Four-year follow-up of the Choice of Health Options In prevention of Cardiovascular Events randomized controlled trial
Why the study?
Does the CHOICE program improve risk factor profiles at 4 years in acute coronary syndrome survivors not accessing cardiac rehabilitation?
Population
208 acute coronary syndrome survivors. 144 not accessing cardiac rehabilitation were randomized to control…
Comparison
CHOICE program vs Control group and a contemporary cardiac…
Design
RCT, Randomized to control or CHOICE, Single-blind
Follow-up
4 years
Authors
Discussion
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Member takes
Implication
Sustained 4-year SBP and activity gains support offering CHOICE to ACS survivors declining facility rehab; extends evidence for durable individualized secondary prevention.
Structured PICO
Does the CHOICE program improve risk factor profiles at 4 years in acute coronary syndrome survivors not accessing cardiac rehabilitation?
P
Population
208 acute coronary syndrome survivors. 144 not accessing cardiac rehabilitation were randomized to control (n=72) or CHOICE (n=72), and a contemporary CR reference group was recruited (n=64).
I
Intervention
CHOICE program (tailored risk factor reduction packaged as a clinic visit and 3 months phone support)
C
Comparator
Control group (no CHOICE program) and a contemporary cardiac rehabilitation (CR) reference group
O
Outcome
Total cholesterol, systolic blood pressure, smoking status, physical activity at 4 yearssurrogate
A tailored risk factor reduction program (CHOICE) maintains favorable changes in coronary risk profiles at 4 years for ACS survivors not accessing facility-based cardiac rehabilitation.
Cite This Study
Neubeck et al. (2010) studied this question.