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Cardiac Rehabilitation Peer Mentorship

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ClinicalTrials.gov Identifier: NCT02204449
Recruitment Status : Completed
First Posted : July 30, 2014
Results First Posted : June 22, 2015
Last Update Posted : December 30, 2015
Sponsor:
Collaborators:
Stony Brook University
York University
Information provided by (Responsible Party):
Sherry Grace, York University

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single (Outcomes Assessor);   Primary Purpose: Health Services Research
Conditions Percutaneous Coronary Intervention
Coronary Artery Bypass Graft Surgery, With or Without Valve Surgery
Acute Coronary Syndrome
Chronic Stable Heart Failure
Coronary Artery Disease
Intervention Behavioral: Cardiac Rehabilitation Peer Mentorship
Enrollment 94
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care
Hide Arm/Group Description

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Period Title: Overall Study
Started 46 48
Completed 39 37
Not Completed 7 11
Reason Not Completed
Lost to Follow-up             7             9
Death             0             1
Withdrawal by Subject             0             1
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care Total
Hide Arm/Group Description

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors. Total of all reporting groups
Overall Number of Baseline Participants 46 47 93
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 46 participants 47 participants 93 participants
62.7  (16.5) 62.6  (13.1) 62.7  (14.8)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 46 participants 47 participants 93 participants
Female
32
  69.6%
32
  68.1%
64
  68.8%
Male
14
  30.4%
15
  31.9%
29
  31.2%
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
Canada Number Analyzed 46 participants 47 participants 93 participants
46 47 93
1.Primary Outcome
Title Cardiac Rehabilitation Enrollment
Hide Description A blinded research assistant will either examine medical records or call the participant (i.e., patient) at home to determine if they have enrolled in cardiac rehabilitation.
Time Frame 12 weeks after patient is discharged from hospital
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care
Hide Arm/Group Description:

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Overall Number of Participants Analyzed 39 37
Measure Type: Number
Unit of Measure: participants
20 15
2.Secondary Outcome
Title Cardiac Rehabilitation Referral
Hide Description A blinded research assistant will examine patient medical records to determine if patients were referred to cardiac rehabilitation.
Time Frame 12 weeks after patient has been discharged from hospital
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care
Hide Arm/Group Description:

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Overall Number of Participants Analyzed 39 37
Measure Type: Number
Unit of Measure: participants
31 27
3.Other Pre-specified Outcome
Title Cardiac Rehabilitation Enrollment in Site Closer to Home
Hide Description A blinded research assistant will call those patients who were re-referred to a cardiac rehabilitation site closer to their home to see if they enrolled in cardiac rehabilitation. The study coordinator will then compare this to enrollment rates (already determined by the blinded research assistant) of those who enrolled in the program at the hospital system in which they were inpatients.
Time Frame 8 weeks after patient is discharged from hospital
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care
Hide Arm/Group Description:

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Overall Number of Participants Analyzed 23 21
Measure Type: Number
Unit of Measure: participants
17 13
Time Frame [Not Specified]
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Cardiac Rehabilitation Peer Mentorship Usual Care
Hide Arm/Group Description

Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR.

One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors.

Cardiac Rehabilitation Peer Mentorship

Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
All-Cause Mortality
Cardiac Rehabilitation Peer Mentorship Usual Care
Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/-- 
Show Serious Adverse Events Hide Serious Adverse Events
Cardiac Rehabilitation Peer Mentorship Usual Care
Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0 
Show Other (Not Including Serious) Adverse Events Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Cardiac Rehabilitation Peer Mentorship Usual Care
Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0 
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Name/Title: Dr. Sherry Grace
Organization: UHN Toronto
Phone: 416.736.2100 ext 22364
Responsible Party: Sherry Grace, York University
ClinicalTrials.gov Identifier: NCT02204449     History of Changes
Other Study ID Numbers: 13-7183
First Submitted: July 28, 2014
First Posted: July 30, 2014
Results First Submitted: June 3, 2015
Results First Posted: June 22, 2015
Last Update Posted: December 30, 2015