Feasibility and acceptance of an internet-based preoperative intervention optimizing patients’ expectations to improve outcome in heart surgery patients (the iHEART trial)

基于互联网的术前干预优化患者改善心脏手术患者预后的期望的可行性和接受度（iHEART 试验）

• 批准号: 499435120
• 负责人: Professor Dr. Stefan Salzmann
• 金额: --
• 依托单位: Arbeitsgruppe Klinische Psychologie
• 依托单位国家: 德国
• 项目类别: Clinical Trials
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/499435120?language=en
• 关键词: Feasibility; acceptance; internet; based; preoperative

PSY-HEART-I was the first trial to show that optimizing preoperative expectations via a brief psychological intervention (“EXPECT”) has a positive impact on long-term health after open-heart surgery. However, this intervention in ist face-to-face form might be beneficial only for a small subgroup of heart surgery patients, since the implementation of face-to-face psychological preparation for heart surgery faces several barriers (i.e., treatment-demand-gap, scheduling problems, time restraints, distance to the heart center, traveling despite age- and disease-dependent restrictions, COVID-19). Therefore, new approaches are necessary: Internet-based interventions may help more patients benefit from preoperative psychological preparation for heart surgery, improve patients’ outcomes after heart surgery, and reduce costs simultaneously. The proposed trial examines whether the (face-to-face) EXPECT intervention can be applied via an internet-based intervention. This trial's (the iHEART trial) primary goal is to test the feasibility and acceptability of a preoperative guided psychological internet-based intervention to optimize patients’ expectations to improve long-term outcomes after heart surgery. Since the optimal dose of guidance for internet-based interventions is still unclear, we aim to compare two online-intervention arms with different doses of therapist support (enhanced vs. Limited interaction). An internet-based intervention with comparable positive effects as the face-to-face intervention would offer tremendous scalability opportunities (more patients could be supplied with less personnel) and cost-effectiveness. This approach might dramatically improve access to the best healthcare possible for heart surgery patients and can also be a starting point to use this approach for other medical conditions. If this feasibility study’s results are promising, we will apply for a larger Germany-wide interventional trial.

PSY-HEART-I是第一个表明通过简短的心理干预（“EXPECT”）优化术前预期对心脏直视手术后的长期健康有积极影响的试验。然而，这种面对面形式的干预可能仅对一小部分心脏手术患者有益，因为心脏手术面对面心理准备的实施面临几个障碍（即，治疗需求缺口、日程安排问题、时间限制、到心脏中心的距离、不顾年龄和疾病限制的旅行、COVID-19）。因此，新的方法是必要的：基于互联网的干预措施可能会帮助更多的患者受益于心脏手术的术前心理准备，改善患者的心脏手术后的结果，同时降低成本。拟议的试验检查（面对面）EXPECT干预是否可以通过基于互联网的干预应用。这项试验（iHEART试验）的主要目标是测试术前引导的基于互联网的心理干预的可行性和可接受性，以优化患者的期望，改善心脏手术后的长期结局。由于基于互联网的干预的最佳指导剂量尚不清楚，我们的目标是比较两个在线干预臂与不同剂量的治疗师支持（增强与有限的互动）。基于互联网的干预措施具有与面对面干预措施相当的积极效果，将提供巨大的可扩展性机会（可以用更少的人员提供更多的患者）和成本效益。这种方法可能会大大改善心脏手术患者获得最佳医疗保健的可能性，也可以成为将这种方法用于其他医疗条件的起点。如果这项可行性研究的结果是有希望的，我们将申请一个更大的德国范围内的干预性试验。