Premium
Effectiveness of advanced practice nurse‐led telehealth on readmissions and health‐related outcomes among patients with post‐acute myocardial infarction: ALTRA Study Protocol
Author(s) -
Koh Karen Wei Ling,
Wang Wenru,
Richards A. Mark,
Chan Mark Y.,
Cheng Karis Kin Fong
Publication year - 2016
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12933
Subject(s) - medicine , telehealth , myocardial infarction , randomized controlled trial , quality of life (healthcare) , anxiety , physical therapy , depression (economics) , health care , nursing , emergency medicine , intensive care medicine , telemedicine , psychiatry , economics , macroeconomics , economic growth
Aim To develop and examine the effectiveness of an advanced practice nurse‐led telehealth rehabilitative programme as a transitional nursing therapeutic on readmission rates and health‐related outcomes among patients with acute myocardial infarction postdischarge. Background Patients suffering from acute myocardial infarction are experiencing an increasing trend of frequent readmissions. This implicates both the effectiveness of healthcare services and patient's quality of life. Advanced Practice Nurse‐led telehealth rehabilitative programme has yet to be explored as a strategy to minimize preventable readmissions and improve patient's self‐efficacy so as to enhance quality of life after a heart attack. Design Randomized controlled trial with repeated measures. Methodology A consecutive sampling of 172 patients with acute myocardial infarction will be recruited from a tertiary acute hospital in Singapore. Participants will be randomized into two groups. The experimental group ( ALTRA ) will receive Advanced Practice Nurse‐led telehealth rehabilitative programme on discharge. The control group will receive only standard follow‐up care. The outcome measures include readmissions, cardiac self‐efficacy, cardiovascular risk factors, quality of life, anxiety and depression. The data will be collected at the baseline, 1 and 6 month postdischarge. A postprogramme evaluation will be conducted among the participants to assess its acceptability, strengths and weakness. Discussion ALTRA aims to engage and support patients with acute myocardial infarction by increasing self‐care management through education and telehealth contacts with Advanced Practices Nurses. This provides a smoother transition of illness to health and ultimately, reduces preventable costly readmissions. Trial registration The study has been registered with clinicaltrials.gov. The trial registration number is NCT 02483494.