LifeSkills Video Training in Patients with Implanted ICD

描述（由申请人提供）：本提案旨在开发一种视频/ DVD盒式磁带，为被告知需要植入式心律转复除颤器（AICD）的患者提供有关掌握压力情况的指导。我们将调整现有的“生活技能”视频（已被证明对心脏病患者有效），以适应AICD患者的具体需求。患有AICD的患者已经被证明是痛苦的，因为该设备随时可能直接向心脏“发射”电击。此外，如果暴露于令人痛苦的情况，患有AICD的患者可能遭受增加的装置“击发”速率，这反过来甚至更令人痛苦。如果它被证明是有帮助的，这种视频干预可能因此导致植入设备的患者的结果（医学和情感）得到改善。视频产品是一种高度便携、廉价和侵入性最小的干预措施，可以很容易地大规模交付（即，作为给予患者的常规护理的一部分，伴随每个植入式除颤器设备）。因此，成品可以很容易地用于帮助所有社会阶层的患者，甚至是获得医疗保健受限或有限的患者。如果被证明是有帮助的，这种视频干预可以很好地改善植入设备的患者的结果（医学和情感），视频产品（一个盒式磁带/ DVD）是一种高度便携、廉价和侵入性最小的干预，可以很容易地大规模提供（即，作为给予患者的常规护理的一部分，伴随每个植入式除颤器设备）。因此，成品可以很容易地用于帮助来自社会各阶层的患者。总的来说，这是一个非常强大的应用程序，由一个有才华和经验丰富的团队开发，他们专注于生成书面和视频工具，可以提高心脏病患者的死亡率和生活质量。

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.