TY - JOUR
KW - Adaptation, Psychological
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Australia
KW - Continuity of Patient Care
KW - Coronary Disease/diagnosis/psychology/rehabilitation
KW - Counseling/methods
KW - Female
KW - Humans
KW - Middle Aged
KW - Patient Discharge
KW - Probability
KW - Prognosis
KW - Prospective Studies
KW - Reference Values
KW - Risk Assessment
KW - Severity of Illness Index
KW - Social Support
KW - Stress, Psychological
KW - Telecommunications
KW - Telephone
KW - Treatment Outcome
AU - R. Gallagher
AU - S. McKinley
AU - K. Dracup
A1 - 
AB - OBJECTIVE: The purpose of this study was to test the effect of a post-discharge telephone counseling intervention on women's psychosocial adjustment following a cardiac event. DESIGN: The study was a prospective, randomized, controlled trial. PATIENTS: Women (n = 196) were recruited from 4 hospitals in Sydney, Australia, who were hospitalized for coronary artery disease: myocardial infarction, coronary artery bypass grafts, coronary angioplasty, or stable angina. Women were randomized to usual care (n = 103) or telephone counseling (n = 93) and were 67 years of age (range 34-92). The majority had not completed high school (92%) and were not employed (84%). OUTCOMES: Psychosocial adjustment was measured by the Psychosocial Adjustment to Illness Scale and the Hospital Anxiety and Depression Scale the day before hospital discharge and 12 weeks postdischarge. INTERVENTION: Individualized information and support, was designed to promote self-managed recovery and psychosocial adjustment, and began with an evaluation during admission and was followed up by telephone counseling at 1, 2, 3, and 6 weeks after discharge. RESULTS: The intervention had no effect on psychosocial adjustment (F[1,182] = 0.06, P =.8), anxiety (F[1,182] = 0.15, P =.69) or depression (F[1,182] = 0.11, P =.74) at 12 weeks after discharge. Women made significant improvements during the 12 weeks on mean scores for psychosocial adjustment (F[1,182] = 58.37, P =.00), anxiety (F [1,182] = 74.58, P =.00) and depression (F[1,182] = 14.11, P =.00). The predictors of poor psychosocial outcomes for women included being less than 55 years of age, being unemployed or retired, having poor psychosocial adjustment to illness at baseline, having readmission, or experiencing a stressful, personal event during follow-up. CONCLUSIONS: Women at risk for poor outcomes following hospitalization for a cardiac event can be identified (ie, women less than 55 years of age, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission), but an effective intervention to enhance psychosocial outcomes remains to be established.
BT - Heart & lung : the journal of critical care
C5 - HIT & Telehealth
CP - 2
CY - United States
DO - 10.1067/mhl.2003.19
IS - 2
JF - Heart & lung : the journal of critical care
N2 - OBJECTIVE: The purpose of this study was to test the effect of a post-discharge telephone counseling intervention on women's psychosocial adjustment following a cardiac event. DESIGN: The study was a prospective, randomized, controlled trial. PATIENTS: Women (n = 196) were recruited from 4 hospitals in Sydney, Australia, who were hospitalized for coronary artery disease: myocardial infarction, coronary artery bypass grafts, coronary angioplasty, or stable angina. Women were randomized to usual care (n = 103) or telephone counseling (n = 93) and were 67 years of age (range 34-92). The majority had not completed high school (92%) and were not employed (84%). OUTCOMES: Psychosocial adjustment was measured by the Psychosocial Adjustment to Illness Scale and the Hospital Anxiety and Depression Scale the day before hospital discharge and 12 weeks postdischarge. INTERVENTION: Individualized information and support, was designed to promote self-managed recovery and psychosocial adjustment, and began with an evaluation during admission and was followed up by telephone counseling at 1, 2, 3, and 6 weeks after discharge. RESULTS: The intervention had no effect on psychosocial adjustment (F[1,182] = 0.06, P =.8), anxiety (F[1,182] = 0.15, P =.69) or depression (F[1,182] = 0.11, P =.74) at 12 weeks after discharge. Women made significant improvements during the 12 weeks on mean scores for psychosocial adjustment (F[1,182] = 58.37, P =.00), anxiety (F [1,182] = 74.58, P =.00) and depression (F[1,182] = 14.11, P =.00). The predictors of poor psychosocial outcomes for women included being less than 55 years of age, being unemployed or retired, having poor psychosocial adjustment to illness at baseline, having readmission, or experiencing a stressful, personal event during follow-up. CONCLUSIONS: Women at risk for poor outcomes following hospitalization for a cardiac event can be identified (ie, women less than 55 years of age, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission), but an effective intervention to enhance psychosocial outcomes remains to be established.
PP - United States
PY - 2003
SN - 0147-9563; 0147-9563
SP - 79
EP - 87
EP - 
T1 - Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event
T2 - Heart & lung : the journal of critical care
TI - Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event
U1 - HIT & Telehealth
U3 - 10.1067/mhl.2003.19
VL - 32
VO - 0147-9563; 0147-9563
Y1 - 2003
ER -