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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
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Self-management for patients on ventricular assist device support: a national, multicentre study: protocol for a
Christiane Kugler1, Hannah Spielmann2, Maiken Seemann2
1Institute of Nursing Science, University of Freiburg, Faculty of Medicine, Freiburg, Germany christiane.kugler@uniklinik-freiburg.de.
BMJ Open
|May 6, 2021
Summary
This study develops a self-management curriculum for ventricular assist device (VAD) patients to improve care. A multicentre trial will evaluate its effectiveness in enhancing patient involvement and knowledge.
Area of Science:
- Cardiology
- Medical Education
- Patient Self-Management
Background:
- Ventricular assist device (VAD) therapy is complex, requiring significant patient involvement.
- Effective self-management (SM) strategies are crucial for patients with chronic conditions like VAD support.
- A structured approach to SM education can empower patients as active care partners.
Purpose of the Study:
- To develop an evidence-based, interprofessional curriculum for self-management (SM) support tailored to ventricular assist device (VAD) patients.
- To guide the development, implementation, and evaluation of this SM curriculum.
- To enhance patient participation and knowledge in managing VAD therapy.
Main Methods:
- A 3-phase, multicentre study including a prevalence assessment (Phase 1).
- Development of an interprofessional SM curriculum for VAD patients (Phase 2).
- A non-blinded, block-randomised controlled trial (RCT) to evaluate the curriculum's efficacy, with assessments at baseline, post-intervention, and 3- and 12-month follow-ups.
Main Results:
- The study is currently in the pre-results phase.
- Phase 1 requires 384 patients for prevalence study power analysis.
- Phase 3 requires 142 patients for the RCT power analysis.
Conclusions:
- The developed SM curriculum is intended to guide the intervention in the upcoming RCT.
- This evidence-based curriculum aims to improve self-management support for VAD patients.
- The study protocol is registered under NCT04234230 and NCT04526964.
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