Coaching patients On Achieving Cardiovascular Health (COACH)

Vale, Margarite J.; Jelinek, Michael; Best, James D.; Dart, Anthony M.; Grigg, Leeanne; Hare, David; Ho, Betty; Newman, Robert W.; McNeil, John J

doi:10.1001/archinte.163.22.2775

Cited by 327 publications

(113 citation statements)

References 33 publications

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“…The improvements in HBP management behaviors that we observed, together with the increased adherence to medication-taking and other lifestyle modifications demonstrated in previous studies [5–7], help support the theoretical basis for the telephone intervention. The results suggest that an intervention approach using bilingual nurse counselors may have wide applicability to linguistically isolated immigrant populations.…”

Section: Discussionsupporting

confidence: 84%

“…Although some counter-examples exist [1–3], telephone counseling has been generally successful in promoting medication adherence, healthy diet, and other lifestyle modifications among patients with high blood pressure (HBP) [4–6] and cardiovascular disease [7,8]. The advantages of telephone-delivered interventions include: ease of implementation [9,10]; cost-effectiveness [10]; and the capacity to reach a large group of people [11].…”

Section: Introductionmentioning

confidence: 99%

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Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Han

Kim

et al. 2010

Patient Education and Counseling

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Objective Nurse telephone counseling can improve the management of chronic conditions, but the effectiveness of this approach in underserved populations is unclear. This study evaluated the use of bilingual nurse-delivered telephone counseling in Korean Americans (KAs) participating in a community-based intervention trial to improve management of hypertension. Methods KAs were randomized to receive 12 months of hypertension-related telephone counseling that was more intensive (bi-weekly) or less intensive (monthly). Counseling logs were kept for 360 KAs who completed the pre- and post-intervention evaluations. Results The overall success rate for the intervention was 80.3%. The level of success was significantly influenced by the dose of counseling, employment status, and years of US residence. Over the 12-month counseling period, both groups showed improvement with regard to medication-taking, alcohol consumption, and exercise but not smoking, with no significant group differences. Conclusion Bilingual telephone counseling could reach monolingual KAs and improve their hypertension management behavior. Practice implications Bilingual nurse telephone counseling may have wide applicability, serving as an effective means of disseminating evidence-based chronic disease management guidelines to a linguistically isolated community with limited health resources and information.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Han

Kim

et al. 2010

Patient Education and Counseling

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“…In the seminal paper by Vale et al, regular personal coaching via telephone has been shown to be effective in reducing total cholesterol levels and other cardiovascular risk factors [19]. Systematic reviews and meta-analyses have shown telehealth interventions for secondary prevention, limited to telephone calls, internet and videoconferencing technologies, offer an effective alternative model of secondary prevention care [20, 21].…”

Section: Introductionmentioning

confidence: 99%

SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: a randomized controlled trial protocol

Yudi

Clark

Tsang

et al. 2016

BMC Cardiovasc Disord

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BackgroundThere are well-documented treatment gaps in secondary prevention of coronary heart disease and no clear guidelines to assist early physical activity after acute coronary syndromes (ACS). Smartphone technology may provide an innovative platform to close these gaps. This paper describes the study design of a randomized controlled trial assessing whether a smartphone-based secondary prevention program can facilitate early physical activity and improve cardiovascular health in patients with ACS.MethodsWe have developed a multi-faceted, patient-centred smartphone-based secondary prevention program emphasizing early physical activity with a graduated walking program initiated on discharge from ACS admission. The program incorporates; physical activity tracking through the smartphone’s accelerometer with interactive feedback and goal setting; a dynamic dashboard to review and optimize cardiovascular risk factors; educational messages delivered twice weekly; a photographic food diary; pharmacotherapy review; and support through a short message service. The primary endpoint of the trial is change in exercise capacity, as measured by the change in six-minute walk test distance at 8-weeks when compared to baseline. Secondary endpoints include improvements in cardiovascular risk factor status, psychological well-being and quality of life, medication adherence, uptake of cardiac rehabilitation and re-hospitalizations.DiscussionThis randomized controlled trial will use a smartphone-phone based secondary prevention program to emphasize early physical activity post-ACS. It will provide evidence regarding the feasibility and utility of this innovative platform in closing the treatment gaps in secondary prevention.Trial registrationThe trial was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) on April 4, 2016. The registration number is ACTRN12616000426482.

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“…The duration of follow-up has varied substantially among studies [8,14]. A follow-up period of at least 12-24 months seems necessary to evaluate the intervention during a clinically relevant period of time.…”

Section: Discussionmentioning

confidence: 99%

The Nurse-Based Age Independent Intervention to Limit Evolution of Disease After Acute Coronary Syndrome (NAILED ACS) Risk Factor Trial: Protocol for a Randomized Controlled Trial

Mooe¹,

Björklund²,

Graipe³

et al. 2014

JMIR Res Protoc

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BackgroundSecondary prevention after acute coronary syndrome (ACS) is essential to reduce morbidity and mortality, but related studies have been fairly small or performed as clinical trials with non-representative patient selection. Long-term follow-up data are also minimal. A nurse-led follow-up for risk factor improvement may be effective, but the evidence is limited.ObjectiveThe aims of this study are to perform an adequately sized, nurse-led, long-term secondary preventive follow-up with inclusion of an unselected population of ACS patients. The focus will be on lipid and blood pressure control as well as tobacco use and physical activity.MethodsThe study will consist of a randomized, controlled, long-term, population-based trial with two parallel groups. Patients will be included during the initial hospital stay. Important outcome variables are total cholesterol, low-density lipoprotein (LDL) cholesterol, and sitting systolic and diastolic blood pressure. Outcomes will be measured after 12, 24, and 36 months of follow-up. Trained nurses will manage the intervention group with the aim of achieving set treatment goals as soon as possible. The control group will receive usual care. At least 250 patients will be included in each group to reliably detect a difference in mean LDL of 0.5 mmol/L and in mean systolic blood pressure of 5 mmHg.ResultsThe study is ongoing and recruitment of participants will continue until December 31, 2014.ConclusionsThis study will test the hypothesis that a nurse-led, long-term follow-up after an ACS with a focus on achieving treatment goals as soon as possible is an effective secondary preventive method. If proven effective, this method could be implemented in general practice at a low cost.Trial RegistrationInternational Standard Randomized Controlled Trial Number (ISRCTN): 96595458; http://www.controlled-trials.com/ISRCTN96595458 (Archived by WebCite at http://www.webcitation.org/6RlyhYTYK).

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Coaching patients On Achieving Cardiovascular Health (COACH)

Abstract: Coaching, delivered as The COACH Program, is a highly effective strategy in reducing TC and many other coronary risk factors in patients with coronary heart disease. Coaching has potential effectiveness in the whole area of chronic disease management.

Cited by 327 publications

References 33 publications

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

Implementation and success of nurse telephone counseling in linguistically isolated Korean American patients with high blood pressure

SMARTphone-based, early cardiac REHABilitation in patients with acute coronary syndromes [SMART-REHAB Trial]: a randomized controlled trial protocol

The Nurse-Based Age Independent Intervention to Limit Evolution of Disease After Acute Coronary Syndrome (NAILED ACS) Risk Factor Trial: Protocol for a Randomized Controlled Trial

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