Browsing by Author "Lear, Scott A"
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- ItemDelivery of Peer Support Through a Self-Management mHealth Intervention (Healing Circles) in Patients With Cardiovascular Disease: Protocol for a Randomized Controlled Trial.(0000-00-00) Sakakibara, Brodie M; Chakrabarti, Santabhanu; Krahn, Andrew; Mackay, Martha H; Sedlak, Tara; Singer, Joel; Whitehurst, David Gt; Lear, Scott ABACKGROUND Cardiovascular disease CVD is a leading cause of hospitalization and death around the world The prevalence of CVD is increasing and therefore development and investigation of effective programs to help people better self manage their CVD and prevent secondary complications are needed OBJECTIVE In this paper we report on a protocol to evaluate Healing Circles an evidence based and patient informed peer support mobile health program designed to facilitate self management and support patients in their recovery from and management of CVD We hypothesize that individuals with CVD who use Healing Circles will experience greater improvements to their self management ability than individuals receiving usual care METHODS In this single blinded assessor randomized controlled trial 250 community living individuals with CVD will be randomized on a 1 1 basis to either Healing Circles or Usual Care The primary outcome of self management will be measured using the Health Education Impact Questionnaire version 3 0 Secondary outcomes include self efficacy with chronic disease management health related quality of life health resource use and costs and electronic health literacy Measurements will be taken at the baseline and every 6 months for 24 months RESULTS The study started recruitment in September 2017 Individuals are currently being recruited for participation and existing participants are currently on follow up Measurements will be taken every 6 months until the study end which is anticipated in December 2019 CONCLUSIONS Healing Circles is a novel program aimed toward improving self management through peer support Given our real world study design our findings will be readily translatable into practice If the results support our hypothesis it will indicate that Healing Circles is an effective intervention for improving self management and reducing health care use TRIAL REGISTRATION ClinicalTrials gov NCT03159325 https clinicaltrials gov ct2 show NCT03159325 Archived by WebCite at http www webcitation org 74DvxVKUd INTERNATIONAL REGISTERED REPORT IDENTIFIER IRRID DERR1 10 2196 12322
- ItemRandomized trial of a virtual cardiac rehabilitation program delivered at a distance via the Internet.(2014-11-22) Lear, Scott A; Singer, Joel; Banner-Lukaris, Davina; Horvat, Dan; Park, Julie E; Bates, Joanna; Ignaszewski, Andrew
- ItemUtilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study.(2007-07-02) Zutz, Amber; Ignaszewski, Andrew; Bates, Joanna; Lear, Scott ALess than 25 of eligible patients attend cardiac rehabilitation programs CRP with geographical proximity being a predominant barrier Therefore we undertook a pilot study to assess the feasibility and safety of using the Internet as a medium for delivery of an interactive virtual CRP vCRP to patients at a distance Fifteen patients on the waiting list for a local hospital based CRP were randomized to either an Internet based vCRP or observational control The vCRP consisted of on line intake forms one on one chat sessions with a nurse dietitian and exercise specialist downloadable exercise heart rate monitoring education and data monitoring of blood pressure weight and glucose Participants were assessed for exercise capacity risk factors and lifestyle behaviors at baseline and at 12 weeks Those in the vCRP logged onto the Internet based CRP an average of 4 2 times per week There were no adverse events in the vCRP participants The vCRP group significantly improved their HDL C triglycerides total cholesterol HDL C ratio exercise capacity as assessed in metabolic equivalents weekly physical activity and exercise specific self efficacy p Under 0 05 There were no significant improvements in the control group Improvements in the vCRP group were similar to historical controls in a standard CRP Feedback from exit interviews of the vCRP participants was unanimously positive This Internet based CRP resulted in clinically significant improvements in risk factors and exercise capacity similar to that of a standard CRP The high user acceptance indicated that this program may have the potential to effectively manage patients who do not have access to traditional hospital based CRP
- ItemWhat Do Patients Talk About? A Qualitative Analysis of Online Chat Sessions with Healthcare Specialists During a "Virtual" Cardiac Rehabilitation Program.(0000-00-00) Mendell, Joanna; Bates, Joanna; Banner-Lukaris, Davina; Horvat, Dan; Kang, Bindy; Singer, Joel; Ignaszewski, Andrew; Lear, Scott AINTRODUCTION Cardiac rehabilitation programs CRPs are effective at reducing cardiovascular disease CVD risk yet attendance in these programs remains low due to geographic constraints In a previously conducted randomized trial we demonstrated that a virtual CRP vCRP delivered over the Internet reduced risk for CVD The current investigation has reviewed the online chat sessions between participants and healthcare providers HCP to describe the content of discussions during the vCRP intervention MATERIALS AND METHODS Participants were recruited from two geographically isolated areas in British Columbia Canada without in person CRP or a cardiologist serving the area The vCRP among other elements included scheduled one on one chat sessions with a dietician exercise specialist and nurse to mimic standard CRP consultations The chat sessions were reviewed for content and themes Multiple chat sessions between participants and a single care provider were also analyzed to describe how chat content progressed through multiple sessions RESULTS A total of 38 participants participated in the vCRP intervention From the 122 chat sessions between participants and HCP during the vCRP the main themes identified were Managing Health and Lifestyle Continuity of Care and Getting Care from a Distance Within each theme sub themes were also identified CONCLUSIONS The vCRP chat sessions fulfilled the role of face to face consultations with HCP that are standard in hospital based CRP and addressed patient concerns facilitating remote patient provider interaction and covering topics on exercise diet and positive behavior changes to limit risk factors for future heart problems