2.50
Hdl Handle:
http://hdl.handle.net/10755/163506
Category:
Abstract
Type:
Presentation
Title:
Peer Advisors Improve Physical Health Outcomes in Elders
Author(s):
Carroll, Diane; Rankin, Sally H.; Hamilton, Glenys A.
Author Details:
Diane Carroll, RN, PhD, Clinical Nurse Specialist, Massachusetts General Hospital, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Sally H. Rankin, RN, PhD, FAAN; Glenys A. Hamilton, RN, DNSc
Abstract:
Purpose: Unmarried elders, over 65 years, lack partner support and have poorer health outcomes with myocardial infarction (MI) and after Coronary Bypass Surgery (CABG) than elders who are partnered. Provision of peer support from another elder who has had the same cardiac event may provide sufficient coaching and self-efficacy enhancement to improve participation in cardiac rehabilitation (CR) and physical activity. We hypothesized that a randomized group of elders, coached by peer advisors (PA), would be significantly more likely to join CR and demonstrate increased physical activity than elders not assigned to a PA. Methods: Unmarried subjects (n= 248) were randomized post-MI or CABG. Subjects assigned to PA group were matched to a PA, who was currently enrolled or had completed CR and had been trained by Advanced Practice Nurses to be a PA. PAs intervened on a weekly basis for 3 months. Data were collected during hospitalization, 6 weeks, and 3 months after the MI/CABG. Measures include CR participation, Jenkins Behavior Checklist for Walking and the MOS SF-36. Results: Subjects are 65% female, 61% are CABG patients, 80% are retired, 9% are minority, with a mean age of 76 years (range 65-101). Subjects in the PA group (67.3%) were significantly more likely to participate in CR than the standard care group (32.7%; Chi square=7.39 ; p< .01). Walking behavior was significantly greater for the PA group after the intervention when compared to the controls (F=5.18, p< .05). The SF-36 Pain subscale demonstrated within subjects effects for time by group that were nearly significant ( F=3.52, p=0.06 ) confirming beneficial treatment effects at 12 weeks Conclusions: Unpartnered elders exposed to a PA can be successfully encouraged to participate in CR and physical activity. Improvements in reported bodily pain may be related to physical activity, the social benefits of CR, and intervention effects.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePeer Advisors Improve Physical Health Outcomes in Eldersen_GB
dc.contributor.authorCarroll, Dianeen_US
dc.contributor.authorRankin, Sally H.en_US
dc.contributor.authorHamilton, Glenys A.en_US
dc.author.detailsDiane Carroll, RN, PhD, Clinical Nurse Specialist, Massachusetts General Hospital, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Sally H. Rankin, RN, PhD, FAAN; Glenys A. Hamilton, RN, DNScen_US
dc.identifier.urihttp://hdl.handle.net/10755/163506-
dc.description.abstractPurpose: Unmarried elders, over 65 years, lack partner support and have poorer health outcomes with myocardial infarction (MI) and after Coronary Bypass Surgery (CABG) than elders who are partnered. Provision of peer support from another elder who has had the same cardiac event may provide sufficient coaching and self-efficacy enhancement to improve participation in cardiac rehabilitation (CR) and physical activity. We hypothesized that a randomized group of elders, coached by peer advisors (PA), would be significantly more likely to join CR and demonstrate increased physical activity than elders not assigned to a PA. Methods: Unmarried subjects (n= 248) were randomized post-MI or CABG. Subjects assigned to PA group were matched to a PA, who was currently enrolled or had completed CR and had been trained by Advanced Practice Nurses to be a PA. PAs intervened on a weekly basis for 3 months. Data were collected during hospitalization, 6 weeks, and 3 months after the MI/CABG. Measures include CR participation, Jenkins Behavior Checklist for Walking and the MOS SF-36. Results: Subjects are 65% female, 61% are CABG patients, 80% are retired, 9% are minority, with a mean age of 76 years (range 65-101). Subjects in the PA group (67.3%) were significantly more likely to participate in CR than the standard care group (32.7%; Chi square=7.39 ; p< .01). Walking behavior was significantly greater for the PA group after the intervention when compared to the controls (F=5.18, p< .05). The SF-36 Pain subscale demonstrated within subjects effects for time by group that were nearly significant ( F=3.52, p=0.06 ) confirming beneficial treatment effects at 12 weeks Conclusions: Unpartnered elders exposed to a PA can be successfully encouraged to participate in CR and physical activity. Improvements in reported bodily pain may be related to physical activity, the social benefits of CR, and intervention effects.en_GB
dc.date.available2011-10-27T11:08:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:08:44Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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