Why the study?
Does education delivered as part of cardiac rehabilitation reduce total mortality and cardiovascular events in people with coronary heart disease?
Does education delivered as part of cardiac rehabilitation reduce total mortality and cardiovascular events in people with coronary heart disease?
Educational interventions in cardiac rehabilitation do not reduce hard clinical endpoints like mortality or MI, but may improve quality of life, supporting current comprehensive rehabilitation guidelines.
No mortality or event reduction from education alone; confirms need for comprehensive rehabilitation to improve outcomes beyond HRQoL.
We found no reduction in total mortality, in people who received education delivered as part of cardiac rehabilitation, compared to people in control groups (moderate quality evidence). There were no improvements in fatal or non fatal MI, total revascularisations or hospitalisations, with education. There was some evidence of a reduction in fatal and/or non-fatal cardiovascular events with education, but this was based on only two studies. There was also some evidence to suggest that education-based interventions may improve HRQoL. Our findings are supportive of current national and international clinical guidelines that cardiac rehabilitation for people with CHD should be comprehensive and include educational interventions together with exercise and psychological therapy. Further definitive research into education interventions for people with CHD is needed.
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Anderson et al. (2017) studied this question.