None listed
Conditions
Brief summary
The aim of this study is to determine whether a co-designed health literacy intervention can improve health literacy among inpatients admitted with their first presentation of acute coronary syndrome. Sixty participants will be randomised into either the intervention or control group. The intervention group will be provided with the Patient Discharge Action Plan in addition to usual discharge education. The control group will receive usual discharge education. Information about participants’ health literacy and other factors will be collected through self-report or medical records at baseline, 2-weeks and 3-months after discharge. Interviews will be also be offered at 3-months. Expected outcomes are that the intervention group will have a greater improvement in health literacy, lower anxiety and depression, emergency department presentations and higher attendance at cardiac rehabilitation compared to the control group at follow-up time-points.
Interventions
The intervention is a Patient Discharge Action Plan co-designed with consumers and clinicians as part of The Equal Hearts Study (Monash Health HREC 88413). The 1-page Action Plan was developed to support patients to prepare for discharge. It is designed to ensure that patients know the next steps following discharge based on the information they are given as part of usual care, such as following up with a general practitioner and specialist, being referred to cardiac rehabilitation, what to do i
The intervention is a Patient Discharge Action Plan co-designed with consumers and clinicians as part of The Equal Hearts Study (Monash Health HREC 88413). The 1-page Action Plan was developed to support patients to prepare for discharge. It is designed to ensure that patients know the next steps following discharge based on the information they are given as part of usual care, such as following up with a general practitioner and specialist, being referred to cardiac rehabilitation, what to do in the event of chest pain and what to do regarding medication. The action plan is also personalised for each patient with a section that addresses the patient’s individual concerns (e.g. about driving, exercise, work, etc.) and a section addressing any questions they may have. Links and QR codes to the health service's Patient Portal, and to information about recovery and cardiac rehabilitation (CR) are also provided in the action plan. The Patient Discharge Action Plan is intended to be filled out by the patient together with the CR clinician on the day of, or the day prior to, discharge and will take no longer than 30 minutes to complete. This intervention is delivered in addition to usual care, meaning that participants in the intervention group will receive all education that is provided as part of usual care, plus the Patient Discharge Action Plan. Face-to face training will be provided to CR clinicians by members of the research team about how to implement the Action Plan at least two weeks before commencement of the intervention. Usual care treatment involves a one-on-one education session delivered by a CR clinician at the bedside, given on the day of, or the day prior to, discharge, and takes approximately 45 minutes to complete. Patients are educated about their condition, advised on management of chest pain and returning to activities, and provided with resources to aid their transition to at home care. These resources include a generalised chest pain management plan from the Heart Foundation. If further education is required, the CR clinician is able to refer patient to other services according to patient preferences.
Sponsors
Associate Professor Alison Beauchamp
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For patients, inclusion criteria are: - Adults (18 years and older); - Patients with first-time presentation of Acute Coronary Syndrome (ACS) (ICD-10 codes I200-I214); - Able to understand English or one of the three top language groups admitted to the health service with CHD; - Discharge to home is planned to occur within the next 48 hours. For clinician interviews, inclusion criteria are a clinician working in the cardiac rehabilitation (CR) program at the health service.
Exclusion criteria
For patients, exclusion criteria are: - Cognitive impairment – this will be determined from the medical records or by the nurse in charge for that shift; - Discharged home with diagnosis of heart failure, or on specific targeted therapy for heart failure; - Other significant in-hospital complication including major stroke; - Discharge to nursing home/long term care facility/other hospital.
Outcome results
None listed