Research Report
Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers
Lisa Keeping-Burke,
Margaret Purden,
Nancy Frasure-Smith,
Sylvie Cossette,
Frank McCarthy,
Rhonda Amsel,
Corresponding Author
Lisa Keeping-Burke
Department of Nursing & Health Sciences, University of New Brunswick, PO Box 5050 Saint John, New Brunswick, E2L 4L5 Canada
Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
Assistant Professor at the Department of Nursing & Health Sciences, UNB.Correspondence to: Lisa Keeping-BurkeSearch for more papers by this authorMargaret Purden
School of Nursing, McGill University, Montreal, QC, Canada
Centre for Nursing Research, Jewish General Hospital, Montreal, QC, Canada
Associate Professor at the School of Nursing, McGill University.Search for more papers by this authorNancy Frasure-Smith
Department of Psychiatry & School of Nursing, McGill University, Montreal, QC, Canada
Montreal Heart Institute & Research Centre, Montreal, QC, Canada
Centre Hospitalier Université de Montréal, Montreal, QC, Canada
Professor at the Department of Psychiatry & School of Nursing, McGill University.Search for more papers by this authorSylvie Cossette
Montreal Heart Institute & Research Centre, Montreal, QC, Canada
Centre Hospitalier Université de Montréal, Montreal, QC, Canada
Faculty of Nursing, Université de Montréal, Montreal, QC, Canada
Research Network Nursing Intervention Quebec (RRISIQ), Montreal, QC, Canada
Professor at School of Nursing, Université de Montréal.Search for more papers by this authorFrank McCarthy
Department of Anatomy and Neurobiology, Dalhousie University Medical Program, Saint John, New Brunswick, Canada
Assistant Professor at Dalhousie University Medical Program.Search for more papers by this authorRhonda Amsel
Department of Psychology, McGill University, Montreal, QC, Canada
Associate Professor at the Department of Psychology, McGill University.Search for more papers by this authorLisa Keeping-Burke,
Margaret Purden,
Nancy Frasure-Smith,
Sylvie Cossette,
Frank McCarthy,
Rhonda Amsel,
Corresponding Author
Lisa Keeping-Burke
Department of Nursing & Health Sciences, University of New Brunswick, PO Box 5050 Saint John, New Brunswick, E2L 4L5 Canada
Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
Assistant Professor at the Department of Nursing & Health Sciences, UNB.Correspondence to: Lisa Keeping-BurkeSearch for more papers by this authorMargaret Purden
School of Nursing, McGill University, Montreal, QC, Canada
Centre for Nursing Research, Jewish General Hospital, Montreal, QC, Canada
Associate Professor at the School of Nursing, McGill University.Search for more papers by this authorNancy Frasure-Smith
Department of Psychiatry & School of Nursing, McGill University, Montreal, QC, Canada
Montreal Heart Institute & Research Centre, Montreal, QC, Canada
Centre Hospitalier Université de Montréal, Montreal, QC, Canada
Professor at the Department of Psychiatry & School of Nursing, McGill University.Search for more papers by this authorSylvie Cossette
Montreal Heart Institute & Research Centre, Montreal, QC, Canada
Centre Hospitalier Université de Montréal, Montreal, QC, Canada
Faculty of Nursing, Université de Montréal, Montreal, QC, Canada
Research Network Nursing Intervention Quebec (RRISIQ), Montreal, QC, Canada
Professor at School of Nursing, Université de Montréal.Search for more papers by this authorFrank McCarthy
Department of Anatomy and Neurobiology, Dalhousie University Medical Program, Saint John, New Brunswick, Canada
Assistant Professor at Dalhousie University Medical Program.Search for more papers by this authorRhonda Amsel
Department of Psychology, McGill University, Montreal, QC, Canada
Associate Professor at the Department of Psychology, McGill University.Search for more papers by this authorThis research was supported by a 3-year Heart & Stroke Foundation of Canada Doctoral Fellowship, 2-year Quebec Interuniversity Nursing Intervention Research Group Doctoral Fellowship and Grant, and a McGill University School of Graduate Studies Award. Trial Registration: ISRCTN77474147.
Abstract
The purpose of this randomized trial was to determine whether coronary artery bypass graft surgery patients and their caregivers who received telehealth follow-up had greater improvements in anxiety levels from pre-surgery to 3 weeks after discharge than did those who received standard care. Secondary outcomes included changes in depressive symptoms and patients' contacts with physicians. No group differences were noted in changes in patients' anxiety and depressive symptoms, but patients in the telehealth group had fewer physician contacts (p = .04). Female caregivers in the telehealth group had greater decreases in anxiety than those in standard care (p < .001), and caregivers of both genders in the telehealth group had greater decreases in depressive symptoms (p = .03). © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 540–553, 2013
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