None listed
Conditions
Brief summary
Reform of secondary prevention in rural and remote areas is required to improve reach and access for patients living in such areas, and consequently improve clinical and other health outcomes. The purpose of this project is to evaluate the feasibility of an innovative, tailored telehealth education and counselling program in patients with hypertension living in rural South Australia. This program aims to improve cardiovascular disease prevention, by providing tailored education and empowering patients to self-manage their condition and reduce their risk of heart disease. Tailored telehealth intervention optimises secondary prevention of cardiovascular disease.
Interventions
Intervention for the study involves delivery of tailored telehealth education and counselling through phone call. A registered nurse will deliver the intervention. Patient education material is developed based on Heart Foundation recommendations and guidelines.
1st Intervention call: During this call, general information about heart disease, heart health, healthy lifestyle behaviour, secondary prevention and risk factors will be addressed. Patients will set goals for their particular lifestyle
Intervention for the study involves delivery of tailored telehealth education and counselling through phone call. A registered nurse will deliver the intervention. Patient education material is developed based on Heart Foundation recommendations and guidelines. 1st Intervention call: During this call, general information about heart disease, heart health, healthy lifestyle behaviour, secondary prevention and risk factors will be addressed. Patients will set goals for their particular lifestyle behaviour. Second and third intervention calls will be scheduled at three months interval. Adherence to recommended health behaviour will be monitored using checklist during follow up calls. 2nd intervention call and 3rd intervention call: Individualised education and counselling will be provided, and the intervention will be tailored to the patient’s health condition, need of lifestyle behaviour and health information gap. In addition, patient’s progress to goal achievement will be evaluated and adjusted during these calls. Depending on the patient’s individual condition the following may be addressed: weight reduction, smoking cessation, alcohol moderation, dietary modification, physical activity, medication adherence, blood pressure self-monitoring, how to recognise and respond to heart disease signs and symptoms. Each intervention call take about 45 minutes.
Sponsors
The University of Sydney
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants will be recruited from the Country Access to Cardiac Health (CATCH) database and the following CATCH program inclusion criteria will be used. Patients with acute coronary syndrome/myocardial infarction, revascularisation procedure (angioplasty), stable and unstable angina, post coronary artery bypass grafting, post cardiac valve replacement surgery, and heart failure will be included. Patients with arrhythmia management (medication or ablation), atrial fibrillation, coronary vasospasm, pre and post transcatheter heart valve repair or replacement, coronary slow flow and structural heart disease will be included on strong recommendation criteria.
Exclusion criteria
Participants with intellectual disability or insufficient English knowledge to provide consent and hearing or speech impairment will be excluded.
Outcome results
None listed