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Effect of a Telephone-Delivered Coronary Heart Disease Secondary Prevention Program (ProActive Heart) on Quality of Life and Health Behaviours: Primary Outcomes of a Randomised Controlled Trial

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Abstract

Background

Participation in coronary heart disease secondary prevention programs is low. Innovative programs to meet this treatment gap are required.

Purpose

To aim of this study is to describe the effectiveness of a telephone-delivered secondary prevention program for myocardial infarction patients.

Methods

Four hundred and thirty adult myocardial infarction patients in Brisbane, Australia were randomised to a 6-month secondary prevention program or usual care. Primary outcomes were health-related quality of life (Short Form-36) and physical activity (Active Australia Survey).

Results

Significant intervention effects were observed for health-related quality of life on the mental component summary score (p = 0.02), and the social functioning (p = 0.04) and role-emotional (p = 0.03) subscales, compared with usual care. Intervention participants were also more likely to meet recommended levels of physical activity (p = 0.02), body mass index (p = 0.05), vegetable intake (p = 0.04) and alcohol consumption (p = 0.05).

Conclusions

Telephone-delivered secondary prevention programs can significantly improve health outcomes and could meet the treatment gap for myocardial infarction patients.

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Acknowledgments

This study was funded by a National Health and Medical Research Council project grant #443222. Adrienne O’Neil is supported by a Post Graduate Award from the National Heart Foundation of Australia (PP 08 M4079). The funding bodies had no role in the design or conduct of the study, data extraction or data analyses. We thank The Prince Charles Hospital and Royal Brisbane and Women’s Hospital staff for their support of the study, and acknowledge the dedicated work of our health coaches, Dr Dominique Bird, Ms Brigid Hanley and Ms Bernice Kelly, as well as our telephone interviewers. We thank our research investigators, Professor Paul Scuffam, Ms Nancy Houston Miller and Professor John Bett. We are also grateful for Associate Professor Darren Walters’ support of the study.

Conflict of Interest Statement

The authors have no conflict of interest to disclose.

Author information

Authors and Affiliations

  1. Viertel Centre for Research in Cancer Control, Cancer Council Queensland, P.O. Box 201, Spring Hill, Brisbane, QLD 4004, Australia

    Anna L. Hawkes & Tania A. Patrao

  2. School of Public Health, Queensland University of Technology, Brisbane, Australia

    Anna L. Hawkes

  3. Department of Cardiology, The Royal Brisbane and Women’s Hospital, Brisbane, Australia

    John Atherton

  4. School of Population Health, The University of Queensland, Brisbane, Australia

    Robert S. Ware

  5. Stanford Medical School, Stanford University, California, USA

    Craig B. Taylor

  6. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia

    Adrienne O’Neil & Brian F. Oldenburg

  7. National Heart Foundation of Australia, Brisbane, Australia

    Rachelle Foreman

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  1. Anna L. Hawkes
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Correspondence to Anna L. Hawkes.

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Hawkes, A.L., Patrao, T.A., Atherton, J. et al. Effect of a Telephone-Delivered Coronary Heart Disease Secondary Prevention Program (ProActive Heart) on Quality of Life and Health Behaviours: Primary Outcomes of a Randomised Controlled Trial. Int.J. Behav. Med. 20, 413–424 (2013). https://doi.org/10.1007/s12529-012-9250-5

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  • DOI: https://doi.org/10.1007/s12529-012-9250-5

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