Effectiveness of a Home Health Care Intervention in Minimizing Cardiac Risk Factors

2.50
Hdl Handle:
http://hdl.handle.net/10755/151709
Type:
Presentation
Title:
Effectiveness of a Home Health Care Intervention in Minimizing Cardiac Risk Factors
Abstract:
Effectiveness of a Home Health Care Intervention in Minimizing Cardiac Risk Factors
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Thompson, Kathleen, PhD, RN
P.I. Institution Name:Northern MIchigan University
Title:Professor and Assistant Program Director
Co-Authors:Mary Ellen Powers, DNSc, RN
Objective: The purpose of this study was to determine the effectiveness of home health care (HHC) intervention in modifying cardiac risk factors in adults with known cardiac disease. Design: A longitudinal, experimental design was used to compare the differences between standard discharge teaching and a standardized home health care protocol. Population, sample, setting, years: The population of interest is adults with known cardiac disease. A convenience sampling plan was used to identify 100 subjects admitted to a mid-western hospital between 1998-2001 with a cardiac diagnosis. Concepts, variable, intervention, and outcome variables: The independent variable was the type of intervention received, either standardized teaching or HHC. The dependent variables included smoking, diet and exercise. Intervening variables included personal factors (age, gender, education, marital status and ethnicity) and behavior-specific cognitions and affect (knowledge level, perceived benefit and social support). Methods: Subjects were randomly assigned to either the standardized teaching or the HHC intervention. The HHC group received 4 interactions with the HHC agency over a four week period. Data was collected on both groups at discharge, 1 month, 6 months and 1 year after the intervention. Findings: A repeated measures analysis was used to compare the two groups on the dependent and intervening variables. Results are mixed with differences occurring with different variables at different data collection points. The overall results are that there are no significant differences in the behaviors of subjects who receive the 4 week HHC intervention and those that do not. There were some interesting differences in males and females on the intervening variables. Conclusions: The HHC intervention was not specific enough to result in long term behavior change. Implications: Additional research needs to be conducted to identify interventions that will result in long term behavioral change, especially examining the differences in males and females.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffectiveness of a Home Health Care Intervention in Minimizing Cardiac Risk Factorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151709-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effectiveness of a Home Health Care Intervention in Minimizing Cardiac Risk Factors</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Thompson, Kathleen, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Northern MIchigan University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor and Assistant Program Director</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kathomps@nmu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Ellen Powers, DNSc, RN</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this study was to determine the effectiveness of home health care (HHC) intervention in modifying cardiac risk factors in adults with known cardiac disease. Design: A longitudinal, experimental design was used to compare the differences between standard discharge teaching and a standardized home health care protocol. Population, sample, setting, years: The population of interest is adults with known cardiac disease. A convenience sampling plan was used to identify 100 subjects admitted to a mid-western hospital between 1998-2001 with a cardiac diagnosis. Concepts, variable, intervention, and outcome variables: The independent variable was the type of intervention received, either standardized teaching or HHC. The dependent variables included smoking, diet and exercise. Intervening variables included personal factors (age, gender, education, marital status and ethnicity) and behavior-specific cognitions and affect (knowledge level, perceived benefit and social support). Methods: Subjects were randomly assigned to either the standardized teaching or the HHC intervention. The HHC group received 4 interactions with the HHC agency over a four week period. Data was collected on both groups at discharge, 1 month, 6 months and 1 year after the intervention. Findings: A repeated measures analysis was used to compare the two groups on the dependent and intervening variables. Results are mixed with differences occurring with different variables at different data collection points. The overall results are that there are no significant differences in the behaviors of subjects who receive the 4 week HHC intervention and those that do not. There were some interesting differences in males and females on the intervening variables. Conclusions: The HHC intervention was not specific enough to result in long term behavior change. Implications: Additional research needs to be conducted to identify interventions that will result in long term behavioral change, especially examining the differences in males and females.</td></tr></table>en_GB
dc.date.available2011-10-26T11:11:07Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:11:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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