The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study

<h4>Introduction</h4> Infective endocarditis (IE) is a severe and highly prevalent infection among people who inject drugs (PWID). While short-term (30-day) outcomes are similar between PWID and non-PWID, the long-term outcomes among PWID after IE are poor, with 1-year mortality rates in...

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Autores principales:	Robin Lennox, Larkin Lamarche, Leslie Martin, Tim O’Shea, Emilie Belley-Côté, Anna Cvetkovic, Olivia Virag, Richard Whitlock
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bc2df8be8bb84a639a3c167326efb2fc
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spelling	oai:doaj.org-article:bc2df8be8bb84a639a3c167326efb2fc2021-11-04T06:49:37ZThe Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study1932-6203https://doaj.org/article/bc2df8be8bb84a639a3c167326efb2fc2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553071/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> Infective endocarditis (IE) is a severe and highly prevalent infection among people who inject drugs (PWID). While short-term (30-day) outcomes are similar between PWID and non-PWID, the long-term outcomes among PWID after IE are poor, with 1-year mortality rates in excess of 25%. Novel clinical interventions are needed to address the unique needs of PWID with IE, including increasing access to substance use treatment and addressing structural barriers and social determinants of health. <h4>Methods and analysis</h4> PWID with IE will be connected to a multidisciplinary team that will transition with them from hospital to the community. The six components of the Second Heart Team are: (1) peer support worker with lived experience, (2) systems navigator, (3) addiction medicine physician, (4) primary care physician, (5) infectious diseases specialist, (6) cardiovascular surgeon. A convergent mixed-methods study design will be used to test the feasibility of this intervention. We will concurrently collect quantitative and qualitative data and ‘mix’ at the interpretation stage of the study to answer our research questions. <h4>Ethics and dissemination</h4> This study has been approved by the Hamilton Integrated Research Ethics Board (Project No. 7012). Results will be presented at national and international conferences and submitted for publication in a scientific journal. <h4>Clinical trail registrarion</h4> Trial registration number: ISRCTN14968657 https://www.isrctn.com/ISRCTN14968657.Robin LennoxLarkin LamarcheLeslie MartinTim O’SheaEmilie Belley-CôtéAnna CvetkovicOlivia ViragRichard WhitlockPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Robin Lennox Larkin Lamarche Leslie Martin Tim O’Shea Emilie Belley-Côté Anna Cvetkovic Olivia Virag Richard Whitlock The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
description	<h4>Introduction</h4> Infective endocarditis (IE) is a severe and highly prevalent infection among people who inject drugs (PWID). While short-term (30-day) outcomes are similar between PWID and non-PWID, the long-term outcomes among PWID after IE are poor, with 1-year mortality rates in excess of 25%. Novel clinical interventions are needed to address the unique needs of PWID with IE, including increasing access to substance use treatment and addressing structural barriers and social determinants of health. <h4>Methods and analysis</h4> PWID with IE will be connected to a multidisciplinary team that will transition with them from hospital to the community. The six components of the Second Heart Team are: (1) peer support worker with lived experience, (2) systems navigator, (3) addiction medicine physician, (4) primary care physician, (5) infectious diseases specialist, (6) cardiovascular surgeon. A convergent mixed-methods study design will be used to test the feasibility of this intervention. We will concurrently collect quantitative and qualitative data and ‘mix’ at the interpretation stage of the study to answer our research questions. <h4>Ethics and dissemination</h4> This study has been approved by the Hamilton Integrated Research Ethics Board (Project No. 7012). Results will be presented at national and international conferences and submitted for publication in a scientific journal. <h4>Clinical trail registrarion</h4> Trial registration number: ISRCTN14968657 https://www.isrctn.com/ISRCTN14968657.
format	article
author	Robin Lennox Larkin Lamarche Leslie Martin Tim O’Shea Emilie Belley-Côté Anna Cvetkovic Olivia Virag Richard Whitlock
author_facet	Robin Lennox Larkin Lamarche Leslie Martin Tim O’Shea Emilie Belley-Côté Anna Cvetkovic Olivia Virag Richard Whitlock
author_sort	Robin Lennox
title	The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
title_short	The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
title_full	The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
title_fullStr	The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
title_full_unstemmed	The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study
title_sort	second heart program—a multidisciplinary team supporting people who inject drugs with infective endocarditis: protocol of a feasibility study
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bc2df8be8bb84a639a3c167326efb2fc
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The Second Heart Program—A multidisciplinary team supporting people who inject drugs with infective endocarditis: Protocol of a feasibility study

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