International Journal of Behavioral Medicine

, Volume 20, Issue 3, pp 413–424 | Cite as

Effect of a Telephone-Delivered Coronary Heart Disease Secondary Prevention Program (ProActive Heart) on Quality of Life and Health Behaviours: Primary Outcomes of a Randomised Controlled Trial

  • Anna L. HawkesEmail author
  • Tania A. Patrao
  • John Atherton
  • Robert S. Ware
  • Craig B. Taylor
  • Adrienne O’Neil
  • Rachelle Foreman
  • Brian F. Oldenburg



Participation in coronary heart disease secondary prevention programs is low. Innovative programs to meet this treatment gap are required.


To aim of this study is to describe the effectiveness of a telephone-delivered secondary prevention program for myocardial infarction patients.


Four hundred and thirty adult myocardial infarction patients in Brisbane, Australia were randomised to a 6-month secondary prevention program or usual care. Primary outcomes were health-related quality of life (Short Form-36) and physical activity (Active Australia Survey).


Significant intervention effects were observed for health-related quality of life on the mental component summary score (p = 0.02), and the social functioning (p = 0.04) and role-emotional (p = 0.03) subscales, compared with usual care. Intervention participants were also more likely to meet recommended levels of physical activity (p = 0.02), body mass index (p = 0.05), vegetable intake (p = 0.04) and alcohol consumption (p = 0.05).


Telephone-delivered secondary prevention programs can significantly improve health outcomes and could meet the treatment gap for myocardial infarction patients.


Myocardial infarction Secondary prevention Telephone Intervention Health-related quality of life Physical activity Health behaviours 



This study was funded by a National Health and Medical Research Council project grant #443222. Adrienne O’Neil is supported by a Post Graduate Award from the National Heart Foundation of Australia (PP 08 M4079). The funding bodies had no role in the design or conduct of the study, data extraction or data analyses. We thank The Prince Charles Hospital and Royal Brisbane and Women’s Hospital staff for their support of the study, and acknowledge the dedicated work of our health coaches, Dr Dominique Bird, Ms Brigid Hanley and Ms Bernice Kelly, as well as our telephone interviewers. We thank our research investigators, Professor Paul Scuffam, Ms Nancy Houston Miller and Professor John Bett. We are also grateful for Associate Professor Darren Walters’ support of the study.

Conflict of Interest Statement

The authors have no conflict of interest to disclose.


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Copyright information

© International Society of Behavioral Medicine 2012

Authors and Affiliations

  • Anna L. Hawkes
    • 1
    • 2
    Email author
  • Tania A. Patrao
    • 1
  • John Atherton
    • 3
  • Robert S. Ware
    • 4
  • Craig B. Taylor
    • 5
  • Adrienne O’Neil
    • 6
  • Rachelle Foreman
    • 7
  • Brian F. Oldenburg
    • 6
  1. 1.Viertel Centre for Research in Cancer ControlCancer Council QueenslandBrisbaneAustralia
  2. 2.School of Public HealthQueensland University of TechnologyBrisbaneAustralia
  3. 3.Department of CardiologyThe Royal Brisbane and Women’s HospitalBrisbaneAustralia
  4. 4.School of Population HealthThe University of QueenslandBrisbaneAustralia
  5. 5.Stanford Medical SchoolStanford UniversityCaliforniaUSA
  6. 6.School of Public Health and Preventive MedicineMonash UniversityMelbourneAustralia
  7. 7.National Heart Foundation of AustraliaBrisbaneAustralia

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