Key result
An advanced practice nurse-led telehealth rehabilitative program (ALTRA) is being evaluated in a randomized controlled trial of 172 patients post-acute myocardial infarction; no results are reported.
Why the study?
Does an advanced practice nurse-led telehealth rehabilitative programme reduce readmissions and improve health-related outcomes in patients with acute myocardial infarction postdischarge?
RCT (n=172)
Randomized into two groups
No
Does an advanced practice nurse-led telehealth rehabilitative programme reduce readmissions and improve health-related outcomes in patients with acute myocardial infarction postdischarge?
This study protocol outlines a randomized controlled trial to evaluate whether an advanced practice nurse-led telehealth program can reduce readmissions and improve quality of life in post-AMI patients.
Answers are grounded in this paper and cite their sources.
Protocol for ALTRA telehealth rehab post-MI published; leaves open effectiveness on readmissions and outcomes until results reported.
AIM: To develop and examine the effectiveness of an advanced practice nurse-led telehealth rehabilitative programme as a transitional nursing therapeutic on readmission rates and health-related outcomes among patients with acute myocardial infarction postdischarge. BACKGROUND: Patients suffering from acute myocardial infarction are experiencing an increasing trend of frequent readmissions. This implicates both the effectiveness of healthcare services and patient's quality of life. Advanced Practice Nurse-led telehealth rehabilitative programme has yet to be explored as a strategy to minimize preventable readmissions and improve patient's self-efficacy so as to enhance quality of life after a heart attack. DESIGN: Randomized controlled trial with repeated measures. METHODOLOGY: A consecutive sampling of 172 patients with acute myocardial infarction will be recruited from a tertiary acute hospital in Singapore. Participants will be randomized into two groups. The experimental group (ALTRA) will receive Advanced Practice Nurse-led telehealth rehabilitative programme on discharge. The control group will receive only standard follow-up care. The outcome measures include readmissions, cardiac self-efficacy, cardiovascular risk factors, quality of life, anxiety and depression. The data will be collected at the baseline, 1 and 6 month postdischarge. A postprogramme evaluation will be conducted among the participants to assess its acceptability, strengths and weakness. DISCUSSION: ALTRA aims to engage and support patients with acute myocardial infarction by increasing self-care management through education and telehealth contacts with Advanced Practices Nurses. This provides a smoother transition of illness to health and ultimately, reduces preventable costly readmissions. TRIAL REGISTRATION: The study has been registered with clinicaltrials.gov. The trial registration number is NCT02483494.
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Koh et al. (2016) conducted an RCT in Acute myocardial infarction (n=172). Advanced Practice Nurse-led telehealth rehabilitative programme (ALTRA) vs. Standard follow-up care was evaluated on Readmissions, cardiac self-efficacy, cardiovascular risk factors, quality of life, anxiety and depression. An advanced practice nurse-led telehealth rehabilitative program (ALTRA) is being evaluated in a randomized controlled trial of 172 patients post-acute myocardial infarction; no results are reported.
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