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Randomized Controlled Trial
. 2022 Jul;9(4):2024-2036.
doi: 10.1002/nop2.1212. Epub 2022 Apr 17.

Effects of intervention on lifestyle changes among coronary artery disease patients: A 6-month follow-up study

Pramila Gaudel  1 , Subas Neupane  2 , Anna-Maija Koivisto  3 , Marja Kaunonen  1   4 , Anja Rantanen  1
Affiliations
Randomized Controlled Trial

Effects of intervention on lifestyle changes among coronary artery disease patients: A 6-month follow-up study

Pramila Gaudel et al. Nurs Open. 2022 Jul.

Abstract

Aim: The main aim of the study was to investigate the effects of a nurse-led lifestyle-related risk factor modification intervention on multiple lifestyle behaviours among coronary artery disease patients over six months.

Design: A pre-test post-test control group design was conducted in a single clinical centre in Nepal.

Methods: A total of 224 eligible patients were randomly assigned to either the usual care group or the intervention group at baseline. The lifestyle intervention consisted of a brief counselling session supplemented with informational leaflets. Standard questionnaires were used to collect self-reported data from patients on multiple lifestyle behaviours: diet, physical activity, adherence to medication, stress, body mass index, smoking and alcohol consumption. General linear model repeated measure analysis was used to estimate the effect of intervention.

Results: A statistically significant effect of study group-by-time interaction for diet, adherence to medication, physical activity, and perceived stress was found at 6-month follow-up. Overall, greater improvement in lifestyle habits was found in the intervention group compared with the control group at 6-month follow-up.

Keywords: coronary artery disease; effects of intervention; lifestyle; risk factors.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flow diagram (CONSORT) of participants through each stage of the study
FIGURE 2
FIGURE 2
(a–e) Changes in lifestyle‐related risk factor from baseline to 6‐month follow‐up. Error bars indicate 95% Confidence interval of mean from general linear model repeated measures analysis. Abbreviations: IG: Intervention Group, UG: Usual care Group
FIGURE 3
FIGURE 3
Number of lifestyle‐related risk factors between study groups at baseline, at 1‐month and at 6‐month follow‐ups. Abbreviations: IG: intervention group, UG: usual care group, number of risk factors are numbered from 0 to 7
See this image and copyright information in PMC

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