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Short- and long-term effects of the patient education strategy—learning and coping—in cardiac rehabilitation: a randomized controlled trial (LC-REHAB).
- Source :
- Health Education Research; Feb2021, Vol. 36 Issue 1, p41-60, 20p, 1 Diagram, 7 Charts
- Publication Year :
- 2021
-
Abstract
- The objectives were to assess the short- and long-term effect of the patient education strategy 'Learning and Coping' (LC) in cardiac rehabilitation (CR) on health-related quality of life, patient education impact, cardiac risk factors and lifestyle. In total, 825 patients hospitalized with ischaemic heart disease or heart failure were randomized to either LC-CR or standard CR at three Danish hospitals. Teaching approach in LC-CR was situational, inductive and reflective, with experienced patients as co-educators and supplemental interviews. Teaching approach in standard CR was structured and deductive. Outcomes were assessed immediately after CR, and after 3 months (short term), and after 3 years (long term). Between-arm differences in favour of LC-CR were SF-12 'role emotional' (3.7, 95% CI: 0.6–6.8) and MDI depression score (0.9, 0.1–1.8) immediately after CR, exercise capacity (4 W, 1–9) at 3 months and SF-12 'role physical' (4.6, 0.1–9.0) (long term). Between-arm differences in favour of controls were waist circumference (−1.7 cm, −2.3 to −1.0) immediately after CR and HeiQ domain 'Constructive attitudes and approaches' (0.11, 0.04–0.18), triglycerides (−0.12 mmol/l, −0.21 to −0.02), systolic blood pressure (−3.12 mmHg, −5.66 to −0.58) at 3 months. Adding LC strategies to CR provides inconsistent short-term results but improves 'role physical' long term. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR diseases risk factors
LIFESTYLES
HOSPITALS
TRIGLYCERIDES
BLOOD pressure
PHOTON absorptiometry
CONFIDENCE intervals
SELF-evaluation
ANTHROPOMETRY
CORONARY disease
RANDOMIZED controlled trials
CARDIAC rehabilitation
QUALITY of life
MENTAL depression
DESCRIPTIVE statistics
PATIENT education
PSYCHOLOGICAL adaptation
SMOKING
DATA analysis
LOGISTIC regression analysis
BODY mass index
EDUCATIONAL outcomes
HEART failure
Subjects
Details
- Language :
- English
- ISSN :
- 02681153
- Volume :
- 36
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Health Education Research
- Publication Type :
- Academic Journal
- Accession number :
- 149475521
- Full Text :
- https://doi.org/10.1093/her/cyaa051