The purpose of this research is to compare the health benefits of extensive life-style management with usual care following cardiac rehabilitation. CRPs are comprehensive lifestyle management programs that include dietary, exercise, smoking and psychococial support, and education.
Success is dependent on the long-term adoption of a new lifestyle with new behaviours.
However, following graduation from these programs, adherence to the modified lifestyle drops significantly and the long-term benefit is not realized. We believe that implementation of an extensive lifestyle management follow-up program over four years followig graduation from a CRP will encourage lifestyle adherence and improve a patient's risk factor profile and thereby decrease the recurrence of cardiovascular events and lower the cost of overall care. A typical CRP last for four months and do not have an outlined follow-up program. Outline of goals for the next year. Tapering off of the HHP sessions over 6 months.