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Bridging the Transition from Hospital to Home: Effects of the VITAL Telehealth Program on Recovery for CABG Surgery Patients and their Caregivers

Authors

  • Lisa Keeping-Burke,

    Corresponding author
    1. Department of Nursing & Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada
    2. Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
    • Correspondence to: Lisa Keeping-Burke

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    • Assistant Professor at the Department of Nursing & Health Sciences, UNB.
  • Margaret Purden,

    1. School of Nursing, McGill University, Montreal, QC, Canada
    2. Centre for Nursing Research, Jewish General Hospital, Montreal, QC, Canada
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    • Associate Professor at the School of Nursing, McGill University.
  • Nancy Frasure-Smith,

    1. Department of Psychiatry & School of Nursing, McGill University, Montreal, QC, Canada
    2. Montreal Heart Institute & Research Centre, Montreal, QC, Canada
    3. Centre Hospitalier Université de Montréal, Montreal, QC, Canada
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    • Professor at the Department of Psychiatry & School of Nursing, McGill University.
  • Sylvie Cossette,

    1. Montreal Heart Institute & Research Centre, Montreal, QC, Canada
    2. Centre Hospitalier Université de Montréal, Montreal, QC, Canada
    3. Faculty of Nursing, Université de Montréal, Montreal, QC, Canada
    4. Research Network Nursing Intervention Quebec (RRISIQ), Montreal, QC, Canada
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    • Professor at School of Nursing, Université de Montréal.
  • Frank McCarthy,

    1. Department of Anatomy and Neurobiology, Dalhousie University Medical Program, Saint John, New Brunswick, Canada
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    • Assistant Professor at Dalhousie University Medical Program.
  • Rhonda Amsel

    1. Department of Psychology, McGill University, Montreal, QC, Canada
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    • Associate Professor at the Department of Psychology, McGill University.

  • This research was supported by a 3-year Heart & Stroke Foundation of Canada Doctoral Fellowship, 2-year Quebec Interuniversity Nursing Intervention Research Group Doctoral Fellowship and Grant, and a McGill University School of Graduate Studies Award. Trial Registration: ISRCTN77474147.

Abstract

The purpose of this randomized trial was to determine whether coronary artery bypass graft surgery patients and their caregivers who received telehealth follow-up had greater improvements in anxiety levels from pre-surgery to 3 weeks after discharge than did those who received standard care. Secondary outcomes included changes in depressive symptoms and patients' contacts with physicians. No group differences were noted in changes in patients' anxiety and depressive symptoms, but patients in the telehealth group had fewer physician contacts (p = .04). Female caregivers in the telehealth group had greater decreases in anxiety than those in standard care (p < .001), and caregivers of both genders in the telehealth group had greater decreases in depressive symptoms (p = .03). © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 540–553, 2013

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