## 3 Results
### Evaluate Participant Recall of Discharge Education and Advice  
To evaluate participant, recall of discharge education and advice the Heart Foundation 6 Steps to Recovery discharge education framework was used. The 6 Steps are: (1) Explain diagnosis and procedures; (2) Highlight risk factors relevant to the patient; (3) Emphasise the importance of cardiac rehabilitation; (4) Promote medication adherence; (5) Educate on the warning signs of heart attack and (6) Encourage follow-up with your doctor [12] (Tables 4 and 5). \begin{table}
\begin{tabular}{c c c c} \hline \hline  & **Stated by Participant** & **Recorded in Medical** & **Interrater Reliability** \\
**Item** & **(_n_ = 18)** & **Records** & **Rate** \\  & **_n_ (\%)** & **_n_ (\%)** & **(\% match)** \\ \hline Discharge diagnosis & 18 & 18 & 100\% \\ \hline  & \multicolumn{3}{c}{Knowledge of medical history} \\ Type II Diabetes & 3 (16.7) & 3 (16.7) & 100\% \\ Hypertension & 4 (22.2) & 7 (38.9) & 60\% \\ Hypercholesterolaemia & 9 (50.0) & 11 (61.1) & 80\% \\ Family History of CVD & 9 (50.0) & 10 (55.6) & 90\% \\ Total score (mean) & 6.3 (35.0) & 7.8 (43.3) & 80\% \\ \hline  & \multicolumn{3}{c}{Knowledge of procedures performed during current admission} \\ Angiogram & 6 (33.3) & 17 (94.4) & 40\% \\ Angioplasty & 0 (0.0) & 2 (11.1) & 0\% \\ Echocardiogram & 4 (22.2) & 10 (55.6) & 40\% \\ MRI & 0 (0.0) & 1 (5.6) & 0\% \\ Percutaneous coronary stent & 16 (88.9) & 16 (88.9) & 100\% \\ insertion & \multicolumn{3}{c}{} \\ Thromolytic therapy & 0 (0.0) & 3 (16.7) & 0\% \\ Total score (mean) & 4.3 (24.1) & 8.2 (45.6) & 30\% \\ \hline  & \multicolumn{3}{c}{Knowledge of educational materials/and information received} \\ A copy of Discharge Booklet & 15 (83.3) & 16 (88.9) & 90\% \\ received & \multicolumn{3}{c}{} \\ Any other written & \multicolumn{3}{c}{} \\ information & 7 (38.9) & 12 (66.7) & 60\% \\ \hline  & \multicolumn{3}{c}{Knowledge of advice given about what to do when they go home} \\ Exercise & 9 (50.0) & 16 (88.9) & 60\% \\ Diet & 8 (44.4) & 13 (72.2) & 60\% \\ Medication & 12 (66.7) & 18 (100) & 70\% \\ Driving & 16 (88.9) & 17 (94.4) & 90\% \\ Appointments & 11 (61.1) & 18 (100) & 60\% \\ Total score (mean) & 11.2 (62.2) & 16.4 (91.1) & 70\% \\ \hline  & \multicolumn{3}{c}{Knowledge conditions that can affect the heart} \\ Diabetes & & 1 (5.6) & \\ Hypertension & 1 (5.6) & \\ Hypercholesterolaemia & & 1 (5.6) & \\ Weight & & 3 (16.7) & \\ Smoking & & 4 (22.2) & \\ Stress & & 2 (11.1) & \\ Total score (mean) & & 2 (11.1) & \\ Participants recall regarding & & & \\ referral to cardiac & & 13 (72.2) & \\ rehabilitation & & & \\ \hline \hline \end{tabular}
\end{table} 
Table 4: Baseline knowledge of conditions & procedures & understanding of discharge advice. (1) Explain diagnosis and procedures: When questioned immediately prior to discharge 100% of the participants could recall their diagnosis, 88% of participants who had a stent indicated they had this procedure and a mean of 24% participants could recall other procedures conducted during the admission. (2) Highlight risk factors relevant to the patient: Ninety percent of participants knew they had a family history of CVD, 100% knew they had diabetes, 60% hypertension and 80% hypercholesterolemiaaemia. Sixty percent recalled being given advice about exercise, diet and follow-up appointments and 70% recalled being given advice regarding medications. Ninety percent of participants recalled the advice they were given about driving. With respect to understanding which risk factors could affect their heart, one participant (5.6%) had knowledge regrading diabetes, hypertension and hypercholesterolemia, three (16.7%) understood about the impact of body weight, four (22.2%) smoking and two indicated they thought stress was a risk factor. (3) Emphasise the importance of cardiac rehabilitation: According to the GPS tracking data, at 30-days post-discharge, twp (16.7%) participants (one metro vs. one rural) had attended the location where a cardiac rehabilitation service was located.