Please select the eligibility criteria that correspond to the clinical trial below.
Title: COR-PRIM: Problem-based Learning in Patient Education After an Event of Coronary Heart Disease. A Randomised Study in Primary Care of Long-term Effects on Self-care
Brief Summary: The hypothesis is that problem based learning (PBL) in patient education positively affects self-care agency of lifestyle changes after an event of coronary heart disease (CHD). The investigators therefore aim to determine whether long-term follow-up in primary health care in patient education involving PBL affects self-care behaviour in terms of patients' beliefs, self-efficacy and empowerment to make lifestyle changes. The general aim is to evaluate if PBL in patient education after CHD affects long-term self-care in relation to present lifestyle goals. Another aim of the study is to perform an economic assessment of long term effects of life style changes reached by using PBL after en event of CHD.


Options:
A: Inclusion Criteria:

* Patients of all ages with CHD verified by MI and/or Percutaneous Coronary Intervention (PCI) and/or coronary artery by-pass surgery (CABG) within 12 months before planned start of the intervention.
* Patients should be stable regarding their cardiac conditions and have optimised cardiac medication not substantially changed during the last month, completed heart school in hospital care (if applicable), listed at one of five specific primary health care centres agreed to join the project at time of inclusion.

Exclusion Criteria:

* Planned CABG or other causes demanding continued cardiologist care; e.g. on-going contact with heart failure clinic due to drug titration or investigations e.g. myocardial scintigraphy to detect ischemia before a new PCI
* Life expectancy ≤ 1 year, documented psychiatric disease that render difficulties to cooperate with other people or obvious abuse of alcohol or narcotics.
* Patients will also be excluded if they are unable to communicate or read the Swedish language and if they participate in other studies affecting the results.
B: Inclusion Criteria:

* Adult patients (18 years or more) of both sexes
* Being submitted to the first coronary artery bypass graft surgery between April 2011 and July 2012
* Having a properly functioning residential phone line

Exclusion Criteria:

* No cognitive condition to participate (assessed through the Mini-Mental State Examination - MMSE)

  * Illiterate participants who did not reach the minimum score 13 on the MMSE
  * Participants with one to seven years of education who did not reach the minimum score 18 on the MMSE
  * Participants with eight or more years of education who did not reach the minimum of 26 points on the MMSE
C: Inclusion Criteria:

* Patients undergoing Coronary Artery Bypass Grafting with or without valve replacement

Exclusion Criteria:

* Institutionalized patients
* Patients with severe co-morbidities for whom cardiac rehabilitation (CR) is contra-indicated
* Patients who sustained a severe surgical complication preventing them from participating in CR (general stroke with severe disability)
* Patients residing farther than 30 km from a rehabilitation center
D: Inclusion Criteria:

* Admitted with STEMI to a hospital in LHIN IV, coronary angiogram with and without PCI at Hamilton General Hospital during hospital admission

Exclusion Criteria:

* Non-english speaking

Answer: A