Key result
A self-directed format of the Women Take PRIDE program was better than control in reducing the number (p<=0.02), frequency (p<=0.03), and bothersomeness (p<=0.02) of cardiac symptoms at 18 months.
Why the study?
Does the Women Take PRIDE program in group or self-directed formats improve symptoms, functional health status, and weight in older women with heart disease?
RCT (n=575)
Does the Women Take PRIDE program in group or self-directed formats improve symptoms, functional health status, and weight in older women with heart disease?
Self-directed and group formats of a heart disease management program offer distinct benefits for older women, improving symptom management and functional/weight outcomes respectively.
Answers are grounded in this paper and cite their sources.
Self-directed Women Take PRIDE reduces long-term cardiac symptoms in older women; extends evidence for flexible self-management formats in cardiac care.
A randomized controlled trial of two formats of a program (Women Take PRIDE) to enhance management of heart disease by patients was conducted. Older women (N = 575) were randomly assigned to a group or self-directed format or to a control group. Data regarding symptoms, functional health status, and weight were collected at baseline and at 4, 12, and 18 months. The formats produced different outcomes. At 18 months, the self-directed format was better than the control in reducing the number (p < or = .02), frequency (p < or = .03), and bothersomeness (p < or = .02) of cardiac symptoms. The self-directed format was also better than the group format in reducing symptom frequency of all types (p < or = .04). The group format improved ambulation at 12 months (p < or = .04) and weight loss at 18 months (p < or = .03), and group participants were more likely to complete the program ( p < or = .05). The availability of different learning formats could enhance management of cardiovascular disease by patients.
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Clark et al. (2007) conducted an RCT in Heart disease (n=575). Women Take PRIDE program (group or self-directed format) vs. Control group was evaluated on Symptoms, functional health status, and weight (p=<=0.02). A self-directed format of the Women Take PRIDE program was better than control in reducing the number (p<=0.02), frequency (p<=0.03), and bothersomeness (p<=0.02) of cardiac symptoms at 18 months.
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