Pramila Gaudel1, Subas Neupane2, Anna-Maija Koivisto3, Marja Kaunonen4, Anja Rantanen5. 1. Faculty of Social Sciences, Unit of Health Sciences, Nursing Science, Tampere University, Arvo, 33520, Tampere, Finland. Electronic address: pramila.gaudel@tuni.fi. 2. Faculty of Social Sciences, Unit of Health Sciences, Epidemiology, Tampere University, Arvo, 33520, Tampere, Finland. Electronic address: subas.neupane@tuni.fi. 3. Faculty of Social Sciences, Unit of Health Sciences, Biostatistics, Tampere University, Arvo, 33520, Tampere, Finland. Electronic address: anna-maija.koivisto@tuni.fi. 4. Faculty of Social Sciences, Unit of Health Sciences, Nursing Science, Tampere University, Arvo, and General Administration, Pirkanmaa Hospital District, 33520, Tampere, Finland. Electronic address: marja.kaunonen@tuni.fi. 5. University Instructor, Faculty of Social Sciences, Unit of Health Sciences, Nursing Science, Tampere University, Arvo, 33520, Tampere, Finland. Electronic address: anja.rantanen@tuni.fi.
Abstract
OBJECTIVE: To investigate the effect of a lifestyle-related risk factor modification intervention on coronary artery disease (CAD) patients' lifestyle changes. METHOD: A randomized controlled study was conducted in Nepal. A total of 224 CAD patients (112 in each study group) were included at baseline, and 196 patients (98 in each group) completed the one-month follow-up. Patients in the intervention group (IG) received nurse-led intervention in addition to the usual care. Face-to face and telephone interview was conducted using standard questionnaires to collect data on lifestyle-related risk factors; smoking, alcohol consumption, diet, body mass index, stress, adherence to medical therapy, and physical activity. General linear model repeated measure analysis was used to analyse the effects of the intervention. RESULTS: Based on self-reported data we found significant improvement in lifestyle-related risk factor habits in the IG compared with the usual care group with respect to diet (p < 0.001), physical activity (p < 0.001), medication adherence (p < 0.001) and stress (p < 0.001) at one-month follow-up. CONCLUSION:Lifestyle-related risk factor modification intervention can positively influence health risk habits, even when it is less intensive but supplemented with information leaflets. PRACTICAL IMPLICATIONS: Nurse-led one-time intervention may successfully deliver counselling to improve healthy lifestyle among underserved CAD patients.
RCT Entities:
OBJECTIVE: To investigate the effect of a lifestyle-related risk factor modification intervention on coronary artery disease (CAD) patients' lifestyle changes. METHOD: A randomized controlled study was conducted in Nepal. A total of 224 CAD patients (112 in each study group) were included at baseline, and 196 patients (98 in each group) completed the one-month follow-up. Patients in the intervention group (IG) received nurse-led intervention in addition to the usual care. Face-to face and telephone interview was conducted using standard questionnaires to collect data on lifestyle-related risk factors; smoking, alcohol consumption, diet, body mass index, stress, adherence to medical therapy, and physical activity. General linear model repeated measure analysis was used to analyse the effects of the intervention. RESULTS: Based on self-reported data we found significant improvement in lifestyle-related risk factor habits in the IG compared with the usual care group with respect to diet (p < 0.001), physical activity (p < 0.001), medication adherence (p < 0.001) and stress (p < 0.001) at one-month follow-up. CONCLUSION: Lifestyle-related risk factor modification intervention can positively influence health risk habits, even when it is less intensive but supplemented with information leaflets. PRACTICAL IMPLICATIONS: Nurse-led one-time intervention may successfully deliver counselling to improve healthy lifestyle among underserved CAD patients.