The Effect of Visual Sternal Precautions on Behavioral Intentions and Readmissions
Completed · Not applicable
Conditions studied: Intention - Mental Process, Readmission Rates
In brief
Sternal precautions are standard patient education protocol disseminated to post-operative open heart surgery patients . While this "best practice" safety measure is widely distributed to patients, the origin of said precautions is unknown. Statewide hospitals vary on their parameters for sternal precautions using a myriad of restrictions, i.e. weighted activities, biomechanical movements to be avoided. In addition, the medium in which sternal precautions are taught varies, thus complicating patient adherence to these vital post-operative measures. The primary objective of this study is to use a randomized pre-post test design to compare two different training procedures. One training group examines current standard of care (providing verbal instruction using teach back and written sternal precautions). The second training group provides subjects with visual depiction of sternal precautions, in addition to standard of care. The study will analyze 30 and 60 day readmission rates for aforementioned patients. Finally, the study will assess changes in behavior intentions from before training to after training in both groups via behavioral analysis survey consisting of 8 questions. Hypothesis 1: The investigators hypothesize that subjects provided with visual sternal precautions, in addition to standard of care, will have a lower 30 and 60 day readmission rate when compared to subjects in the standard of care group Hypothesis 2: The investigators hypothesize that changes in behavior intentions toward sternal precautions will be greater from before training to after training in the visual SPs in addition to standard of care group than the standard of care only group.
Key facts
- Study ID
- NCT02209558
- Run by
- Northwell Health
- People needed
- 19
- Starts
- 2014-08-01
- Expected to finish
- 2015-04-01
- Last updated by the study team
- 2015-04-14
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Post-surgical adult patients who had a median or midline sternotomy incision during cardiac surgery at North-Shore University Hospital.
You may not qualify if…
- Patients with dementia or those that are cognitively impaired will be excluded from the study.
Where it is running
- North Shore University Hospital — Manhasset, New York, United States
Full record on ClinicalTrials.gov
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