Enhancing the efficacy of heart surgery by optimizing patients' preoperative expectations
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Enhancing the efficacy of heart surgery by optimizing patients' preoperative expectations : Study protocol of a randomized controlled trial. / Laferton, Johannes A C; Shedden Mora, Meike; Auer, Charlotte J; Moosdorf, Rainer; Rief, Winfried.
in: AM HEART J, Jahrgang 165, Nr. 1, 01.2013, S. 1-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Enhancing the efficacy of heart surgery by optimizing patients' preoperative expectations
T2 - Study protocol of a randomized controlled trial
AU - Laferton, Johannes A C
AU - Shedden Mora, Meike
AU - Auer, Charlotte J
AU - Moosdorf, Rainer
AU - Rief, Winfried
N1 - Copyright © 2013 Mosby, Inc. All rights reserved.
PY - 2013/1
Y1 - 2013/1
N2 - In coronary heart disease (CHD) and heart surgery, there is sound evidence for the relationship between patients' expectations and treatment outcome, especially for outcome variables such as disability and quality of life. In addition, patients' expectations have been shown to be modifiable through psychological interventions. Therefore, targeting patients' expectations might offer a promising opportunity to enhance heart surgery outcome. However, few studies have tried to actively change patients' expectations before surgery. The purpose of this clinical trial is to optimize patients' outcome expectations before undergoing coronary artery bypass graft surgery (CABG) through a brief psychoeducational program. The present article describes the study protocol and reports preliminary data on feasibility. Using a randomized controlled design, 180 patients who are scheduled to undergo elective CABG are randomly assigned to either (1) standard medical care (SMC) alone, (2) to an additional expectation manipulation intervention during the 2 weeks before surgery, and (3) to an additional attention-control group ("supportive therapy"). The main goal is to test (a) whether expectation manipulation intervention can optimize patients' expectations and (b) whether optimized expectations lead to enhanced surgery efficacy. The primary outcome variable is illness-related disability 6 months after surgery, whereas secondary outcome variables will be quality of life, return to work, physical activity, and medical outcome variables. First, feasibility data of 36 patients show that the patients appreciated the additional psychological intervention before CABG. Satisfaction of those who received psychological interventions was very high.
AB - In coronary heart disease (CHD) and heart surgery, there is sound evidence for the relationship between patients' expectations and treatment outcome, especially for outcome variables such as disability and quality of life. In addition, patients' expectations have been shown to be modifiable through psychological interventions. Therefore, targeting patients' expectations might offer a promising opportunity to enhance heart surgery outcome. However, few studies have tried to actively change patients' expectations before surgery. The purpose of this clinical trial is to optimize patients' outcome expectations before undergoing coronary artery bypass graft surgery (CABG) through a brief psychoeducational program. The present article describes the study protocol and reports preliminary data on feasibility. Using a randomized controlled design, 180 patients who are scheduled to undergo elective CABG are randomly assigned to either (1) standard medical care (SMC) alone, (2) to an additional expectation manipulation intervention during the 2 weeks before surgery, and (3) to an additional attention-control group ("supportive therapy"). The main goal is to test (a) whether expectation manipulation intervention can optimize patients' expectations and (b) whether optimized expectations lead to enhanced surgery efficacy. The primary outcome variable is illness-related disability 6 months after surgery, whereas secondary outcome variables will be quality of life, return to work, physical activity, and medical outcome variables. First, feasibility data of 36 patients show that the patients appreciated the additional psychological intervention before CABG. Satisfaction of those who received psychological interventions was very high.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Cardiac Surgical Procedures
KW - Coronary Artery Bypass
KW - Coronary Disease
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Postoperative Complications
KW - Preoperative Care
KW - Quality of Life
KW - Return to Work
KW - Self-Help Groups
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1016/j.ahj.2012.10.007
DO - 10.1016/j.ahj.2012.10.007
M3 - SCORING: Journal article
C2 - 23237127
VL - 165
SP - 1
EP - 7
JO - AM HEART J
JF - AM HEART J
SN - 0002-8703
IS - 1
ER -