Carroll 2006.
Methods | Setting: Boston, San Francisco, USA. Recruitment: Subjects were over age of 65 years, unpartnered (i.e. widowed, divorced, never married and not in a relationship), had a telephone in their home and were able to speak and understand English Randomisation: RCT 3 arm. There was no clear definition of peer support, however study met the inclusion criteria of using peers that shared one or several key characteristics of the target population. Peer training: Training was based on the self‐efficacy model. |
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Participants | 132 older adults (over age of 65 years) who had experienced a myocardial infarction. | |
Interventions | Intervention 1: Peer advisor intervention group. The peer advisor was a 'graduate' of a local cardiac rehabilitation program. The peer advisor was encouraged to share personal experiences and information with subjects during telephone contact but was warned to avoid sharing clinical information or health advice. Subjects assigned to the peer advisor group received a telephone call from the peer advisor once a week for the 12 weeks after discharge from the hospital. Intervention 2: Advanced Practice Nurse (APN) group. The APN provided additional patient information. Subjects assigned to the APN group received a telephone call from the APN once a week for the 12 weeks after discharge from the hospital. Both intervention groups received standard care. Control group: Standard care consisting of discharge instructions provided by the clinical nurse. Discharge instructions included a review of medications, diet, physical activity, symptom management and follow‐up appointments. Caller: Calls made by peer supporters. |
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Outcomes |
Method of assessing outcome measures: phone survey |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Low risk | Table of random numbers. |
Allocation concealment? | Unclear risk | B ‐ Unclear. |
Blinding? Participants | High risk | Not done. |
Blinding? Providers | High risk | Not done. |
Blinding? Outcome assessors | High risk | Not done. |
Blinding? Data analysts | High risk | Not done. |
Incomplete outcome data addressed? All outcomes | Low risk | Intention‐to‐treat analysis. |
Free of selective reporting? | Low risk | All measures reported. |