Long-Term Effects of Lifestyle Behavior Change in Coronary Artery Disease: Effects on Recurrent Coronary Events After Percutaneous Coronary Intervention

This study evaluated the effects of a behaviorally oriented cardiac rehabilitation and secondary prevention program on lifestyle changes and on coronary recurrence rates. Patients recently treated with percutaneous coronary intervention (PCI) were randomized to an intervention with an aggressive foc...

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Bibliographic Details
Published in:Health psychology 2005-01, Vol.24 (1), p.41-48
Main Authors: Lisspers, Jan, Sundin, Örjan, Öhman, Arne, Hofman-Bang, Claes, Rydén, Lars, Nygren, Åke
Format: Article
Language:English
Subjects:
Ambulatory Care
Angioplasty, Balloon, Coronary
Behavior Change
Behavior Therapy - methods
Behavioural changes
Biological and medical sciences
Coronary Disease - prevention & control
Coronary Disease - rehabilitation
Coronary Disease - surgery
Coronary diseases
Coronary Restenosis - prevention & control
Diet - methods
Female
Follow-Up Studies
Health Behavior
Health Education
Heart Disorders
Hospitalization
Human
Humans
Intervention
Life Change Events
Life Style
Lifestyle
Lifestyle Changes
Long term effects
Male
Medical sciences
Medicin och hälsovetenskap
Mental health
Middle Aged
Prevention
Prevention. Health policy. Planification
Preventive health care
Program Evaluation
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psykologi
Randomized controlled trials
Reeducation. Readaptation. Sociotherapy
Rehabilitation
SAMHÄLLSVETENSKAP
Secondary Prevention
Smoking Prevention
Social psychiatry. Ethnopsychiatry
SOCIAL SCIENCES
Socialvetenskap
Stress, Psychological - prevention & control
Survival Analysis
Treatment Outcome
Treatments
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Summary:This study evaluated the effects of a behaviorally oriented cardiac rehabilitation and secondary prevention program on lifestyle changes and on coronary recurrence rates. Patients recently treated with percutaneous coronary intervention (PCI) were randomized to an intervention with an aggressive focus on lifestyle changes (smoking, diet, exercise, and stress; n = 46) or to a standard-care control group ( n = 42). Results showed that the intervention group had significantly larger overall lifestyle changes than the control group after 12, 24, 36, and 60 months. The intervention group had significantly lower rates of all coronary events (acute myocardial infarction, coronary artery bypass graft, PCI, cardiac death; 30.4% vs. 53.7%), χ 2 (1, N = 87) = 4.82, p
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.24.1.41