2.50
Hdl Handle:
http://hdl.handle.net/10755/152951
Type:
Presentation
Title:
Videophone Counseling for the Self-Management of Peripheral Arterial Disease
Abstract:
Videophone Counseling for the Self-Management of Peripheral Arterial Disease
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Stonecypher, Karen, MSN, RN
P.I. Institution Name:Michael E. DeBakey VA Medical Center
Title:Clinical Practice Manager
Co-Authors:Pamela Willson, RN, PhD, FNP, BC
21st INRC [Evidence-Based Practice Presentation] Introduction: The purpose of this prospective, randomized controlled trial was to determine the effects of a videophone patient exercise self-management and motivational counseling intervention on exercise endurance (6-minute walk test, daily steps walked, and minutes of resistive peddler used) and quality of life/health status (SF-36) PAD patients. Methods: A 2-arm randomized control trial was conducted with measures taken at baseline, 3 and 6 months. A consecutive sample of 30 peripheral arterial disease (PAD) patients were recruited from primary care clinics; they attended an exercise counseling session that demonstrated exercises, pedometer use, and described walking regimen and exercise diary recording. After completing the initial visit activities, patients were randomly assigned to control or videophone intervention group (15 participants per group). The nurse intervention consisted of videophone motivational counseling sessions in the home that was based on the patient's stage of change at 2, 4, and 6 weeks post-enrollment. Results:  Patients randomized to videophone counseling had significantly improved health related quality of life than the controls at 3 months for vitality (p=0.0442), social functioning (p=0.0301), and mental health (p=0.0063). Their summary mental health component scores were also significantly improved (p= 0.0147). At 6-months follow-up, physical functioning scores showed statistically significantly improvement (p=0.0123). Hospitalizations decreased from 7 to 4; ER visits from 9 to 3; and provider visits from 28 to 14 compared to 3-months prior to the study. Adherence with exercise prescription was 83% (N=25) at 3-months follow-up and 70% (N=21) at 6-months follow-up. Patient's with PAD who receive self-management motivational counseling comply with their exercise regimens and have improved health-related quality of life, increased physical exercise endurance, and used fewer health services (e.g., office visits and hospitalizations). Ninety-five percent of the participants would recommend implementing an exercise prescription. Using videophones for in-home health consultations was convenient for this sample of veterans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleVideophone Counseling for the Self-Management of Peripheral Arterial Diseaseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152951-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Videophone Counseling for the Self-Management of Peripheral Arterial Disease</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Stonecypher, Karen, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Michael E. DeBakey VA Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Practice Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">karen.stonecypher@va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pamela Willson, RN, PhD, FNP, BC</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Introduction: The purpose of this prospective, randomized controlled trial was to determine the effects of a videophone patient exercise self-management and motivational counseling intervention on exercise endurance (6-minute walk test, daily steps walked, and minutes of resistive peddler used) and quality of life/health status (SF-36) PAD patients. Methods: A 2-arm randomized control trial was conducted with measures taken at baseline, 3 and 6 months. A consecutive sample of 30 peripheral arterial disease (PAD) patients were recruited from primary care clinics; they attended an exercise counseling session that demonstrated exercises, pedometer use, and described walking regimen and exercise diary recording. After completing the initial visit activities, patients were randomly assigned to control or videophone intervention group (15 participants per group). The nurse intervention consisted of videophone motivational counseling sessions in the home that was based on the patient's stage of change at 2, 4, and 6 weeks post-enrollment. Results: &nbsp;Patients randomized to videophone counseling had significantly improved health related quality of life than the controls at 3 months for vitality (p=0.0442), social functioning (p=0.0301), and mental health (p=0.0063). Their summary mental health component scores were also significantly improved (p= 0.0147). At 6-months follow-up, physical functioning scores showed statistically significantly improvement (p=0.0123). Hospitalizations decreased from 7 to 4; ER visits from 9 to 3; and provider visits from 28 to 14 compared to 3-months prior to the study. Adherence with exercise prescription was 83% (N=25) at 3-months follow-up and 70% (N=21) at 6-months follow-up. Patient's with PAD who receive self-management motivational counseling comply with their exercise regimens and have improved health-related quality of life, increased physical exercise endurance, and used fewer health services (e.g., office visits and hospitalizations). Ninety-five percent of the participants would recommend implementing an exercise prescription. Using videophones for in-home health consultations was convenient for this sample of veterans.</td></tr></table>en_GB
dc.date.available2011-10-26T11:56:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:56:24Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.