Lynggaard, V., Zwisler, A.D., Taylor, R.S. , May, O. and Nielsen, C.V. (2020) Effects of the patient education strategy ‘Learning and Coping’ in cardiac rehabilitation on readmissions and mortality: a randomized controlled trial (LC-REHAB). Health Education Research, 35(1), pp. 74-85. (doi: 10.1093/her/cyz034) (PMID:31999315)
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Abstract
We assessed the effects of the patient education strategy ‘Learning and Coping’ (LC) in cardiac rehabilitation (CR) on mortality and readmissions by exploring results from the LC-REHAB trial. In all, 825 patients with ischaemic heart disease or heart failure were randomized to the intervention arm (LC-CR) or the control arm (standard CR) at three hospitals in Denmark. LC-CR was situational and inductive, with experienced patients as co-educators supplemented with two individual interviews. Group-based training and education hours were the same in both arms. Outcomes were time to death or readmission, length of stay and absolute number of deaths or readmissions. No between-arm differences were found in time to death, first readmission, or length of stay. Within 30 days after completion of CR, the absolute number of all-cause readmissions was 117 in the LC arm and 146 in the control arm, adjusted odds ratio 78 (95% CI: 0.61–1.01), P = 0.06. This trend diminished over time. Adding LC strategies to standard CR showed a short term but no significant long-term effect on mortality or readmissions. However, the study was not powered to detect differences in mortality and morbidity. Thus, a risk of overseeing a true effect was present.
Item Type: | Articles |
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Additional Information: | This work was supported by the Danish Ministry of Health ‘[54804/22]’, the Health Research Fund of Central Denmark Region ‘[year 2013]’ and the Danish Foundation Trygfonden ‘[105278]’. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Taylor, Professor Rod |
Authors: | Lynggaard, V., Zwisler, A.D., Taylor, R.S., May, O., and Nielsen, C.V. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
Journal Name: | Health Education Research |
Publisher: | Oxford University Press |
ISSN: | 0268-1153 |
ISSN (Online): | 1465-3648 |
Published Online: | 29 January 2020 |
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