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December 10, 2007HeartOpen Access

At 6 months, the intervention group had significantly better physical health scores (37.83 vs 34.24; p<0.01) and 50% fewer unplanned admissions (11% vs 22%; p<0.01) compared to usual care.

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Why the study?

Does a brief cognitive behavioural rehabilitation programme improve health-related quality of life and reduce unplanned admissions in patients receiving an implantable cardioverter-defibrillator?

Population

192 patients undergoing implantation with an implantable cardioverter-defibrillator across 8 centres in the…

Comparison

The ICD Plan added to usual care. vs Usual care and advice from an experienced…

Design

RCT, cluster-randomised

Follow-up

6 months

Authors

RLRobert LewinSCSimon CoultonDFDorothy Frizelle

Discussion

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Overview

Supports brief CBT rehabilitation after ICD implantation; extends RCT evidence for psychosocial interventions in device recipients.

Structured PICO

Does a brief cognitive behavioural rehabilitation programme improve health-related quality of life and reduce unplanned admissions in patients receiving an implantable cardioverter-defibrillator?

P
Population
192 patients undergoing implantation with an implantable cardioverter-defibrillator (ICD) across 8 centres in the UK.
I
Intervention
The ICD Plan (a brief home-based cognitive behavioural rehabilitation programme introduced before implantation, with three further brief telephone contacts with a nurse over the next 12 weeks) added to usual care.
C
Comparator
Usual care and advice from an experienced healthcare professional.
O
Outcome
Health-related quality of life (SF-12), anxiety and depression (HADS), activity limitations (SAQ), unplanned admissions and other economic data at 6 months after surgery.patient reported

A brief cognitive behavioural rehabilitation program for patients undergoing ICD implantation improves physical health and reduces unplanned readmissions at 6 months.

Cite This Study

Lewin et al. (2007) studied this question.

synapsesocial.com/papers/6a70400326a7f98052dcbfd1https://doi.org/10.1136/hrt.2007.129890
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cognitive‐behavioural rehabilitation programme for patients with an implanted cardioverter defibrillator: A pilot study2004 · 102 citations
  2. 2Comprehensive cardiac rehabilitation programme for implantable cardioverter-defibrillator patients: a randomised controlled trial2003 · 148 citations
  3. 3Short‐Term Efficacy of a Telephone Intervention by Expert Nurses After An Implantable Cardioverter Defibrillator2004 · 75 citations
  4. 4Psychological Intervention Following Implantation of an Implantable Defibrillator: A Review and Future Recommendations2007 · 121 citations
  5. 5Efficacy and safety of early comprehensive cardiac rehabilitation following the implantation of cardioverter-defibrillator2013 · 14 citations