Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial

Jo Wu; John J Atherton; Richard J MacIsaac; Mary Courtney; Anne M Chang; David R Thomson; Karam Kostner; Andrew I MacIsaac; Michael d'Emden; Nick Graves; Steven M McPhail

doi:10.1186/s12913-017-2043-4

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Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial

Journal article

Open access

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Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial

Jo Wu, John J Atherton, Richard J MacIsaac, Mary Courtney, Anne M Chang, David R Thomson, Karam Kostner, Andrew I MacIsaac, Michael d'Emden, Nick Graves, …

BMC Health Services Research, Vol.17, 109

2017

DOI: https://doi.org/10.1186/s12913-017-2043-4

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Abstract

Public Health and Health Services

Library and Information Studies

cardiovascular

diabetes

randomized controlled trial

self-efficacy

protocol

readmission

transitional care

Background: This paper presents a protocol for a randomised controlled trial of the Cardiac-Diabetes Transcare program which is a transitional care, multi-modal self-management program for patients with acute coronary syndrome comorbid with type 2 diabetes. Prior research has indicated people hospitalised with dual cardiac and diabetes diagnoses are at an elevated risk of hospital readmissions, morbidity and mortality. The primary aim of this study is to evaluate the effectiveness (and cost-effectiveness) of a Cardiac-Diabetes Transcare intervention program on 6-month readmission rate in comparison to usual care. Methods/Design: A two-armed, randomised controlled trial with blinded outcome assessment will be conducted to evaluate the comparative effectiveness of two modes of care, including a Usual Care Group and a Cardiac-Diabetes Transcare Intervention (in addition to usual care) Group. The primary outcome is 6-month readmission rate, although a range of secondary outcomes will be collected (including self-efficacy) at baseline, 1, 3 and 6 month reassessments. The intervention group will receive in-hospital education tailored for people recovering from an acute coronary syndrome-related hospital admission who have comorbid diabetes, and they will also receive home visits and telephone follow-up by a trained Research Nurse to reinforce and facilitate disease-management-related behaviour change. Both groups will receive usual care interventions offered or referred from participating hospital facilities. A sample size of 432 participants from participating hospitals in the Australian states of Queensland and Victoria will be recruited for 90% power based on the most conservative scenarios modelled for sample size estimates. Discussion: The study outlined in this protocol will provide valuable insight into the effectiveness of a transitional care intervention targeted for people admitted to hospital with cardiac-related presentations commencing in the inpatient hospital setting and transition to the home environment. The purpose of theory-based intervention comprising face-to-face sessions and telephone follow up for patients with acute coronary syndrome and type 2 diabetes is to increase self-efficacy to enhance self-management behaviours and thus improve health outcomes and reduce hospital readmissions.

Details

Title: Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial
Authors: Jo Wu (Author) - James Cook University
John J Atherton (Author) - Queensland University of Technology
Richard J MacIsaac (Author) - University of Melbourne
Mary Courtney (Author) - James Cook University
Anne M Chang (Author) - Queensland University of Technology
David R Thomson (Author) - Australian Catholic University
Karam Kostner (Author) - University of Queensland
Andrew I MacIsaac (Author) - University of Queensland
Michael d'Emden (Author) - Royal Brisbane and Women's Hospital
Nick Graves (Author) - Queensland University of Technology
Steven M McPhail (Author) - Queensland University of Technology
Publication details: BMC Health Services Research, Vol.17, 109; 7
Publisher: BioMed Central Ltd.
Date published: 2017
DOI: 10.1186/s12913-017-2043-4
ISSN: 1472-6963
Copyright note: Copyright © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99450452502621
Output Type: Journal article

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