake and patient health outcomes. TRIAL REGISTRATION: Swedish registry, Researchweb.org, ID NR 65791.
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Fors et al. (2017) conducted an RCT in acute coronary syndrome (n=199). person-centred care (PCC) vs. treatment as usual was evaluated on composite score of changes in general self-efficacy≥five units, return to work or to a prior activity level and re-hospitalisation or death (p=0.127). Person-centred care for six months did not significantly improve the primary composite outcome at two years compared with usual care (18.1% vs 10.5%; P=0.127).
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