Exploring Potential Associations Between Rurality and Hopelessness in IHD Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

125 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-06-01

Study Completion Date

2020-08-01

Brief Summary

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Hopelessness is associated with 3.4 times increased risk of mortality or nonfatal myocardial infarction in patients with ischemic heart disease (IHD), independent of depression. Hopelessness has been identified in 27-52% of patients with IHD and can persist for up to 12 months after hospital discharge. Hopelessness, a negative outlook and sense of helplessness toward the future, can be a temporary response to an event (state) or a habitual outlook (trait). Hopelessness is associated with decreased physical functioning and lower physical activity (PA) levels in individuals with IHD. Low levels of PA independently contribute to increased death and adverse events in patients with IHD. Rates of PA in IHD patients continue to be unacceptably low in both hospital-based cardiac rehabilitation and home settings. Compounding this issue is often the symptom of hopelessness. The links among hopelessness, PA and mortality and morbidity for patients with IHD remain largely unknown, especially in rural and minority IHD patients. The purpose of this study is to delineate differences in hopelessness between urban and rural patients with IHD, as well as between racial minority, including Hispanic and Native American, and White patients with IHD. Potential mediation of urbanicity and race/ethnicity by social connectedness, a key variable in rural settings, will also be examined. A 6-month longitudinal study will be conducted at Sanford Heart Hospital and Avera Health in Sioux Falls, South Dakota. Hopelessness will be measured using the State-Trait Hopelessness Scale. The results of this study have potential to transform nursing practice by providing a better understanding of hopelessness in IHD patients and informing future exercise rehabilitation studies and interventions in rural and minority populations.

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Detailed Description

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Conditions

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Cardiac Disease Mental Health Issue

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with IHD

No intervention

Rurality; Ethnicity; Exercise; Hopelessness

Intervention Type OTHER

Observational study exploring rurality, ethnicity, exercise and hopelessness patterns cross-sectionally and longitudinally

Interventions

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Rurality; Ethnicity; Exercise; Hopelessness

Observational study exploring rurality, ethnicity, exercise and hopelessness patterns cross-sectionally and longitudinally

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Myocardial infarction or unstable angina or having undergone a percutaneous coronary intervention or coronary artery bypass surgery
* ≥ 18 years
* planned discharge home
* cognitive and physical ability to complete the study measures.