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Your search keyword '"Croucher, Joanne"' showing total 4 results
Start Over Author "Croucher, Joanne" Topic heart failure
4 results on '"Croucher, Joanne"'

1. Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring.

Author

Clark RA, Yallop JJ, Piterman L, Croucher J, Tonkin A, Stewart S, and Krum H

Subjects
Aged, Australia, Chi-Square Distribution, Chronic Disease, Female, Heart Failure psychology, Humans, Male, Rural Population, Adaptation, Psychological, Heart Failure therapy, Patient Acceptance of Health Care, Patient Compliance, Telephone
Abstract

Background: Although the potential to reduce hospitalisation and mortality in chronic heart failure (CHF) is well reported, the feasibility of receiving healthcare by structured telephone support or telemonitoring is not., Aims: To determine; adherence, adaptation and acceptability to a national nurse-coordinated telephone-monitoring CHF management strategy. The Chronic Heart Failure Assistance by Telephone Study (CHAT)., Methods: Triangulation of descriptive statistics, feedback surveys and qualitative analysis of clinical notes. Cohort comprised of standard care plus intervention (SC+I) participants who completed the first year of the study., Results: 30 GPs (70% rural) randomised to SC+I recruited 79 eligible participants, of whom 60 (76%) completed the full 12 month follow-up period. During this time 3619 calls were made into the CHAT system (mean 45.81 SD+/-79.26, range 0-369), Overall there was an adherence to the study protocol of 65.8% (95% CI 0.54-0.75; p=0.001) however, of the 60 participants who completed the 12 month follow-up period the adherence was significantly higher at 92.3% (95% CI 0.82-0.97, p

Published
2007
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2. CHAT--a study of a nurse-led system of care.

Author

Yallop J, Clark R, Chan B, Croucher J, Wilson A, Sellar B, Piterman L, Tonkin A, and Krum H

Subjects
Australia, Humans, Models, Nursing, Nursing Evaluation Research, Outcome Assessment, Health Care, Patient Education as Topic organization & administration, Randomized Controlled Trials as Topic, Triage organization & administration, Workload, Family Practice organization & administration, Heart Failure prevention & control, Nurse's Role, Telemedicine organization & administration
Published
2006

3. The Chronic Heart-failure Assistance by Telephone (CHAT) Study: Assessment of telephone support for vulnerable patients with chronic disease.

Author

Yallop, Julie, Chan, Bianca, Piterman, Leon, Tonkin, Andrew, Forbes, Andrew, Davidson, Patricia M., Clark, Robyn, Halcomb, Elizabeth, Nangle, Andrea, Stewart, Simon, Croucher, Joanne, and Krum, Henry

Subjects
TELEMEDICINE, CHRONIC diseases, HEART failure, INTEGRATED health care delivery, NURSING, RURAL health services
Abstract

Aim: To determine whether telephone support using an evidence-based protocol for chronic heart failure (CHF) management will improve patient outcomes and will reduce hospital readmission rates in patients without access to hospital-based management programs. Methods: The rationale and protocol for a cluster-design randomised controlled trial (RCT) of a semi-automated telephone intervention for the management of CHF, the Chronic Heart-failure Assistance by Telephone (CHAT) Study is described. Care is coordinated by trained cardiac nurses located in Heartline, the national call center of the National Heart Foundation of Australia in partnership with patients' general practitioners (GPs). Conclusions: The CHAT Study model represents a potentially cost-effective and accessible model for the Australian health system in caring for CHF patients in rural and remote areas. The system of care could also be readily adapted for a range of chronic diseases and health systems. [ABSTRACT FROM AUTHOR]

Published
2006

4. Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone monitoring

Author

Leon Piterman, Julie Jane Yallop, Simon Stewart, Joanne Croucher, Andrew Tonkin, Robyn Clark, Henry Krum, Clark, Robyn A, Yallop, Julie, Piterman, Leon, Croucher, Joanne, Tonkin, Andrew, Stewart, Simon, and Krum, Henry

Subjects
Male, Rural Population, medicine.medical_specialty, Qualitative analysis, Standard care, Intervention (counseling), Adaptation, Psychological, Health care, Humans, Medicine, telephone support, Aged, Heart Failure, Chi-Square Distribution, Descriptive statistics, business.industry, Australia, Mean age, Patient Acceptance of Health Care, medicine.disease, Telephone, chronic heart failure, Heart failure, Chronic Disease, Cohort, Physical therapy, Patient Compliance, Female, Cardiology and Cardiovascular Medicine, business, acceptance
Abstract

Background Although the potential to reduce hospitalisation and mortality in chronic heart failure (CHF) is well reported, the feasibility of receiving healthcare by structured telephone support or telemonitoring is not. Aims To determine; adherence, adaptation and acceptability to a national nurse-coordinated telephone-monitoring CHF management strategy. The Chronic Heart Failure Assistance by Telephone Study (CHAT). Methods Triangulation of descriptive statistics, feedback surveys and qualitative analysis of clinical notes. Cohort comprised of standard care plus intervention (SC+I) participants who completed the first year of the study. Results 30 GPs (70% rural) randomised to SC+I recruited 79 eligible participants, of whom 60 (76%) completed the full 12month follow-up period. During this time 3619 calls were made into the CHAT system (mean 45.81 SD±79.26, range 0−369), Overall there was an adherence to the study protocol of 65.8% (95% CI 0.54−0.75; p=0.001) however, of the 60 participants who completed the 12month follow-up period the adherence was significantly higher at 92.3% (95% CI 0.82−0.97, p≤0.001). Only 3% of this elderly group (mean age 74.7±9.3years) were unable to learn or competently use the technology. Participants rated CHAT with a total acceptability rate of 76.45%. Conclusion This study shows that elderly CHF patients can adapt quickly, find telephone-monitoring an acceptable part of their healthcare routine, and are able to maintain good adherence for a least 12months.

Published
2007

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