Trial Outcomes & Findings for Cardiac Rehabilitation Peer Mentorship (NCT NCT02204449)

NCT ID: NCT02204449

Last Updated: 2015-12-30

Results Overview

A blinded research assistant will either examine medical records or call the participant (i.e., patient) at home to determine if they have enrolled in cardiac rehabilitation.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 94 participants
• Primary outcome timeframe: 12 weeks after patient is discharged from hospital
• Results posted on: 2015-12-30

Participant Flow

Participant milestones

Measure	Cardiac Rehabilitation Peer Mentorship Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Overall Study STARTED	46	48
Overall Study COMPLETED	39	37
Overall Study NOT COMPLETED	7	11

Reasons for withdrawal

Measure	Cardiac Rehabilitation Peer Mentorship Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Overall Study Lost to Follow-up	7	9
Overall Study Death	0	1
Overall Study Withdrawal by Subject	0	1

Baseline Characteristics

Cardiac Rehabilitation Peer Mentorship

Baseline characteristics by cohort

Measure	Cardiac Rehabilitation Peer Mentorship n=46 Participants Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care n=47 Participants Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.	Total n=93 Participants Total of all reporting groups
Age, Continuous	62.7 years STANDARD_DEVIATION 16.5 • n=5 Participants	62.6 years STANDARD_DEVIATION 13.1 • n=7 Participants	62.7 years STANDARD_DEVIATION 14.8 • n=5 Participants
Sex: Female, Male Female	32 Participants n=5 Participants	32 Participants n=7 Participants	64 Participants n=5 Participants
Sex: Female, Male Male	14 Participants n=5 Participants	15 Participants n=7 Participants	29 Participants n=5 Participants
Region of Enrollment Canada	46 participants n=5 Participants	47 participants n=7 Participants	93 participants n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks after patient is discharged from hospital

A blinded research assistant will either examine medical records or call the participant (i.e., patient) at home to determine if they have enrolled in cardiac rehabilitation.

Outcome measures

Measure	Cardiac Rehabilitation Peer Mentorship n=39 Participants Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care n=37 Participants Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Cardiac Rehabilitation Enrollment	20 participants	15 participants

SECONDARY outcome

Timeframe: 12 weeks after patient has been discharged from hospital

A blinded research assistant will examine patient medical records to determine if patients were referred to cardiac rehabilitation.

Outcome measures

Measure	Cardiac Rehabilitation Peer Mentorship n=39 Participants Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care n=37 Participants Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Cardiac Rehabilitation Referral	31 participants	27 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 8 weeks after patient is discharged from hospital

A blinded research assistant will call those patients who were re-referred to a cardiac rehabilitation site closer to their home to see if they enrolled in cardiac rehabilitation. The study coordinator will then compare this to enrollment rates (already determined by the blinded research assistant) of those who enrolled in the program at the hospital system in which they were inpatients.

Outcome measures

Measure	Cardiac Rehabilitation Peer Mentorship n=23 Participants Trained cardiac rehabilitation (CR) peer mentors will visit cardiac inpatients in the hospital to provide patients with information on CR. During this visit the CR mentors will discuss the benefits of CR, stress the importance of getting a referral before leaving the hospital, and arrange a time in the near future to call the patient/participant at home to find out about their progress in terms of CR. One week after the patient has been discharged the peer mentor will mail a card to the patient to wish them well and remind them of the planned call. Two weeks after the patient has been discharged the peer mentor will call the patient at home to determine if they were referred and if they are able and planning to attend CR. If any barriers are stated by the patient the peer mentors will work with the patient to develop possible solutions to those barriers. Patients can request up to two additional phone calls from the peer mentors. Cardiac Rehabilitation Peer Mentorship	Usual Care n=21 Participants Cardiac inpatients will not be visited by the cardiac rehabilitation (CR) peer mentor. They will instead receive usual care involving care from health care providers (i.e. nurses and doctors) as well as allied health professionals such as physiotherapists. In addition, some may be visited by general volunteer cardiac mentors.
Cardiac Rehabilitation Enrollment in Site Closer to Home	17 participants	13 participants

Adverse Events

Cardiac Rehabilitation Peer Mentorship

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Usual Care

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sherry Grace

UHN Toronto

Phone: 416.736.2100

Email: sgrace@yorku.ca

Results disclosure agreements

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