HINCAB-study. Home Based Intervention in Nursing for Coronary Artery Bypass Patients - Full Text View

Purpose

HINCAB-study is a single senter, prospective, randomised controlled trial. The aim of the study is to test the effect of a home based intervention program. The hypothesis of the study is that a home based intervention will influencing coping strategies in the CABG-patients rehabilitation phase, reduce symptoms and improve health related quality of life.

Condition	Intervention
Anxiety Depression	Behavioral: HINCAB

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label
Official Title:	Coronary Artery Bypass Grafting (CABG) Patients in the Rehabilitation Phase. A Randomised Controlled Trial.

Resource links provided by NLM:

MedlinePlus related topics: Anxiety Coronary Artery Bypass Surgery Depression Rehabilitation

U.S. FDA Resources

Further study details as provided by Oslo University Hospital:

Primary Outcome Measures:

Anxiety and depression symptoms [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Health related quality of life [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Enrollment:	203
Study Start Date:	August 2003
Study Completion Date:	July 2005
Primary Completion Date:	January 2005 (Final data collection date for primary outcome measure)

Intervention Details:

Psycho-educative intervention performed 2 and 4 weeks after surgery

Detailed Description:

Research has shown better quality of life for patients after CABG. At the same point of time studies shows that patients experience anxiety and depression years after surgery. Anxiety and depression appear frequently at the same time and strengthen each other. Studies underline that CABG-patients especially the first month after surgery want follow-up by health care provider. Anxiety and depression are assessed as independent risk factors for morbidity and death in heart patients.

203 CABG-patients were randomised into the study. Both patient group, the experimental- and control group, answered the same three standardised questionnaires before surgery, 6 weeks and 6 months after surgery. The questionnaires are Hospital Anxiety and Depression Scale (HADS), Seattle Angina Questionnaire (SAQ) and SF-36.

The intervention consist of two home visits 2 and 4 weeks after CABG undertaken by project leader. The intervention protocol has been approved by The Norwegian Committee for Medical Research Ethics.

Knowledge from this study may generate a basis for clinical guidelines and patient pathways. Results from this study will show if the home based intervention in the future will be performed for only a risk group of about 20 % that have responded best to the intervention. In the future the intervention also may be individualized electronically.

Eligibility

Ages Eligible for Study:	18 Years to 80 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria: Elective CABG-patients admitted to Ullevål University Hospital. The patients must be capable, physical and mental to fill in all questionnaires. In addition, to be capable to read and understand Norwegian. Driving distance maximum three hours each way.

Exclusion Criteria: Patients with combined surgery (coronary- and valve replacement surgery). Emergency surgery. Redo. Patients that related to surgery experience cerebral insult, mediastinitis or become intensive care patients will be excluded from this study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00245817

Locations

Norway
Ullevål University Hospital
Oslo, Norway

Sponsors and Collaborators

Ullevaal University Hospital

Investigators

Principal Investigator:	Irene Lie, PhD student	Ullevaal University Hospital
Study Chair:	Eli H Bunch, Professor	Institute of Nursing and Health Science

More Information

Publications:

Lie I, Arnesen H, Sandvik L, Hamilton G, Bunch EH. Health-related quality of life after coronary artery bypass grafting. The impact of a randomised controlled home-based intervention program. Qual Life Res. 2009 Mar;18(2):201-7. Epub 2009 Jan 25.

Lie I, Arnesen H, Sandvik L, Hamilton G, Bunch EH. Effects of a home-based intervention program on anxiety and depression 6 months after coronary artery bypass grafting: a randomized controlled trial. J Psychosom Res. 2007 Apr;62(4):411-8.

Lie I, Arnesen H, Sandvik L, Hamilton G, Bunch EH. Predictors for physical and mental health 6 months after coronary artery bypass grafting: a cohort study. Eur J Cardiovasc Nurs. 2010 Dec;9(4):238-43. Epub 2010 Mar 9.

Lie I, Bunch EH, Smeby NA, Arnesen H, Hamilton G. Patients' experiences with symptoms and needs in the early rehabilitation phase after coronary artery bypass grafting. Eur J Cardiovasc Nurs. 2010 Oct 26; [Epub ahead of print]

Responsible Party:	Principal investigator: Irene Lie, PhD student, Ullevaal University Hospital
ClinicalTrials.gov Identifier:	NCT00245817 History of Changes
Other Study ID Numbers:	HINCAB
Study First Received:	October 27, 2005
Last Updated:	March 10, 2011
Health Authority:	Norway:National Committee for Medical and Health Research Ethics

Keywords provided by Oslo University Hospital:

Anxiety. Depression. HRQOL. Psycho-educative intervention

Additional relevant MeSH terms:

Anxiety Disorders
Depression
Depressive Disorder

Mental Disorders
Behavioral Symptoms
Mood Disorders

ClinicalTrials.gov processed this record on May 22, 2013