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December 5, 2020European Journal of Cardiovascular NursingOpen Access

A nurse-led pre-implantation educational intervention for ICD candidates was feasible, achieving an overall consent rate of 87% and a data collection completion rate of 85%.

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Why the study?

Implantable cardioverter-defibrillator candidates have misconceptions regarding ICD therapy and unmet information needs.

Does a nurse-led educational intervention improve feasibility and patient-reported outcomes in primary prevention ICD candidates?

Comparison

Nurse-led educational intervention plus standard care vs standard pre-ICD implantation care

Design

Randomized pilot feasibility trial

Key result

A nurse-led pre-implantation educational intervention for ICD candidates was feasible, achieving an overall consent rate of 87% and a data collection completion rate of 85%.

Authors

JPJasprit PannagLMLynn MartinJYJennifer Yost

Discussion

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Member takes

Overview

Supports evaluation in larger trials; leaves open effects on anxiety, acceptance, and outcomes.

Study Design

Type

RCT (n=20)

Structured PICO

Does a nurse-led educational intervention improve feasibility and patient-reported outcomes in primary prevention ICD candidates?

P
Population
20 primary prevention implantable cardioverter-defibrillator candidates followed up to 4 weeks post-implantation.
I
Intervention
Nurse-led educational intervention plus standard care
C
Comparator
Standard pre-ICD implantation care
O
Outcome
Feasibility outcomes including recruitment rate, consent rate, randomization rate, proportion of participants able to complete all questionnaires, time to deliver intervention, and intervention topics completion

A nurse-led pre-implantation educational intervention is feasible for primary prevention ICD candidates, though consent and completion rates were slightly below targets.

Limitations

  • Consent rate was lower than expected as one patient declined and two could not be approached
  • Completion rate was lower than expected as two patients were lost to follow-up and one did not receive an ICD during the study period

Cite This Study

Pannag et al. (2020) conducted an RCT in Primary prevention implantable cardioverter-defibrillator candidates (n=20). Nurse-led educational intervention vs. Standard care was evaluated on Feasibility outcomes (recruitment rate, consent rate, randomization rate, questionnaire completion, time to deliver intervention, and intervention topics completion). A nurse-led pre-implantation educational intervention for ICD candidates was feasible, achieving an overall consent rate of 87% and a data collection completion rate of 85%.

synapsesocial.com/papers/6a71c56cc2d7c30908271e47https://doi.org/10.1093/eurjcn/zvaa009
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Also Consider

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

  1. 1Patient-Assisted Computerized Education for Recipients of Implantable Cardioverter Defibrillators2009 · 34 citations
  2. 2Evidence-based nursing intervention guided by a nursing guideline is associated with higher device acceptance and self-efficacy in patients with implantable cardioverter defibrillator: a quasi-experimental study2026
  3. 3The Role of the Nurse in Enhancing Quality of Life in Patients With an Implantable Cardioverter‐Defibrillator: The Swedish Experience2002 · 33 citations
  4. 4A brief cognitive behavioural preimplantation and rehabilitation programme for patients receiving an implantable cardioverter-defibrillator improves physical health and reduces psychological morbidity and unplanned readmissions2007 · 109 citations
  5. 5Deficiencies in Patients’ Comprehension of Implantable Cardioverter Defibrillator Therapy2012 · 32 citations