The telephone lifestyle intervention ‘Hartcoach’ has modest impact on coronary risk factors: A randomised multicentre trial

Abstract

Hartcoach has modest impact on BMI, waist circumference, physical activity, intake of vegetables, self-management and anxiety. Therefore, it may be a useful maintenance programme in addition to usual care, to support patients with recent coronary events to improve self-management and reduce risk factors.

Effectiveness of telehealth interventions as a part of secondary prevention in coronary artery disease: a systematic review and meta‐analysis

“…In total, 11 studies about lipid changes , 11 studies about blood pressure , eight studies about smoking cessation , 13 studies about physical activity , eight studies about medication adherence and four studies about waist circumference were eventually included (summary of study characteristics) (Fig. ).…”

“…Fourteen studies were published between 2015 and 2017, and ten studies between 2003 and 2014. Four studies were conducted in Australia , four in the United States , three in Canada , two each in New Zealand , Sweden and Norway , and one in each of the following countries: Belgium , Italy , Malaysia , Netherlands , Germany , Korea and Iceland .…”

“…Telehealth interventions are cost‐effective, fast and useful, and provide effective solutions; they have an important role in maintaining regular and continuous communication with the patient, and can be used in monitoring, training and consulting the patient . There have been many randomised controlled trials (RCTs) with telehealth interventions to reduce risk factors and improve adherence to lifestyle changes such as medication, physical activity, smoking cessation, blood pressure, lipids, physical activity and waist circumference; in physical activity , medication adherence , smoking cessation , lipid changes and risk factor modification . Results from these studies support the beneficial effect of telehealth interventions within CAD management programs on adherence to lifestyle changes.…”

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

“…A RCT on telephone coaching for behaviour change in patients after acute coronary syndrome (ACS) has shown significant though modest effects on BMI, waist circumference, PA and daily intake of vegetables. 99 A RCT showed the effectiveness of a Web-based health behaviour change support system and group lifestyle counselling on body weight loss in overweight and obese subjects. 100 A systematic review on internet-delivered interventions in patients with CAD has shown that personalised, concrete support for behaviour change may have favourable outcomes; however, a considerable heterogeneity between studies with respect to the design and quality hinder sound conclusions.…”

Randomised controlled trial of two advanced and extended cardiac rehabilitation programmes

“…The CR goal in patients with ACS to improve emotional health may be reached through extended interventions that provide additional emotional support 17. Indeed, per-protocol analysis showed lower anxiety scores for patients in the CR+F group compared with the CR-only group and quality of life improvement in the CR+F group compared with the CR-only group.…”