Key result
A telephone-based peer support intervention did not improve depression or social support over time in men post-CABG, but reduced health services utilization at 12 weeks.
Why the study?
Does a telephone-based peer support intervention improve depression, perceived social support, and health services utilization in men recovering from CABG?
RCT (n=185)
Does a telephone-based peer support intervention improve depression, perceived social support, and health services utilization in men recovering from CABG?
A telephone-based peer support intervention for men recovering from CABG did not significantly improve depression or social support but reduced health services utilization at 12 weeks.
Answers are grounded in this paper and cite their sources.
Peer support does not improve depression or social support post-CABG; challenges efficacy for psychosocial outcomes but extends evidence for reduced utilization.
BACKGROUND AND AIM: Examine the effect of a professionally-guided telephone peer support intervention on recovery outcomes including depression, perceived social support, and health services utilization after coronary artery bypass graft surgery (CABG). METHODS: A randomized controlled trial was conducted with post-coronary artery bypass graft surgery men ( N=185) who were randomized before hospital discharge. The intervention arm received telephone-based peer support through weekly telephone calls from a peer volunteer over six weeks, initiated within 3-4 days of discharge. RESULTS: Although a significant difference was detected in pre-intervention depression scores at discharge, there were no differences between groups in changes in depression scores at six weeks ( p=0.08), 12 weeks (0.49) or over time ( p=0.51); and no significant differences in perceived social support scores over time ( p=0.94). At 12 weeks, the intervention group had significantly lower incidence of health services utilization (family physician ( p=0.02) and emergency room ( p=0.04)). CONCLUSIONS: Healthcare providers need to continue to investigate novel interventions to enhance social support and reduce depression in cardiac patients.
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Colella et al. (2017) conducted an RCT in Coronary artery bypass graft surgery (CABG) (n=185). Telephone-based peer support was evaluated on Changes in depression scores over time (p=0.51). A telephone-based peer support intervention did not improve depression or social support over time in men post-CABG, but reduced health services utilization at 12 weeks.
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