There is suggestive but inconclusive evidence from the trials of a benefit in the use of brief interventions for risk factor modification in patients with coronary heart disease .
This review , however , supports the concept that brief interventions for patients with coronary heart disease can have beneficial effects on risk factor modification and consequently on progression of coronary heart disease .
Further trials using larger sample sizes need to be undertaken to demonstrate the benefits of brief structured intervention targeted at the modification of single or multiple risk factors
BACKGROUND The physical and psychosocial benefits of participation in cardiac rehabilitation following a coronary event have well been established .
Despite these benefits there is strong evidence that participation in traditional cardiac rehabilitation programs remains low .
Various models of cardiac rehabilitation have been implemented including the use of brief structured interventions to enable modification of coronary risk factors .
OBJECTIVES The objective of this review was to determine the effect of brief structured interventions on risk factor modification in patients with coronary heart disease .
Saturated fat intake is reduced in patients with ischemic heart disease 1 year after comprehensive counseling but not after brief counseling.
OBJECTIVE To examine the dietary habits of patients with ischemic heart disease 1 year after they received either  dietary advice on using the Plate Model and how to increase intakes of fruits and vegetables in a 10-minute session ( brief counseling group , BCG ) or dietary advice primarily based on the National Cholesterol Education Program Step I diet provided in 2 individually tailored 50-minute sessions held 3 months apart ( comprehensive counseling group , CCG ) . DESIGN A r and omized study that included dietary intake evaluation on basis of 7-day weighed food records completed at 3 occasions : immediately before counseling ( week zero ) , 12 weeks after counseling , and 52 weeks after counseling . SUBJECTS BCG was composed of 15 men and 2 women and CCG was composed of 16 men and 3 women with ischemic heart disease age 70 years or younger recruited from the Department of Cardiology , Odense University Hospital , Odense , Denmark . STATISTICAL ANALYSES PERFORMED ANOVA , unpaired t tests , and multiple regression analysis , as well as nonparametric statistical analyses were carried out . RESULTS The comprehensive counseling result ed in significant improvements from week 0 to 52 in the percent of energy from fat ( 33 % to 28 % ) , saturated fat ( 12 % to 9 % ) and carbohydrate ( 51 % to 54 % ) consumed by the subjects . The corresponding values in BCG did not differ significantly ( 31 % to 32 % , 11 % to 12 % , 53 % to 52 % respectively ) . Differences from week 0 to 52 between groups were significant for fat , saturated fat , and carbohydrate intake . In CCG , median intakes of fish , fruits , and vegetables were 44 g/day , 172 g/day , and 315 g/day , respectively , at week 52 . The corresponding values in BCG were 44 g/day , 129 g/day , and 224 g/day . There was no significant difference either within or between the groups . CONCLUSION This study suggests that sustained improvements in dietary behavior require individualized and reinforced counseling in patients with ischemic heart disease . Changes in intakes of fish , fruits , and vegetables need to be specifically targeted
There is suggestive but inconclusive evidence from the trials of a benefit in the use of brief interventions for risk factor modification in patients with coronary heart disease .
This review , however , supports the concept that brief interventions for patients with coronary heart disease can have beneficial effects on risk factor modification and consequently on progression of coronary heart disease .
Further trials using larger sample sizes need to be undertaken to demonstrate the benefits of brief structured intervention targeted at the modification of single or multiple risk factors
BACKGROUND The physical and psychosocial benefits of participation in cardiac rehabilitation following a coronary event have well been established .
Despite these benefits there is strong evidence that participation in traditional cardiac rehabilitation programs remains low .
Various models of cardiac rehabilitation have been implemented including the use of brief structured interventions to enable modification of coronary risk factors .
OBJECTIVES The objective of this review was to determine the effect of brief structured interventions on risk factor modification in patients with coronary heart disease .