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While you're waiting, a waiting room-based, cardiovascular disease-focused educational program: protocol for a
Daniel Mcintyre1, Aravinda Thiagalingam2,3, Clara Chow2,3
1Westmead Applied Research Centre, University of Sydney, Westmead, New South Wales, Australia daniel.mcintyre@sydney.edu.au.
Insights
Providing cardiovascular disease (CVD) and cardiopulmonary resuscitation (CPR) education in cardiology clinic waiting rooms can improve patient motivation and knowledge. This intervention positively impacts health behaviors and confidence in performing CPR.
Area of Science:
- Cardiology
- Health Education
- Behavioral Science
Background:
- Cardiovascular disease (CVD) patients often wait in clinics, presenting an opportunity for education.
- Current waiting room time is underutilized for patient health improvement.
- Targeted education can potentially enhance patient motivation and knowledge regarding CVD and CPR.
Purpose of the Study:
- To assess if CVD and cardiopulmonary resuscitation (CPR) education in a cardiology clinic waiting room improves patient motivation for health behavior change.
- To evaluate the impact of this education on CPR knowledge, behaviors, clinic satisfaction, and 30-day health outcomes.
- To determine the effect on reported CVD lifestyle behaviors and CPR-related outcomes.
Main Methods:
- A randomized controlled trial involving 330 patients in a chest pain clinic waiting room.
- Intervention group (n=220) received tablet-based educational videos on various health topics and CPR.
- Control group (n=110) received usual care; a substudy assessed additional CPR video impact.
Main Results:
- The primary outcome measured was the proportion of patients reporting high motivation to improve physical activity, diet, and blood pressure monitoring.
- The CPR substudy's primary outcome was confidence in performing CPR post-clinic.
- Secondary analyses included clinic satisfaction, lifestyle behaviors, CPR knowledge, and willingness to perform CPR at 30 days.
Conclusions:
- Educational interventions in clinic waiting rooms show promise for improving patient engagement and health behaviors.
- This approach can effectively utilize waiting time to enhance both CVD management and CPR preparedness.
- Further dissemination of findings through publications and conferences is planned.
Introduction:
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.
Methods And Analysis:
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 And Dissemination:
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.
Trial Registration Number:
ANZCTR12618001725257.
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