None listed
Conditions
Brief summary
This study will trial a Nurse-Led multidisciplinary (CVD) Risk Intervention Screening Clinic (NL-RISC) for cardiovascular disease that could be used as a model of care for risk factor modification in other settings. The proposed Nurse-led (CVD) Risk Intervention Screening Clinic (NL-RISC) is a unique, stand alone intervention designed to complement existing services. The model of care incorporates a specialist cardiac nurse trained in behavioural change, patient centred philosophies, the promotion of adherence to risk factor guidelines, strong multidisciplinary links, detailed patient assessment, and the use of a web-based support program. This study fits within preventive healthcare research framework as it aims to encourage those in the community with CVD to respond proactively to risk management interventions. At the broader level the NL-RISC will provide mentorship and facilitate the development of nurse clinicians and enhance continuity of care across interdisciplinary frameworks. The intention of the research team is to establish NL-RISC as a unique model of care for CVD in Australia and if proven effective for it to be translated into other healthcare settings. There is strong evidence for the screening and treatment of cardiovascular risk factors to reduce further cardiovascular events. Nurse-led risk factor assessment clinics provide the ideal opportunity to provide tailored risk factor management, and referral practices to improve adherence to national guidelines.
Interventions
Those in the NL-RISC group will receive an appointment to attend an initial consultation within a month of discharge where the nurse will review the patient’s cardiovascualr risk factors and medications in relation to the national guidelines. This appointment will be for one hour. The nurse will utilise psychotherapeutic skills, including motivational interviewing techniques to engage the participant in the rehabilitative process facilitating behaviour change and guiding decisions regarding risk
Those in the NL-RISC group will receive an appointment to attend an initial consultation within a month of discharge where the nurse will review the patient’s cardiovascualr risk factors and medications in relation to the national guidelines. This appointment will be for one hour. The nurse will utilise psychotherapeutic skills, including motivational interviewing techniques to engage the participant in the rehabilitative process facilitating behaviour change and guiding decisions regarding risk factor modification. This will be followed by a 10-minute telephone follow-up at 2 months following discharge. More frequent follow up will occur should it be identified that further follow up is required. At 6 months both the control and NL-RISC groups will attend an outpatient setting to have their risk factor profile measured and compared to baseline. Lipids will be measured on a fasting blood sample, resting blood pressure (BP) using an automatic BP monitor and smoking status by self-report. Physical activity will be assessed using the 7-day International Physical Activity Recall Questionnaire, and depressive mood using the Cardiac Depression Scale.
Sponsors
Australian Catholic University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
cardiovascular disease
Exclusion criteria
Limited English Cognitive Impairment Living in a nursing home
Outcome results
None listed