July 1, 2010Journal of Women s Health
Outcomes of Comprehensive Heart Care Programs in High-Risk Women
Key result
A 6-month comprehensive heart care program significantly increased the proportion of high-risk women who knew all signs and symptoms of a heart attack from 38.8% to 64.2%.
Why the study?
Does a comprehensive heart care program improve cardiovascular knowledge and reduce risk factors in high-risk women?
Population
1310 high-risk women patients at six U.S. women's heart programs
Comparison
6-month comprehensive heart health counseling… vs Pre-intervention baseline
Design
Cohort
Follow-up
6 months
Authors
Discussion
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Implication
May improve symptom knowledge in high-risk women; hypothesis-generating and should not yet change practice.
Study Design
Type
Observational (n=1,310)
Multicenter
Yes
Structured PICO
Does a comprehensive heart care program improve cardiovascular knowledge and reduce risk factors in high-risk women?
P
Population
1310 high-risk women patients at six U.S. women's heart programs
I
Intervention
6-month comprehensive heart health counseling and use of AHA/ACC Evidence-Based Guidelines as enhancement to usual care (education/awareness, screening/risk assessment, diagnostic testing/treatment, lifestyle modification/rehabilitation, and tracking/evaluation)
C
Comparator
Pre-intervention baseline (pre/post-longitudinal design)
O
Outcome
Changes in fund of knowledge, awareness, and risk reduction outcomes and Healthy People 2010 objectivessurrogate
Main Result
Absolute Event Rate: 64.2% vs 38.8%
p-value: p=<0.001
A comprehensive heart care program based on AHA/ACC guidelines significantly improves cardiovascular knowledge and risk factor profiles in high-risk women over 6 months.
Limitations
- Participants were self-selected
- High noncompletion to usual care
- No information collected on medications
- Unsuccessful in reaching sufficient numbers of women in rural settings
- No control group
Cite This Study
Villablanca et al. (2010) conducted an observational in Cardiovascular disease risk (n=1,310). Comprehensive heart care program vs. Baseline (pre-intervention) was evaluated on Knowledge of all signs and symptoms of a heart attack (p=<0.001). A 6-month comprehensive heart care program significantly increased the proportion of high-risk women who knew all signs and symptoms of a heart attack from 38.8% to 64.2%.