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Cited by 70Cardiac Health and Mental HealthCancer survivorship and careTelemedicine and Telehealth Implementation

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Gallagher, Robyn, McKinley, Sharon, Dracup, Kathleen·2003·Heart & Lung
DOI 10.1067/mhl.2003.19
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Abstract

Objective The purpose of this study was to test the effect of a post-discharge telephone counseling intervention on women's psychosocial adjustment following a cardiac event.Design The study was a prospective, randomized, controlled trial.Patients Women (n = 196) were recruited from 4 hospitals in Sydney, Australia, who were hospitalized for coronary artery disease: myocardial infarction, coronary artery bypass grafts, coronary angioplasty, or stable angina. Women were randomized to usual care (n = 103) or telephone counseling (n = 93) and were 67 years of age (range 34-92). The majority had not completed high school (92%) and were not employed (84%).Outcomes Psychosocial adjustment was measured by the Psychosocial Adjustment to Illness Scale and the Hospital Anxiety and Depression Scale the day before hospital discharge and 12 weeks postdischarge.Intervention Individualized information and support, was designed to promote self-managed recovery and psychosocial adjustment, and began with an evaluation during admission and was followed up by telephone counseling at 1, 2, 3, and 6 weeks after discharge.Results The intervention had no effect on psychosocial adjustment (F[1,182] = 0.06, P =.8), anxiety (F[1,182] = 0.15, P =.69) or depression (F[1,182] = 0.11, P =.74) at 12 weeks after discharge. Women made significant improvements during the 12 weeks on mean scores for psychosocial adjustment (F[1,182] = 58.37, P =.00), anxiety (F [1,182] = 74.58, P =.00) and depression (F[1,182] = 14.11, P =.00). The predictors of poor psychosocial outcomes for women included being less than 55 years of age, being unemployed or retired, having poor psychosocial adjustment to illness at baseline, having readmission, or experiencing a stressful, personal event during follow-up.Conclusions Women at risk for poor outcomes following hospitalization for a cardiac event can be identified (ie, women less than 55 years of age, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission), but an effective intervention to enhance psychosocial outcomes remains to be established.

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Authors
Gallagher, R., McKinley, S., & Dracup, K.
Affiliations
University of Technology Sydney (AU)
ORCID
Gallagher, Robyn
Venue
Heart & Lung
Publisher
Elsevier BV
Published
2003-03
Volume
32
Issue
2
Pages
79-87
ISSN
0147-9563 (ISSN-L)
DOI
10.1067/mhl.2003.19
OpenAlex
W2115864179
Cited by
70
References
66
Citations by year
2025: 2 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 8
FWCI
1.98
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Heart & Lung (publishedVersion)
  • PubMed (publishedVersion)
  • UTS ePRESS (University of Technology Sydney) (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
telephone counseling, psychosocial adjustment, women, cardiac events, coronary artery disease, myocardial infarction, coronary artery bypass grafting, coronary angioplasty, stable angina, anxiety, depression, post-discharge care, predictors of poor outcome, hospital readmission, self-management, psychosocial adjustment to illness, women's health, low socioeconomic status
MeSH terms
Adaptation, Psychological, Adult, Age Factors, Aged, Aged, 80 and over, Australia, Continuity of Patient Care, Coronary Disease, Counseling, Female, Humans, Middle Aged, Patient Discharge, Probability, Prognosis, Prospective Studies, Reference Values, Severity of Illness Index, Social Support, Stress, Psychological, Telecommunications, Telephone, Treatment Outcome, Risk Assessment

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