LifeSkills Video Training in Patients with Implanted ICD

描述(由申请人提供)：这项建议是开发一种视频/DVD盒式磁带，为被告知需要植入式心律转复除颤器(AICD)的患者提供如何掌握压力情况的指导。我们将根据AICD患者的特定需求，对现有的“生活技能”视频(已经被证明对心脏病患者有效)进行调整。AICD患者被证明是痛苦的，因为该设备随时可能直接向心脏“发射”电击。此外，如果暴露在令人痛苦的情况下，AICD患者可能会遭受设备“放电”速度的增加，这反过来又更令人痛苦。如果它被证明是有帮助的，这种视频干预因此可以导致改善植入设备的患者的结果(在医学和情感上)。视频产品是一种高度便携、廉价且侵入性最小的干预产品，可以很容易地大规模提供(即，将每个植入的除颤器设备作为向患者提供的常规护理的一部分)。因此，成品可以很容易地用于帮助来自社会各阶层的患者，即使是获得医疗保健的限制或有限的患者。如果事实证明有帮助，这种视频干预很可能会改善植入设备患者的结果(在医疗和情感上)。视频产品(一个盒式磁带/DVD)是一种高度便携、廉价且侵入性最小的干预措施，可以很容易地大规模提供(即，伴随每个植入的除颤器设备，作为对患者的常规护理的一部分)。因此，成品可以方便地用于帮助社会各阶层的患者。总体而言，这是一支才华横溢、经验丰富的团队非常强大的应用程序，他们专注于生成能够提高心脏病患者死亡率和生活质量的书面和视频工具。

DESCRIPTION (provided by applicant): This proposal is to develop a video / DVD cassette that will provide guidance about mastering stressful situations for patients who have been informed that they need an implantable cardioverter-defibrillator (AICD). We will adapt the existing "LifeSkills" video (which was already shown to be effective in patients with heart diseases) to the specific needs of patients with AICD's. Patients who have the AICD have been shown to be distressed because of the device's potential to "fire" an electric shock directly to the heart at any time. Furthermore, if exposed to distressing situations, patients with AICD's may suffer from increased rates of device "firing", which, in turn, is even more distressing. If it is proven to be helpful, this video intervention could therefore lead to improved outcome (both medically and emotionally) in patients with implantable devices. A video product is a highly portable, cheap, and minimally intrusive intervention that can be easily delivered on a large-scale basis (i.e., accompany every implanted defibrillator device as a part of the routine care given to the patient). Therefore, the finished product could be easily used to help patients from all social strata, even patients with restricted or limited access to health care. If it is proven to be helpful, this video intervention could well lead to improved outcome (both medically and emotionally) in patients with implantable devices, a video product (one cassette / DVD) is a highly portable, cheap, and minimally intrusive intervention that can be easily delivered on a large-scale basis (i.e., accompany every implanted defibrillator device as a part of the routine care given to the patient). Therefore, the finished product could be easily used to help patients from all social strata. Overall, this is a very strong application by a talented and experienced team who are focused on generating written and video tools that can improve reduce mortality and improve quality of life in cardiac patients.