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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Healing Hearts Together - an emotionally focused intervention for couples after a cardiac event: a randomized
Heather E Tulloch1,2, Paul S Greenman3, Jennifer Reed1,2
1University of Ottawa Heart Institute, Ottawa, ON, Canada.
Insights
The Healing Hearts Together (HHT) study investigates relationship quality in couples after a cardiac event. This randomized controlled trial (RCT) aims to improve cardiovascular health through relationship support.
Area of Science:
- Cardiovascular Health
- Relationship Science
- Clinical Psychology
Background:
- Couple relationships significantly impact health outcomes, with distress linked to cardiovascular risk and support to heart-healthy behaviors.
- Relationship quality is a critical factor influencing patient recovery and long-term well-being following cardiac events.
Purpose of the Study:
- To evaluate the efficacy of the 8-week Healing Hearts Together (HHT) intervention in improving relationship quality among couples affected by cardiac disease.
- To assess the intervention's impact on secondary outcomes including mental health, quality of life, and cardiovascular risk factors.
Main Methods:
- A randomized controlled trial (RCT) comparing the HHT intervention group with usual care (UC).
- Participants (patients and partners) were recruited within 6 months of a cardiac event and randomized 1:1.
- Data collected at baseline, 8 weeks, and 6 months using the Dyadic Adjustment Scale and other measures; intention-to-treat analyses planned.
Main Results:
- Anticipated results indicate higher relationship quality in the HHT intervention group compared to usual care.
- Improvements are also expected in secondary outcomes such as mental health, quality of life, and cardiovascular risk factors.
Conclusions:
- This study is the first to examine a relationship-enhancement program for couples managing cardiac disease.
- Findings are expected to highlight the clinical implications of relationship interventions for improving cardiovascular health and patient outcomes.
Introduction:
Couple relationships are important for health. Relationship distress is associated with increased incident and prognostic cardiovascular risk, while positive support is linked to heart-healthy behaviors and improved outcomes. This paper describes the study rationale, objectives, design, and methods of the Healing Hearts Together (HHT) randomized controlled trial (RCT).
Objectives:
The primary objective is to examine the difference in relationship quality between the 8-week HHT intervention group and usual care (UC) at program completion. Secondary objectives include evaluating the impact of HHT on relationship quality at 6 months, and mental health, quality of life, and cardiovascular risk factors measured at 8 weeks and 6 months post-intervention, as compared to usual care.
Methods:
Patients and their partners are recruited within 6 months of a cardiac event, procedure, or hospitalization and randomized 1:1 to HHT or UC. Assessments occur at baseline, 8 weeks, and 6 months follow-up. Analyses are planned as intention-to-treat, with multi-level analyses of covariance (ANCOVA) for the primary outcome: 8-week relationship quality as measured by the Dyadic Adjustment Scale. Secondary objectives will be evaluated using multi-level modeling for repeated measures.
Anticipated Results:
It is expected that participants randomized to HHT will report higher relationship quality and improved secondary outcomes than will participants in UC.
Conclusion:
As the first study to evaluate a relationship-enhancement program for couples with cardiac disease, findings will have important clinical implications regarding the effect of relationship interventions on heart health.
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