Similarly , there was no clear evidence of effect for cardiovascular risk factors , although again the number of studies reporting these was small .
There was some evidence for beneficial effects on HRQOL , dietary outcomes , and physical activity , although firm conclusions can not yet be made .
The effects on healthcare utilisation and cost-effectiveness are also inconclusive , and trials are yet to measure the impact of  Internet interventions on compliance with medication .
BACKGROUND The Internet could provide a means of delivering secondary prevention programmes to people with coronary heart disease ( CHD ) .
OBJECTIVES To determine the effectiveness of Internet-based interventions targeting lifestyle changes and medicines management for the secondary prevention of CHD .
Depression-focused interpersonal counseling and the use of healthcare services after myocardial infarction.
PURPOSE The purpose for this study was to evaluate the association between depression-focused interpersonal counseling ( IPC ) and the use of healthcare services in Finl and after myocardial infa rct ion ( MI ) . DESIGN AND METHODS The measures were done at 6 and 18 months after MI in the r and omized intervention ( n= 51 ) and the control group ( n= 52 ) . FINDINGS There was less use of somatic specialized healthcare services in the intervention group from 6 to 18 months after hospital discharge , and with intervention patients who had no other long-term disease during 6 months . PRACTICE IMPLICATION S Confirmation of possible benefits of IPC for practice calls for more specific studies
Similarly , there was no clear evidence of effect for cardiovascular risk factors , although again the number of studies reporting these was small .
There was some evidence for beneficial effects on HRQOL , dietary outcomes , and physical activity , although firm conclusions can not yet be made .
The effects on healthcare utilisation and cost-effectiveness are also inconclusive , and trials are yet to measure the impact of  Internet interventions on compliance with medication .
BACKGROUND The Internet could provide a means of delivering secondary prevention programmes to people with coronary heart disease ( CHD ) .
OBJECTIVES To determine the effectiveness of Internet-based interventions targeting lifestyle changes and medicines management for the secondary prevention of CHD .