• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • ECU Main Campus
    • Thomas Harriot College of Arts and Sciences
    • Psychology
    • View Item
    •   ScholarShip Home
    • ECU Main Campus
    • Thomas Harriot College of Arts and Sciences
    • Psychology
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    Establishing a Standard for Peri-operative ICD Education : A Demonstration Project

    Thumbnail
    View/ Open
    KIRIAN_ecu_0600D_10694.pdf (1.152Mb)

    Show full item record
    Author
    Kirian, Kari B.
    Abstract
    Introduction: An implantable cardioverter defibrillator (ICD) administers a shock to terminate potentially life-threatening cardiac arrhythmias. The device saves lives, but presents psychological challenges for patients. At present, there is a paucity of brief interventions for ICD patients designed for administration in a clinic setting that considers issues of cost, time, and available resources. The present study examined the impact of a brief cognitive behavioral (CBT) educational intervention on primary endpoints of patient acceptance and quality of life and secondary endpoints of depression and anxiety. Methods: Sixty-two participants from clinics in NC and CO were recruited for the study 7-15 days post ICD implant. Thirty-three participants were randomized to the standard of care group (educational video + Q & A session) and 29 participants were randomized to the intervention group (educational video + Q & A session + take-home educational CBT booklet). Participants completed psychosocial measures prior to treatment and again at six weeks follow-up. Results: Significant increases in pre-post patient acceptance across groups were evidenced t(44) = -2.13, p < .04 with a moderate effect ([mu]² = .09). There were no significant differences in quality of life. No significant differences were found on the secondary aim of depression. Contrary to our expectations, a significant difference was evidenced in anxiety between the control group (n = 19) and intervention group (n = 12) difference scores, U = 60.5, z = -2.20, p = .03, r = .40. Pre-post anxiety decreased significantly in the standard of care group, z = -2.69, p =.007, r = .34, but did not change significantly in the intervention group. Of note, nearly half the cases were excluded due to missing data. Conclusions: A standardized peri-operative ICD education intervention increased patient acceptance. However, minimal treatment created minimal effects on anxiety, depression, and quality of life scores. A more intensive intervention may be needed to significantly impact psychological distress. Our data suggests that patients may be affectively primed by health information that could hinder a natural improvement in psychological adjustment. Dosage and desire for the provision of health information should be considered in future interventions with ICD patients.
    URI
    http://hdl.handle.net/10342/4022
    Subject
     Health education; Clinical psychology 
    Date
    2012
    Citation:
    APA:
    Kirian, Kari B.. (January 2012). Establishing a Standard for Peri-operative ICD Education : A Demonstration Project (Doctoral Dissertation, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/4022.)

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Kirian, Kari B.. Establishing a Standard for Peri-operative ICD Education : A Demonstration Project. Doctoral Dissertation. East Carolina University, January 2012. The Scholarship. http://hdl.handle.net/10342/4022. September 27, 2023.
    Chicago:
    Kirian, Kari B., “Establishing a Standard for Peri-operative ICD Education : A Demonstration Project” (Doctoral Dissertation., East Carolina University, January 2012).
    AMA:
    Kirian, Kari B.. Establishing a Standard for Peri-operative ICD Education : A Demonstration Project [Doctoral Dissertation]. Greenville, NC: East Carolina University; January 2012.
    Collections
    • Dissertations
    • Psychology
    Publisher
    East Carolina University

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback