The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomised trial
- Chantal J LeemrijseAffiliated withNetherlands institute for health services research Email author
- , Liset van DijkAffiliated withNetherlands institute for health services research
- , Harald T JørstadAffiliated withDepartment of Cardiology, Academic Medical Centre
- , Ron J G PetersAffiliated withDepartment of Cardiology, Academic Medical Centre
- , Cindy VeenhofAffiliated withNetherlands institute for health services research
Cardiovascular disease (CVD) is the leading cause of death worldwide. Secondary prevention is essential, but participation rates for cardiac rehabilitation are low. Furthermore, current programmes do not accomplish that patients with CVD change their lifestyle in a way that their individual risk factors for recurrent events decrease, therefore more effective interventions are needed. In this study, the effectiveness of the Hartcoach-programme, a telephonic secondary prevention program focussing on self management, is studied.
A multicenter, randomised parallel-group study is being conducted. Participants are 400 patients with acute myocardial infarction (STEMI, NSTEMI,) and patients with chronic or unstable angina pectoris (IAP). Patients are recruited through the participating hospitals and randomly assigned to the experimental group (Hartcoach-programme plus usual care) or the control group (usual care).
The Hartcoach-programme consists of a period of six months during which the coach contacts the patient every four to six weeks by telephone. Coaches train patients to take responsibility for the achievement and maintenance of the defined target levels for their particular individual modifiable risk factors. Target levels and treatment goals are agreed by the nurse and patient together. Data collection is blinded and occurs at baseline and after 26 weeks (post-intervention). Primary outcome is change in cardiovascular risk factors (cholesterol, body mass index, waist circumference, blood pressure, physical activity and diet). Secondary outcomes include chances in glucose, HbA1c, medication adherence, self-management and quality of life.
This study evaluates the effects of the Hartcoach-programme on the reduction of individual risk factors of patients with CVDs. Patients who are not invited to follow a hospital based rehabilitation programme or patients who are unable to adhere to such a programme, may be reached by this home based Hartcoach-programme. If positive results are found, the implementation of the Hartcoach-programme will be extended, having implications for the management of many people with CVD.
KeywordsCardiovascular disease Secondary prevention Self management Nurse led telephonic intervention
- The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomised trial
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
BMC Cardiovascular Disorders
- Online Date
- June 2012
- Online ISSN
- BioMed Central
- Additional Links
- Cardiovascular disease
- Secondary prevention
- Self management
- Nurse led telephonic intervention