What question did this study set out to answer?

To assess the effect of a 6-month nurse-led community-based education and coaching program on cardiovascular risk in individuals at high risk for coronary heart disease.

August 15, 2017Asian Nursing ResearchOpen Access

Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China

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Why the study?

Does a 6-month nurse-led community-based education and coaching intervention improve cardiovascular risk factors, depression, and quality of life in individuals at high risk for coronary heart disease?

Population

Individuals with a high 10-year coronary heart disease risk recruited from two communities in China.

Comparison

6-month nurse-led community-based intervention… vs Usual care.

Design

RCT, Randomized

Follow-up

6 months

Authors

YHYanjin HuangFudan University MPMonica ParryUniversity of Toronto YZYing ZengGuangxi Medical University

Discussion

Member takes

Implication

Nurse-led community programs may lower CHD risk factors; extends Western Framingham evidence to high-risk Chinese adults.

Key Points

To assess the effect of a 6-month nurse-led community-based education and coaching program on cardiovascular risk in individuals at high risk for coronary heart disease.
Randomized controlled trial conducted in two communities in China enrolling individuals with high 10-year coronary heart disease risk (Framingham score).
The intervention arm (n = 53) completed 3 months of group education followed by 3 months of coaching; 102 total participants (85.0%) completed the 6-month study.
The intervention group showed a 5 mmHg greater reduction in systolic blood pressure (t = 2.01, p = .047) and significantly greater declines in blood glucose (t = -2.49, p = .015), cholesterol (t = -2.44, p = .017), and body mass index (t = -2.58, p = .011) compared to usual care.
Significant improvements occurred in depression scores (t = -2.05, p = .043) and health-related quality of life (t = 3.36, p = .001), while smoking cessation behaviors showed no significant difference between groups.

Structured PICO

Population

Individuals with a high 10-year coronary heart disease (CHD) risk recruited from two communities in China (102 participants completed the study, representing 85.0% of the initial cohort).

Intervention

6-month nurse-led community-based intervention consisting of a 3-month group education and a 3-month coaching session.

Comparator

Usual care.

Outcome

Changes in blood pressure, glucose, cholesterol, body mass index, smoking, depression, and health-related quality of life (HRQoL) at 6 months.surrogate

A 6-month nurse-led community-based education and coaching intervention significantly improves cardiovascular risk factors, depression, and quality of life in individuals at high risk for coronary heart disease.

Cite This Study

Huang et al. (2017) studied this question.

synapsesocial.com/papers/6a77eb64d2fa2470761f303f https://doi.org/10.1016/j.anr.2017.07.004

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Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider