Vet-Harts Pilot Intervention for Veterans With Coronary Heart Disease



Status:Completed
Conditions:Peripheral Vascular Disease, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:12/26/2018
Start Date:April 30, 2012
End Date:October 31, 2012

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Representational Telehealth Nursing Intervention for Veterans With CHD

The purpose of this research study is to survey patients to learn about their beliefs and
behaviors related to the management of heart disease and to discuss options for making
healthy lifestyle changes. From the information the investigators get from patients, the
investigators hope to develop better methods for taking care of patients who have heart
disease.

Coronary heart disease (CHD) is a significant health threat among veterans. Compared to their
civilian counterparts, veterans experience greater disability, reinfarction, and mortality
following myocardial infarction (MI) and other acute coronary syndromes (ACS). High rates of
hypertension, diabetes, and cardiac risk behaviors (e.g., smoking) and low socioeconomic
status (SES) further increase veterans' CHD-related morbidity and mortality. The proposed
pilot project will establish the feasibility of a telehealth nursing intervention for
veterans with CHD who are recovering from MI/ACS. The Veterans Heart Attack Representations
Telehealth (Vet-HART) intervention is designed to promote adaptive conceptual change in
veterans' beliefs (common sense models or representations) about CHD etiology and
self-management and facilitate health behavior changes (e.g., smoking cessation, medication
adherence, diet management, and increased physical activity). The long-term goal of this
research program is to improve veterans' quality of life (QoL) and reduce their CHD-related
morbidity/mortality. The proposed project is the requisite next step in attaining that goal.

Inclusion Criteria:

- Admission to an inpatient medicine unit for MI, ACS, and coronary angiography

- Age

Exclusion Criteria:

- Altered mental status

- Language barriers

- Dementia or Cognitive Impairment

- Diagnostic Study

- Resident in long-term care facility prior to the present admission

- Planned discharge to a skilled or intermediate care facility or hospice

- Lack of access to a functioning phone
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Iowa City, IA
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