Key result
Lifestyle education improves health status scores by ~17 points vs standard care in CAD patients.
Why the study?
Coronary artery disease is a major cause of morbidity and mortality worldwide, and lifestyle modification achieved through patient education may improve health status.
Does a lifestyle modification educational intervention improve health status in patients with coronary artery disease?
RCT (n=92)
Open-label
Randomized
No
Does a lifestyle modification educational intervention improve health status in patients with coronary artery disease?
A structured lifestyle modification educational intervention significantly improves patient-reported health status and physical function in patients with coronary artery disease.
Supports integrating lifestyle education into CAD care; confirms health status gains in this RCT.
Background: Coronary artery disease is a major cause of morbidity and mortality throughout the world. Modification of life style can be achieved by patients' education to improve their health status. Aim: To evaluate effect of lifestyle modification intervention on health status of coronary artery disease patients. Design: Randomized control trial used to achieve the aim of this study. Setting: The current study conducted at the coronary care unit and cardiology out-patient clinics of Benha University Hospital, Benha City. Subjects: Purposive sample of 92 coronary artery disease patients (study and control) were included in the study. Tools: Two tools used in this study 1) Interview questionnaire. 2) Health status questionnaire. Results: Significant percentage of the study participants from both groups were adhered to unhealthy life-style practices as smoking, eating salty and fatty foods, drinking tea and coffee as well as they didn't practice exercises and recreational activities. After lifestyle modification intervention, there were significant statistical differences between the two groups favoring the study group regarding all aspects of health status; physical function, bodily pain, social function, role limitation due to physical or emotional problems and mental health (P<0.05). Conclusion and recommendations: This study concluded that life style modification intervention for coronary artery disease patients is effective and useful for enhancing their health status. This study recommended that coronary artery patients` education should be held in permanent approach, because it is a crucial part of their treatment.
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Mahmoud et al. (2018) conducted an RCT in Coronary artery disease (n=92). Lifestyle modification educational intervention vs. Usual care (control group) was evaluated on Total health status score at 4 months (p=<0.001). A lifestyle modification educational intervention significantly improved the total health status score of patients with coronary artery disease compared to the control group (63.2 vs 45.9, p<0.001).
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