“…Of eight papers measuring health behavioural outcomes (Fernandes et al, 2009;Barlow et al, 2009;Hawkes et al, 2013;Muniz et al, 2010;Furze et al, 2012;Dalal et al, 2007;Zetta et al, 2011;Holmes-Rovner et al, 2008), two papers (Barlow et al, 2009;Dalal et al, 2007) did not report any difference between the two groups in terms of their health behavioural outcome measurement such as exercise capacity, smoking, BMI, BP, total cholesterol level, use of medication, coronary events and mortality. The other studies have indicated that self-M a n u s c r i p t 20 management interventions did produce improved outcomes in physical activity (Hawkes et al, 2013;Furze et al, 2012;Holmes-Rovner et al, 2008), BMI (Zetta, et al, 2011;Muniz et al, 2010), reported statins intake (Muniz et al, 2010), vegetable intake (Hawkes et al, 2013) and fruit intake (Fernandes et al, 2009) when compared to usual care.…”