Trial Outcomes & Findings for Cardiac Home Education and Support Trial (CHEST): A Pilot Study (NCT NCT00275340)

NCT ID: NCT00275340

Last Updated: 2009-06-08

Results Overview

The SF-36v2 yields a score for each domain of health. All domains are scored on a scale from 0 (negative health) to 100 (positive health), with 100 representing the best possible health state.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

101 participants

Primary outcome timeframe

9 weeks

Results posted on

2009-06-08

Participant Flow

Patients (n=106) were recruited between April-February 2007. Patients having elective coronary artery bypass graft surgery were recruited at the outpatient preadmission class; those having urgent/semi-urgent surgery were recruited in hospital. Peers (n=20) were recruited from the region of Southeastern Ontario during February-March 2006.

One hundred and one patients were randomized at hospital discharge to either usual care or peer support. Five patients who were recruited preoperatively did not meet the eligibility criteria postoperatively for randomization. Of the 20 peers recruited, 6 were unable to participate in one of the training sessions offered in April 2006.

Participant milestones

Participant milestones
Measure
Usual Care
Patients allocated to usual care received the standard education/support offered to patients post coronary artery bypass graft surgery: preoperative/postoperative group education, preoperative video, general information booklet and preoperative/postoperative visits from in-hospital peer volunteers.
Peer Support
In addition to usual care, patients randomly assigned to peer support received individualized pain management and exercise education via home-based peer support delivered by telephone.
Overall Study
STARTED
52
49
Overall Study
COMPLETED
50
45
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Usual Care
Patients allocated to usual care received the standard education/support offered to patients post coronary artery bypass graft surgery: preoperative/postoperative group education, preoperative video, general information booklet and preoperative/postoperative visits from in-hospital peer volunteers.
Peer Support
In addition to usual care, patients randomly assigned to peer support received individualized pain management and exercise education via home-based peer support delivered by telephone.
Overall Study
Lost to Follow-up
2
4

Baseline Characteristics

Cardiac Home Education and Support Trial (CHEST): A Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care
n=52 Participants
Patients allocated to usual care received the standard education/support offered to patients post coronary artery bypass graft surgery: preoperative/postoperative group education, preoperative video, general information booklet and preoperative/postoperative visits from in-hospital peer volunteers.
Peer Support
n=49 Participants
In addition to usual care, patients randomly assigned to peer support received individualized pain management and exercise education via home-based peer support delivered by telephone.
Total
n=101 Participants
Total of all reporting groups
Age Continuous
64 years
STANDARD_DEVIATION 10 • n=5 Participants
62 years
STANDARD_DEVIATION 11 • n=7 Participants
64 years
STANDARD_DEVIATION 10 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
41 Participants
n=7 Participants
84 Participants
n=5 Participants
Left Ventricular Function
Grade 1 (normal)
32 Participants
n=5 Participants
20 Participants
n=7 Participants
52 Participants
n=5 Participants
Left Ventricular Function
Grade 2
15 Participants
n=5 Participants
24 Participants
n=7 Participants
39 Participants
n=5 Participants
Left Ventricular Function
Grade 3
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Left Ventricular Function
Grade 4 (worst)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Left Ventricular Function
No Response
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Marital Status
Married
38 participants
n=5 Participants
42 participants
n=7 Participants
80 participants
n=5 Participants
Marital Status
Divorced/Widow/Single
13 participants
n=5 Participants
7 participants
n=7 Participants
20 participants
n=5 Participants
Marital Status
No Response
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Health-Related Quality of Life (SF-36v2-Acute Form)
Physical Function
57.0 units on a scale
STANDARD_DEVIATION 27.7 • n=5 Participants
54.4 units on a scale
STANDARD_DEVIATION 31.7 • n=7 Participants
54.7 units on a scale
STANDARD_DEVIATION 29.8 • n=5 Participants
Health-Related Quality of Life (SF-36v2-Acute Form)
Role-Physical
44.3 units on a scale
STANDARD_DEVIATION 32.4 • n=5 Participants
37.6 units on a scale
STANDARD_DEVIATION 30.8 • n=7 Participants
40.3 units on a scale
STANDARD_DEVIATION 31.6 • n=5 Participants
Health-Related Quality of Life (SF-36v2-Acute Form)
Bodily Pain
64.4 units on a scale
STANDARD_DEVIATION 29.0 • n=5 Participants
70.4 units on a scale
STANDARD_DEVIATION 25.9 • n=7 Participants
67.1 units on a scale
STANDARD_DEVIATION 27.7 • n=5 Participants
Health-Related Quality of Life (SF-36v2-Acute Form)
General Health
65.3 units on a scale
STANDARD_DEVIATION 18.8 • n=5 Participants
64.1 units on a scale
STANDARD_DEVIATION 21.5 • n=7 Participants
64.6 units on a scale
STANDARD_DEVIATION 19.8 • n=5 Participants
Health-Related Quality of Life (SF-36v2-Acute Form)
Physical Component Score
41.2 units on a scale
STANDARD_DEVIATION 11.0 • n=5 Participants
40.5 units on a scale
STANDARD_DEVIATION 11.3 • n=7 Participants
40.6 units on a scale
STANDARD_DEVIATION 11.1 • n=5 Participants

PRIMARY outcome

Timeframe: 9 weeks

The SF-36v2 yields a score for each domain of health. All domains are scored on a scale from 0 (negative health) to 100 (positive health), with 100 representing the best possible health state.

Outcome measures

Outcome measures
Measure
Usual Care
n=50 Participants
Patients allocated to usual care received the standard education/support offered to patients post coronary artery bypass graft surgery: preoperative/postoperative group education, preoperative video, general information booklet and preoperative/postoperative visits from in-hospital peer volunteers.
Peer Support
n=45 Participants
In addition to usual care, patients randomly assigned to peer support received individualized pain management and exercise education via home-based peer support delivered by telephone.
Health-related Quality of Life (SF-36v2-acute Form)
Physical Functioning
72.6 units on a scale
Standard Deviation 22
77.0 units on a scale
Standard Deviation 19.0
Health-related Quality of Life (SF-36v2-acute Form)
Role-Physical
60.4 units on a scale
Standard Deviation 29.2
65.5 units on a scale
Standard Deviation 27.6
Health-related Quality of Life (SF-36v2-acute Form)
Bodily Pain
72.2 units on a scale
Standard Deviation 25.7
78.8 units on a scale
Standard Deviation 21.5
Health-related Quality of Life (SF-36v2-acute Form)
General Health
68.5 units on a scale
Standard Deviation 19.5
72.2 units on a scale
Standard Deviation 17.3
Health-related Quality of Life (SF-36v2-acute Form)
Physical Component Summary Scale
44.6 units on a scale
Standard Deviation 9.2
47.5 units on a scale
Standard Deviation 8.2

SECONDARY outcome

Timeframe: 9 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 9 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 9 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 9 weeks

Outcome measures

Outcome data not reported

Adverse Events

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Monica Parry, RN, PhD, CCN(C)

University of Toronto

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place