Psychosocial Risk Factor Profile in Women With Coronary Heart Disease

1998 ◽  
pp. 37-50
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Psychosocial Risk ◽  
Psychosocial Risk Factor ◽  
Risk Factor Profile

scholarly journals Blended collaborative care in the secondary prevention of coronary heart disease improves risk factor control: Results of a randomised feasibility study

2019 ◽  
Vol 19 (2) ◽  
pp. 134-141 ◽  
Author(s):  
Lena Bosselmann ◽  
Stella V Fangauf ◽  
Birgit Herbeck Belnap ◽  
Mira-Lynn Chavanon ◽  
Jonas Nagel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Collaborative Care ◽  
Intervention Group ◽  
Psychosocial Risk ◽  
Control Group ◽  
Risk Factor Control ◽  
Care Intervention

Background: Risk factor control is essential in limiting the progression of coronary heart disease, but the necessary active patient involvement is often difficult to realise, especially in patients suffering psychosocial risk factors (e.g. distress). Blended collaborative care has been shown as an effective treatment addition, in which a (non-physician) care manager supports patients in implementing and sustaining lifestyle changes, follows-up on patients, and integrates care across providers, targeting both, somatic and psychosocial risk factors. Aims: The aim of this study was to test the feasibility, acceptance and effect of a six-month blended collaborative care intervention in Germany. Methods: For our randomised controlled pilot study with a crossover design we recruited coronary heart disease patients with ⩾1 insufficiently controlled cardiac risk factors and randomised them to either immediate blended collaborative care intervention (immediate intervention group, n=20) or waiting control (waiting control group, n=20). Results: Participation rate in the intervention phase was 67% ( n=40), and participants reported high satisfaction ( M=1.63, standard deviation=0.69; scale 1 (very high) to 5 (very low)). The number of risk factors decreased significantly from baseline to six months in the immediate intervention group ( t(60)=3.07, p=0.003), but not in the waiting control group t(60)=−0.29, p=0.77). Similarly, at the end of their intervention following the six-month waiting period, the waiting control group also showed a significant reduction of risk factors ( t(60)=3.88, p<0.001). Conclusion: This study shows that blended collaborative care can be a feasible, accepted and effective addition to standard medical care in the secondary prevention of coronary heart disease in the German healthcare system.

P02.227 Comparison of the coronary heart disease risk factor profile of risperidone vs olanzapine treated patients

2000 ◽  
Vol 15 (S2) ◽  
pp. 382s-382s
Author(s):  
R.H. Bouchard ◽  
J. Villeneuve ◽  
N. Alméras ◽  
I. Simoneau ◽  
M.F. Demers ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Coronary Heart Disease Risk ◽  
Disease Risk ◽  
Disease Risk Factor ◽  
Risk Factor Profile ◽  
Heart Disease Risk

scholarly journals The effects of a web-based educational intervention on total exercise amount, and self- efficacy for exercise in soon-to-be-aged adults with coronary heart disease (Preprint)

2018 ◽  
Author(s):  
Eliza Mi-Ling Wong ◽  
Doris Y.P. Leung
Keyword(s):  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease ◽  
Physical Exercise ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Intervention Group ◽  
Risk Factor Profile ◽  
Chd Risk ◽  
The Web

BACKGROUND Coronary heart disease (CHD) is the leading cause of death globally, and e-health educational programmes have proven to be an effective support for patients. Considering the advantages of such programmes, as well as the growing number of soon-to-be aged patients with CHD, a study was conducted. OBJECTIVE It aims to investigate the effectiveness of a home-based interactive e-health educational intervention (eHEI) for patients with CHD in terms of improvements in their total amount of physical exercise, self-efficacy for exercise, and CHD risk factor profile. METHODS A prospective randomized controlled trial (RCT). The study was conducted in two government cardiac clinics in Hong Kong. Using a block randomization method, 441 eligible CHD clients were randomly assigned to either the control or intervention group. All of the participants received standard care, which consisted of regular follow-ups with a doctor and medical prescriptions related to their CHD, while the intervention group received in addition the e-HEI, which consisted of a 20-minute individual educational session on the use of the web link. The web link contains general health information related to CHD and an individual member area with records of health measures and physical exercise data for six months. Data were collected at baseline, and at three-month and six-month intervals at the cardiac clinic. The primary outcome was the total amount of physical exercise, measured by the Godin–Shephard Leisure-Time Physical Activity Questionnaire. The secondary outcomes were total exercise time, self-efficacy for exercise, and CHD risk profile (body weight, blood pressure, lipids profile). The data were analyzed using a generalized estimating equations model. RESULTS Patients in the intervention group who received the e-HEI intervention reported a statistically higher amount of physical exercise (P=0.02) over a three-month period. There were no statistical differences between the groups in their self-efficacy for exercise and CHD risk factor profile. The results indicated that the e-HEI intervention was feasible and safe to use by the participants in terms of supporting their exercise maintenance, and improving their exercise and health records. CONCLUSIONS The study demonstrated the effectiveness of the e-HEI intervention in meeting the challenge of boosting the amount of physical exercise that CHD patients engaged in over three months. The evidence may benefit healthcare professionals involved in efforts to devise strategic plans on how to apply e-health education and provide continual support to promote exercise initiation and maintenance among Chinese CHD patients in the community. CLINICALTRIAL Registered at Clinicaltrials.gov. (NCT02350192 ).

Insulin resistance—a risk factor for coronary heart disease?

1983 ◽  
Vol 43 (8) ◽  
pp. 677-685 ◽  
Author(s):  
P. Garcia-Webb ◽  
A. M. Bonser ◽  
D. Whiting ◽  
J. R. L. Masarei
Keyword(s):  
Insulin Resistance ◽  
Coronary Heart Disease ◽  
Risk Factor ◽  
Heart Disease
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