{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T07:51:06Z","timestamp":1771573866032,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,2,25]],"date-time":"2016-02-25T00:00:00Z","timestamp":1456358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001470","name":"Singapore Heart Foundation","doi-asserted-by":"publisher","award":["RG2013\/03"],"award-info":[{"award-number":["RG2013\/03"]}],"id":[{"id":"10.13039\/501100001470","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop and examine the effectiveness of an advanced practice nurse\u2010led telehealth rehabilitative programme as a transitional nursing therapeutic on readmission rates and health\u2010related outcomes among patients with acute myocardial infarction postdischarge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients suffering from acute myocardial infarction are experiencing an increasing trend of frequent readmissions. This implicates both the effectiveness of healthcare services and patient's quality of life. Advanced Practice Nurse\u2010led telehealth rehabilitative programme has yet to be explored as a strategy to minimize preventable readmissions and improve patient's self\u2010efficacy so as to enhance quality of life after a heart attack.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomized controlled trial with repeated measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>A consecutive sampling of 172 patients with acute myocardial infarction will be recruited from a tertiary acute hospital in Singapore. Participants will be randomized into two groups. The experimental group (<jats:styled-content style=\"fixed-case\">ALTRA<\/jats:styled-content>) will receive Advanced Practice Nurse\u2010led telehealth rehabilitative programme on discharge. The control group will receive only standard follow\u2010up care. The outcome measures include readmissions, cardiac self\u2010efficacy, cardiovascular risk factors, quality of life, anxiety and depression. The data will be collected at the baseline, 1 and 6\u00a0month postdischarge. A postprogramme evaluation will be conducted among the participants to assess its acceptability, strengths and weakness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ALTRA<\/jats:styled-content> aims to engage and support patients with acute myocardial infarction by increasing self\u2010care management through education and telehealth contacts with Advanced Practices Nurses. This provides a smoother transition of illness to health and ultimately, reduces preventable costly readmissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>The study has been registered with clinicaltrials.gov. The trial registration number is <jats:styled-content style=\"fixed-case\">NCT<\/jats:styled-content>02483494.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12933","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T08:59:43Z","timestamp":1456477183000},"page":"1357-1367","source":"Crossref","is-referenced-by-count":12,"title":["Effectiveness of advanced practice nurse\u2010led telehealth on readmissions and health\u2010related outcomes among patients with post\u2010acute myocardial infarction: <scp>ALTRA<\/scp> Study Protocol"],"prefix":"10.1111","volume":"72","author":[{"given":"Karen Wei Ling","family":"Koh","sequence":"first","affiliation":[{"name":"National University Heart Centre Singapore Singapore"},{"name":"National University Health System Singapore"},{"name":"Alice Lee Centre for Nursing Studies Yong Loo Lin School of Medicine National University of Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenru","family":"Wang","sequence":"additional","affiliation":[{"name":"Alice Lee Centre for Nursing Studies Yong Loo Lin School of Medicine National University of Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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