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 .
Randomized controlled trial of two cigarette quit programmes in coronary care patients after acute myocardial infarction.
BACKGROUND Tobacco cessation after acute myocardial infa rct ion ( AMI ) substantially improves outcome but how effective individual programmes are needs to be established . To date , few studies have examined this factor . AIMS To assess the outcome of two smoking cessation programmes after AMI . METHODS One hundred and ninety-eight current smokers admitted to coronary care with an AMI participated in a r and omized controlled study comparing two outpatient tobacco interventions , the Stanford Heart Attack Staying Free ( SF ) programme and a Usual Care ( UC ) programme . RESULTS Log-rank analyses revealed that patients in the SF programme were retained longer ( P < 0.001 ) and had higher cotinine vali date d abstinence rates ( P < 0.001 ) compared with patients in the UC programme . Twelve months after intervention , 39 % of the SF programme compared with 2 % of the UC programme demonstrated cotinine vali date d tobacco cessation , representing a significant reduced relapse rate in the SF programme ( chi2 , P < 0.001 ) . CONCLUSIONS The SF smoking cessation programme initiated in hospital can significantly reduce smoking rates at 12 months after myocardial infa rct ion . Although superior to the UC quit programme , Australian outcomes were lower than the American programme originators ' published outcomes
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 .