Westmead Applied Research Centre, University of Sydney, Westmead, New South Wales, Australia
Westmead Applied Research Centre, University of Sydney, Westmead, New South Wales, Australia.
BMJ Open. 2020 Oct 20;10(10):e036780. doi: 10.1136/bmjopen-2020-036780.
Patients with cardiovascular disease (CVD) frequently attend outpatient clinics and spend a significant amount of time in waiting rooms. Currently, this time is poorly used. This study aims to investigate whether providing CVD and cardiopulmonary resuscitation (CPR) education to waiting patients in a cardiology clinic of a large referral hospital improves motivation to change health behaviours, CPR knowledge, behaviours and clinic satisfaction post clinic, and whether there is any impact on reported CVD lifestyle behaviours or relevant CPR outcomes at 30 days.
Randomised controlled trial with parallel design to be conducted among 330 patients in the waiting room of a chest pain clinic in a tertiary referral hospital. Intervention (n=220) participants will receive a tablet-delivered series of educational videos catered to self-reported topics of interest (physical activity, blood pressure, diet, medications, smoking and general health) and level of health knowledge. Control (n=110) participants will receive usual care. In a substudy, intervention participants will be randomised 1:1 to receive an extra video on CPR or no extra video. The primary outcome will be the proportion of intervention and control participants who report high motivation to improve physical activity, diet and blood pressure monitoring at end of clinic. The primary outcome of the CPR study will be confidence to perform CPR post clinic. Secondary analysis will examine impact on clinic satisfaction, lifestyle behaviours, CPR knowledge and willingness to perform CPR post clinic and at 30-day follow-up.
Ethics approval has been received from the Western Sydney Local Health District Human Research Ethics Committee. All patients will provide informed consent via a tablet-based eConsent framework. Study results will be disseminated via the usual channels including peer-reviewed publications and presentations at national and international conferences.
ANZCTR12618001725257.
患有心血管疾病(CVD)的患者经常到门诊就诊,并在候诊室花费大量时间。目前,这段时间的利用效率很低。本研究旨在探讨在一家大型转诊医院的心脏病学诊所为候诊患者提供 CVD 和心肺复苏术(CPR)教育是否能提高改变健康行为的动机、CPR 知识、行为和就诊后的满意度,以及是否对 30 天内报告的 CVD 生活方式行为或相关 CPR 结果有任何影响。
这是一项在三级转诊医院胸痛诊所候诊室进行的随机对照试验,采用平行设计,将 330 名患者分为干预组(n=220)和对照组(n=110)。干预组参与者将通过平板电脑观看一系列教育视频,这些视频针对的是自我报告的感兴趣主题(体力活动、血压、饮食、药物、吸烟和整体健康)和健康知识水平。对照组参与者将接受常规护理。在一个子研究中,干预组参与者将被随机分为 1:1 接受或不接受关于 CPR 的额外视频。主要结局将是报告在就诊结束时具有高动机改善体力活动、饮食和血压监测的干预组和对照组参与者的比例。CPR 研究的主要结局将是就诊后进行 CPR 的信心。次要分析将检查对就诊满意度、生活方式行为、CPR 知识以及就诊后和 30 天随访时进行 CPR 的意愿的影响。
本研究已获得西悉尼地方卫生区人类研究伦理委员会的伦理批准。所有患者将通过基于平板电脑的电子知情同意书框架提供知情同意。研究结果将通过常规渠道传播,包括同行评议的出版物和在国内外会议上的演讲。
ANZCTR12618001725257。