How to research the mechanisms of non-pharmacological cardiac interventions

To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Overview of past research and theory. Non-pharmacological interventions for cardiac patients (including: cardiac rehabilitation, heart failure disease management programs and psychosocial interventi...

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Published inInternational journal of cardiology Vol. 201; pp. 457 - 461
Main Authors Clark, A.M., Thirsk, L.M., Wiens, K.S., Ski, C.F., Thompson, D.R.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ireland Ltd 15.12.2015
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Online AccessGet full text
ISSN0167-5273
1874-1754
DOI10.1016/j.ijcard.2015.08.114

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Abstract To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Overview of past research and theory. Non-pharmacological interventions for cardiac patients (including: cardiac rehabilitation, heart failure disease management programs and psychosocial interventions) have never been so common or diverse, but also have never been subject to so much scrutiny and skepticism. Better understanding of outcomes of these interventions is an urgent global priority. Mechanisms are the “underlying entities, processes, or structures which operate in particular contexts to generate outcomes of interest.” Research into the mechanisms of non-pharmacological interventions offers useful and robust knowledge of how and why cardiac interventions work that can be vital to explaining outcomes from interventions and inconsistencies in results. Research into intervention mechanisms can inform the design and optimization of interventions. We recommend that future research into the mechanisms of non-pharmacological interventions for cardiac population 1) view effectiveness as ‘somewhat’ patterned, 2) conceptualize mechanisms adequately, 3) assume they are hidden, 4) examine how context affects mechanisms, and 6) address what works for whom, when, and why.
AbstractList OBJECTIVETo discuss research into the mechanisms of non-pharmacological interventions for cardiac populations.METHODSOverview of past research and theory.RESULTSNon-pharmacological interventions for cardiac patients (including: cardiac rehabilitation, heart failure disease management programs and psychosocial interventions) have never been so common or diverse, but also have never been subject to so much scrutiny and skepticism. Better understanding of outcomes of these interventions is an urgent global priority. Mechanisms are the "underlying entities, processes, or structures which operate in particular contexts to generate outcomes of interest."PRACTICEResearch into the mechanisms of non-pharmacological interventions offers useful and robust knowledge of how and why cardiac interventions work that can be vital to explaining outcomes from interventions and inconsistencies in results.CONCLUSIONSResearch into intervention mechanisms can inform the design and optimization of interventions.IMPLICATIONSWe recommend that future research into the mechanisms of non-pharmacological interventions for cardiac population 1) view effectiveness as 'somewhat' patterned, 2) conceptualize mechanisms adequately, 3) assume they are hidden, 4) examine how context affects mechanisms, and 6) address what works for whom, when, and why.
Abstract Objective To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Methods Overview of past research and theory. Results Non-pharmacological interventions for cardiac patients (including: cardiac rehabilitation, heart failure disease management programs and psychosocial interventions) have never been so common or diverse, but also have never been subject to so much scrutiny and skepticism. Better understanding of outcomes of these interventions is an urgent global priority. Mechanisms are the “ underlying entities , processes , or structures which operate in particular contexts to generate outcomes of interest .” Practice Research into the mechanisms of non-pharmacological interventions offers useful and robust knowledge of how and why cardiac interventions work that can be vital to explaining outcomes from interventions and inconsistencies in results. Conclusions Research into intervention mechanisms can inform the design and optimization of interventions. Implications We recommend that future research into the mechanisms of non-pharmacological interventions for cardiac population 1) view effectiveness as ‘somewhat’ patterned, 2) conceptualize mechanisms adequately, 3) assume they are hidden, 4) examine how context affects mechanisms, and 6) address what works for whom, when, and why.
To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Overview of past research and theory. Non-pharmacological interventions for cardiac patients (including: cardiac rehabilitation, heart failure disease management programs and psychosocial interventions) have never been so common or diverse, but also have never been subject to so much scrutiny and skepticism. Better understanding of outcomes of these interventions is an urgent global priority. Mechanisms are the “underlying entities, processes, or structures which operate in particular contexts to generate outcomes of interest.” Research into the mechanisms of non-pharmacological interventions offers useful and robust knowledge of how and why cardiac interventions work that can be vital to explaining outcomes from interventions and inconsistencies in results. Research into intervention mechanisms can inform the design and optimization of interventions. We recommend that future research into the mechanisms of non-pharmacological interventions for cardiac population 1) view effectiveness as ‘somewhat’ patterned, 2) conceptualize mechanisms adequately, 3) assume they are hidden, 4) examine how context affects mechanisms, and 6) address what works for whom, when, and why.
Author Thompson, D.R.
Clark, A.M.
Wiens, K.S.
Ski, C.F.
Thirsk, L.M.
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Keywords Heart failure
Comparative effectiveness research
Mechanisms
Disease management
Health promotion
Language English
License Copyright © 2015. Published by Elsevier Ireland Ltd.
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Snippet To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Overview of past research and theory. Non-pharmacological...
Abstract Objective To discuss research into the mechanisms of non-pharmacological interventions for cardiac populations. Methods Overview of past research and...
OBJECTIVETo discuss research into the mechanisms of non-pharmacological interventions for cardiac populations.METHODSOverview of past research and...
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SubjectTerms Cardiovascular
Comparative effectiveness research
Comparative Effectiveness Research - methods
Disease Management
Health promotion
Health Promotion - methods
Heart failure
Heart Failure - rehabilitation
Heart Failure - therapy
Humans
Mechanisms
Psychiatric Rehabilitation - methods
Rehabilitation
Title How to research the mechanisms of non-pharmacological cardiac interventions
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0167527315303375
https://www.clinicalkey.es/playcontent/1-s2.0-S0167527315303375
https://dx.doi.org/10.1016/j.ijcard.2015.08.114
https://www.ncbi.nlm.nih.gov/pubmed/26313866
https://www.proquest.com/docview/1721917305
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