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Exploring Potential Associations Between Rurality and Hopelessness in IHD Patients

NCT04498975 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 125

Last updated 2021-05-18

No results posted yet for this study

Summary

Hopelessness is associated with 3.4 times increased risk of mortality or nonfatal myocardial infarction in patients with ischemic heart disease (IHD), independent of depression. Hopelessness has been identified in 27-52% of patients with IHD and can persist for up to 12 months after hospital discharge. Hopelessness, a negative outlook and sense of helplessness toward the future, can be a temporary response to an event (state) or a habitual outlook (trait). Hopelessness is associated with decreased physical functioning and lower physical activity (PA) levels in individuals with IHD. Low levels of PA independently contribute to increased death and adverse events in patients with IHD. Rates of PA in IHD patients continue to be unacceptably low in both hospital-based cardiac rehabilitation and home settings. Compounding this issue is often the symptom of hopelessness. The links among hopelessness, PA and mortality and morbidity for patients with IHD remain largely unknown, especially in rural and minority IHD patients. The purpose of this study is to delineate differences in hopelessness between urban and rural patients with IHD, as well as between racial minority, including Hispanic and Native American, and White patients with IHD. Potential mediation of urbanicity and race/ethnicity by social connectedness, a key variable in rural settings, will also be examined. A 6-month longitudinal study will be conducted at Sanford Heart Hospital and Avera Health in Sioux Falls, South Dakota. Hopelessness will be measured using the State-Trait Hopelessness Scale. The results of this study have potential to transform nursing practice by providing a better understanding of hopelessness in IHD patients and informing future exercise rehabilitation studies and interventions in rural and minority populations.

Conditions

  • Cardiac Disease
  • Mental Health Issue

Interventions

OTHER

Rurality; Ethnicity; Exercise; Hopelessness

Observational study exploring rurality, ethnicity, exercise and hopelessness patterns cross-sectionally and longitudinally

Sponsors & Collaborators

  • Sanford Health

    collaborator OTHER

  • Avera McKennan Hospital & University Health Center

    collaborator OTHER

  • University of Illinois at Chicago

    collaborator OTHER

  • Dordt University

    lead OTHER

Principal Investigators

  • Nathan Tintle · Dordt University

Eligibility

Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2018-06-01
Primary Completion
2020-08-01
Completion
2020-08-01

Countries

  • United States

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04498975 on ClinicalTrials.gov