Effects of the patient education strategy 'Learning and Coping' in cardiac rehabilitation on readmissions and mortality: A randomized controlled trial (LC-REHAB)

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  • V. Lynggaard
  • A. D. Zwisler, University of Southern Denmark
  • ,
  • R. S. Taylor, University of Southern Denmark, University of Exeter
  • ,
  • O. May
  • ,
  • C. V. Nielsen

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.

OriginalsprogEngelsk
TidsskriftHealth Education Research
Vol/bind35
Nummer1
Sider (fra-til)74-85
Antal sider12
ISSN0268-1153
DOI
StatusUdgivet - 2020

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