Hill Kate, Walwyn Rebecca, Camidge Diana, Murray Jenni, Meads David, Reynolds Greg, Farrin Amanda, House Allan
Kate Hill, PhD Senior Research Fellow, Leeds Institute of Health Sciences, University of Leeds, United Kingdom. Rebecca Walwyn, PhD Principal Statistician, Clinical Trials Research Unit, University of Leeds, United Kingdom. Diana Camidge, MSc Research Officer, Leeds Institute of Health Sciences, University of Leeds, United Kingdom. Jenni Murray, PhD Senior Research Fellow, Leeds Institute of Health Sciences, University of Leeds, United Kingdom. David Meads, MSc Associate Professor, Leeds Institute of Health Sciences, University of Leeds, United Kingdom. Greg Reynolds, FRCP Consultant Cardiologist, Leeds Teaching Hospitals Trust, Leeds, United Kingdom. Amanda Farrin, MSc Chair, Clinical Trials Research Unit, University of Leeds, United Kingdom. Allan House, DM Professor of Liaison Psychiatry, Leeds Institute of Health Sciences, University of Leeds, United Kingdom.
J Cardiovasc Nurs. 2016 Nov/Dec;31(6):507-516. doi: 10.1097/JCN.0000000000000294.
A healthy diet, taking exercise, and not smoking or consuming alcohol in excess are important to reduce the risk of cardiovascular disease either alone or in combination with statin medication. Health education, including providing information to patients on healthy living and guidance on how to achieve it, is a key nursing function.
This study aims first to assess the feasibility of conducting a full-scale trial of lifestyle referral assessment as shown by recruitment rate, data collection, and follow-up and second to assess proof of concept and explore possible mechanisms of change.
This was a single-center, randomized, 2-arm, parallel-group, unblinded feasibility trial conducted in an acute teaching hospital trust. Participants were followed up at 3 and 6 months after randomization.
Eight hundred eighty-seven patients were screened for eligibility, of whom 132 (15%) were randomized into the trial. Of the patients allocated to the individualized assessment, 27% accepted referral or self-referred by 3 months in comparison to 5% allocated to the usual assessment.
We demonstrated that a full-scale trial is feasible and that an individualized approach increased the number of patients accepting referral to a formal program and initiating lifestyle change. However, we should consider the aim of the assessment and ways in which the process of change can be optimized in order to produce long-term benefit for patients.
current controlled trials ISRCTN41781196.
健康饮食、锻炼身体以及不吸烟或不过度饮酒，无论是单独还是与他汀类药物联合使用，对于降低心血管疾病风险都很重要。健康教育，包括向患者提供健康生活方面的信息以及如何实现健康生活的指导，是一项关键的护理职能。
本研究旨在首先通过招募率、数据收集和随访来评估进行生活方式转诊评估全面试验的可行性，其次评估概念验证并探索可能的变化机制。
这是一项在急性教学医院信托机构进行的单中心、随机、双臂、平行组、非盲可行性试验。在随机分组后3个月和6个月对参与者进行随访。
对887名患者进行了资格筛查，其中132名（15%）被随机纳入试验。在分配到个性化评估的患者中，3个月时27%接受转诊或自行转诊，而分配到常规评估的患者中这一比例为5%。
我们证明了全面试验是可行的，并且个性化方法增加了接受转诊到正式项目并开始改变生活方式的患者数量。然而，我们应该考虑评估的目的以及如何优化改变过程，以便为患者带来长期益处。
当前对照试验ISRCTN41781196。
