Impact of an early recovery management intervention on functioning in postoperative coronary artery bypass patients with diabetes

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Approximately 30% of patients undergoing coronary artery bypass graft (CABG) procedures have diabetes and, as such, are at increased risk for postoperative complications and a lengthy recovery. Objective: To test the feasibility of an in-home early recovery management intervention to improve physical and psychosocial functioning in the diabetic CABG population. Methods: This pilot study was a 2-group, randomized, experimental study. The 6-week in-home early recovery intervention was delivered by way of a device called the Health Buddy (Health Hero Network, Redwood City, CA). Subjects were 49 diabetic patients who had undergone a first-time CABG procedure. Results: Although no statistical differences between groups were found, descriptively, the intervention group's baseline means on Medical Outcomes Study Short Form-36 subscales measuring physical functioning were lower but improved to levels comparable with that of the control group. Improvements in psychosocial functioning were comparable between the 2 groups. Conclusion: This in-home telehealth intervention may have promise for improving functioning outcomes in high-risk CABG patients with diabetes. However, weaknesses of the intervention and the need for a more focused, directive intervention were identified.

Original languageEnglish (US)
Pages (from-to)418-430
Number of pages13
JournalHeart and Lung: Journal of Acute and Critical Care
Volume36
Issue number6
DOIs
StatePublished - Nov 1 2007

Fingerprint

Coronary Artery Bypass
Transplants
Sequoia
Telemedicine
Health
Outcome Assessment (Health Care)
Equipment and Supplies
Control Groups
Population

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

@article{7a7791972afb4406a818e217e80bd586,
title = "Impact of an early recovery management intervention on functioning in postoperative coronary artery bypass patients with diabetes",
abstract = "Background: Approximately 30{\%} of patients undergoing coronary artery bypass graft (CABG) procedures have diabetes and, as such, are at increased risk for postoperative complications and a lengthy recovery. Objective: To test the feasibility of an in-home early recovery management intervention to improve physical and psychosocial functioning in the diabetic CABG population. Methods: This pilot study was a 2-group, randomized, experimental study. The 6-week in-home early recovery intervention was delivered by way of a device called the Health Buddy (Health Hero Network, Redwood City, CA). Subjects were 49 diabetic patients who had undergone a first-time CABG procedure. Results: Although no statistical differences between groups were found, descriptively, the intervention group's baseline means on Medical Outcomes Study Short Form-36 subscales measuring physical functioning were lower but improved to levels comparable with that of the control group. Improvements in psychosocial functioning were comparable between the 2 groups. Conclusion: This in-home telehealth intervention may have promise for improving functioning outcomes in high-risk CABG patients with diabetes. However, weaknesses of the intervention and the need for a more focused, directive intervention were identified.",
author = "Miller, {Connie L} and Zimmerman, {Lani M} and Barnason, {Susan Ann} and Nieveen, {Janet Louise}",
year = "2007",
month = "11",
day = "1",
doi = "10.1016/j.hrtlng.2007.02.011",
language = "English (US)",
volume = "36",
pages = "418--430",
journal = "Heart and Lung: Journal of Acute and Critical Care",
issn = "0147-9563",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Impact of an early recovery management intervention on functioning in postoperative coronary artery bypass patients with diabetes

AU - Miller, Connie L

AU - Zimmerman, Lani M

AU - Barnason, Susan Ann

AU - Nieveen, Janet Louise

PY - 2007/11/1

Y1 - 2007/11/1

N2 - Background: Approximately 30% of patients undergoing coronary artery bypass graft (CABG) procedures have diabetes and, as such, are at increased risk for postoperative complications and a lengthy recovery. Objective: To test the feasibility of an in-home early recovery management intervention to improve physical and psychosocial functioning in the diabetic CABG population. Methods: This pilot study was a 2-group, randomized, experimental study. The 6-week in-home early recovery intervention was delivered by way of a device called the Health Buddy (Health Hero Network, Redwood City, CA). Subjects were 49 diabetic patients who had undergone a first-time CABG procedure. Results: Although no statistical differences between groups were found, descriptively, the intervention group's baseline means on Medical Outcomes Study Short Form-36 subscales measuring physical functioning were lower but improved to levels comparable with that of the control group. Improvements in psychosocial functioning were comparable between the 2 groups. Conclusion: This in-home telehealth intervention may have promise for improving functioning outcomes in high-risk CABG patients with diabetes. However, weaknesses of the intervention and the need for a more focused, directive intervention were identified.

AB - Background: Approximately 30% of patients undergoing coronary artery bypass graft (CABG) procedures have diabetes and, as such, are at increased risk for postoperative complications and a lengthy recovery. Objective: To test the feasibility of an in-home early recovery management intervention to improve physical and psychosocial functioning in the diabetic CABG population. Methods: This pilot study was a 2-group, randomized, experimental study. The 6-week in-home early recovery intervention was delivered by way of a device called the Health Buddy (Health Hero Network, Redwood City, CA). Subjects were 49 diabetic patients who had undergone a first-time CABG procedure. Results: Although no statistical differences between groups were found, descriptively, the intervention group's baseline means on Medical Outcomes Study Short Form-36 subscales measuring physical functioning were lower but improved to levels comparable with that of the control group. Improvements in psychosocial functioning were comparable between the 2 groups. Conclusion: This in-home telehealth intervention may have promise for improving functioning outcomes in high-risk CABG patients with diabetes. However, weaknesses of the intervention and the need for a more focused, directive intervention were identified.

UR - http://www.scopus.com/inward/record.url?scp=36048970812&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=36048970812&partnerID=8YFLogxK

U2 - 10.1016/j.hrtlng.2007.02.011

DO - 10.1016/j.hrtlng.2007.02.011

M3 - Article

C2 - 18005803

AN - SCOPUS:36048970812

VL - 36

SP - 418

EP - 430

JO - Heart and Lung: Journal of Acute and Critical Care

JF - Heart and Lung: Journal of Acute and Critical Care

SN - 0147-9563

IS - 6

ER -