Development and testing of an intervention to improve outcomes for partners following receipt of an implantable cardioverter defibrillator in the patient

Abstract

The purpose of this article is to describe 3 foundational studies and how their results were used to formulate, design, and test a novel partner intervention for implementation in the immediate post-ICD (implantable cardioverter defibrillator) period after returning home. Nursing's expanding role into chronic illness management in the creation of evidence-based practice is highlighted. A randomized clinical trial comparing 2 intervention programs is being conducted with patients who receive an ICD for the first time and their intimate partners. Primary outcomes are physical functioning, psychological adjustment, relationship impact, and health care utilization.

Trial registration: ClinicalTrials.gov NCT01252615.

Figures

Figure 1

Domains of concern: Partner.

Figure 2

Schematic of key variables in Bandura’s Social Cognitive Theory used to design new post-ICD intervention for partners.