title: Behavioral and psychosocial effects of intensive lifestyle management for women with coronary heart disease.
abstract: Females, especially older women, historically have been excluded from coronary heart disease (CHD) studies. The PrimeTime program was a randomized clinical trial designed to study the effects of a comprehensive lifestyle management program (very low-fat vegetarian diet, smoking cessation, stress-management training, moderate exercise, and group support) on changes in behavioral risk factors among postmenopausal women with CHD. The study also explored program effects on four psychosocial clusters: coping with stress, distress, social support, and self-efficacy. The program produced significant behavioral improvements in 4- and 12-months adherence to diet, physical activity, and stress-management in the PrimeTime women compared to the Usual Care (UC) group. In addition, the PrimeTime participants demonstrated improvements relative to UC on psychosocial measures of self-efficacy, perceived social support, and ability to cope with stress. Strengths and weaknesses of the study, and implications for future research are discussed.
authors.affiliation: Oregon Research Institute, Chronic Illness Research Group, Eugene 97403-1983, USA. deborah@ori.org
authors.forename: D J
authors.initials: DJ
authors.lastname: Toobert
authors.forename: R E
authors.initials: RE
authors.lastname: Glasgow
authors.forename: L A
authors.initials: LA
authors.lastname: Nettekoven
authors.forename: J E
authors.initials: JE
authors.lastname: Brown
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D003327:Coronary Disease / Q000523:psychology* / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D017698:Postmenopause; D015397:Program Evaluation; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012944:Social Support; D016387:Women's Health