Lifestyle Change in Women with Coronary Heart Disease: What Do We Know?

Toobert, Deborah J.; Strycker, Lisa A.; Glasgow, Russell E.

doi:10.1089/jwh.1998.7.685

Cited by 24 publications

(28 citation statements)

References 47 publications

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“…6 Several coronary heart disease related diagnoses were included, as listed above, as the diagnoses are not mutually exclusive and the process of adjustment and recovery is similar. 19,20 Of the 211 eligible women approached, refusals occurred for 15 (7%) due to symptoms (6), lack of interest (5) and unwillingness to sign a consent form (4). Failure to complete the study occurred for 15 (8%), due to death (5), withdrawal (6) and loss to follow-up (4).…”

Section: Methodsmentioning

confidence: 99%

“…19,20 Of the 211 eligible women approached, refusals occurred for 15 (7%) due to symptoms (6), lack of interest (5) and unwillingness to sign a consent form (4). Failure to complete the study occurred for 15 (8%), due to death (5), withdrawal (6) and loss to follow-up (4). A total sample size of 180 women was required to maintain a power of 0.80, with alpha 0.05, and a small effect size on psychosocial adjustment.…”

Section: Methodsmentioning

confidence: 99%

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Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Gallagher¹,

McKinley²,

Dracup³

2003

Heart & Lung

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The effect of a telephone counseling intervention, providing education and support and specifically designed to promote adjustment in women was trialed on 196 women admitted for myocardial infarction (MI) (19%), coronary artery bypass grafts (CABG) (55%), coronary angioplasty (PTCA) (9%) or stable angina (17%). Women were randomized to usual care (n = 103) or the intervention (n = 93) delivered during admission and 1, 2, 3 and 6 weeks postdischarge. The sample had a mean age of 67 years (range 34 -92), had not completed high school (92%), and were not employed (84%).At 12 weeks the intervention had no effect, with no significant differences between group mean scores on psychosocial adjustment (F[1,182] During admission women at risk of poor outcomes should be targeted i.e., women aged less than 55 years, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission. An effective intervention for women, which can cater for a wide range of ages, multiple role demands, readmissions and stress at home, remains to be established. 3 Effects of a Telephone Counseling Intervention on Psychosocial Function inWomen Following a Cardiac Event.Patient participation in postdischarge interventions including education and support, particularly when conducted with cardiac rehabilitation programs, have been demonstrated to improve psychosocial wellbeing following a cardiac event. 1-3 However, the relative benefit of these interventions for women has not been determined, as most interventions have been designed and tested on men. When women have been recruited, low participation rates have limited gender subgroup analyses . 1,4-6 Furthermore, men and women are likely to respond differently to the same intervention due to gender based differences in psychosocial recovery patterns. 7 Most of these differences arise from women's older age when first diagnosed with coronary heart disease and women's identification with traditional, gender-based roles. [8][9][10][11][12] Age-related factors such as increased incidence of comorbidities and fatigue, and multiple role commitments also limit women's ability to participate in cardiac rehabilitation and other outpatient based interventions. [13][14][15][16] Delivery of an education and support intervention, specifically designed for women and delivered by telephone, offers an inexpensive, convenient, alternative method of delivery. It is unclear what factors other than the intervention might influence psychosocial recovery in women. Therefore the purpose of this study was twofold: 1) to determine the effectiveness of a telephone follow-up intervention providing information and support in improving psychosocial adjustment in women following a cardiac event, and 2) to determine the predictors of psychosocial adjustment in women following a cardiac event. 4 METHODSThe study was reviewed and approved by the appropriate hospital review boards.All participating patients were provided with information sheets and ...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Gallagher¹,

McKinley²,

Dracup³

2003

Heart & Lung

View full text Add to dashboard Cite

show abstract

“…15,16 The benefits of social support in patents undergoing CABG (ages collectively 35-82 years) included fewer cardiac symptoms, less preoperative anxiety, and less depression; 6,17 better social adjustment; 12 more rapid postoperative recovery; 13,18,19 less rehospitalization and lower mortality rate. 20,21 In a contrasting study of 159 Finnish patients undergoing CABG, higher social support was associated with lower functional status and higher anxiety; 22 the researchers theorized that participants developed dependent relationships on those providing assistance and that dependence on others produced anxiety in the Finnish culture. Social isolation, defined as a social network of 3 or fewer persons, more than doubled the risk of cardiac mortality in 430 patients with coronary artery disease (mean age 64 Ϯ 11 years) after controlling for disease severity, demographics, and psychologic distress compared with non-isolated participants.…”

Section: Literature Review Social Supportmentioning

confidence: 99%

Social support, depression, functional status, and gender differences in older adults undergoing first-time coronary artery bypass graft surgery

Sorensen

Wang

2009

Heart & Lung

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“…5,6 The findings of the few studies on psychosocial factors in women have been inconsistent. [7][8][9][10][11][12] Primary prevention strategies are essential to improve cardiovascular health because the major established risk factors for cardiovascular disease are highly prevalent in women. 13 …”

Section: Epidemiology Of Women and Cardiovascular Diseasementioning

confidence: 99%

Cardiovascular Health Interventions in Women: What Works?

Krummel

Koffman²,

Bronner³

et al. 2001

Journal of Women's Health & Gender-Based Medicine

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Women's Cardiovascular Health Network members representing 10 Prevention Research Centers completed a literature review of approximately 65 population-based studies focused on improving women's cardiovascular health through behavior change for tobacco use, physical inactivity, or diet. A framework was developed for conducting the search. Databases (Medline, Psychlit, Smoking and Health, Cumulative Index to Nursing and Allied Health Literature) of studies published from 1980 to 1998 were searched. The review was presented at a meeting of experts held in Atlanta, Georgia. Output from the meeting included identification of what has worked to improve cardiovascular health in women and recommendations for future behavioral research. Additional information is available at www.hsc.wvu.edu/womens-cvh. Cardiovascular health interventions geared toward women are scant. Based on the available studies, program components that emerged as effective included personalized advice on diet and physical activity behaviors and tobacco cessation, multiple staff contacts with skill building, daily self-monitoring, and combinations of strategies. Recommendations for community-based tobacco, physical activity, and diet interventions are discussed. A few overarching recommendations were to (1) conduct qualitative research to determine the kinds of interventions women want, (2) examine relapse prevention, motivation, and maintenance of behavior change, (3) tailor programs to the stage of the life cycle, a woman's readiness to change, and subgroups, that is, minority, low socioeconomic, and obese women, and (4) evaluate policy and environmental interventions. The effects of cardiovascular interventions in women have been inappropriately understudied in women. Our review found that few studies on cardiovascular risk factor modification have actually targeted women. Hence, adoption and maintenance of behavior change in women are elusive. Intervention research to improve women's cardiovascular health is sorely needed.

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Lifestyle Change in Women with Coronary Heart Disease: What Do We Know?

Cited by 24 publications

References 47 publications

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event

Social support, depression, functional status, and gender differences in older adults undergoing first-time coronary artery bypass graft surgery

Cardiovascular Health Interventions in Women: What Works?

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