Risk factor outcome comparison between exercise-based cardiac rehabilitation, traditional care, and an educational workshop.
BACKGROUND
This study examined risk factor outcomes among patients who attended cardiac rehabilitation sessions, those who received traditional care, and those who attended Leap for Life workshops.


METHODS
A non-equivalent, three-group design was used in this observational study. Baseline and 12-month measurements were collected for 217 participants. Analysis of covariance was performed to determine differences between groups on outcome variables.


RESULTS
The only significant finding was in participants with an initial high-density lipoprotein value of less than 40. High-density lipoprotein levels increased more in the cardiac rehabilitation group than in the traditional care group (30.54 to 37.48 versus 30.17 to 33.67 [F= 4.577, p = .035]).


CONCLUSIONS
Based on these findings, a strong case can be made for the transition to more individually intense and focused risk factor modification strategies for patients in cardiac rehabilitation programs.
Adams
Jenny L
JL
Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Cardiac Rehabilitation Department, 411 North Washington, Suite 3100, Dallas, TX 75246, USA.
Nuss
Terri
T
Banks
Carolyn
C
Hartman
Julie
J
Segrest
Wendy
W
Spears
Joanne
J
Yount
Phyllis
P
Bryant
Lona
L
D000368:Aged; D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control; D008076:Cholesterol, HDL / Q000097:blood; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation*; D003863:Depression / Q000209:etiology / Q000517:prevention & control; D005081:Exercise Therapy / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand; D006801:Humans; D006937:Hypercholesterolemia / Q000097:blood / Q000150:complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D018570:Risk Assessment; D040242:Risk Reduction Behavior; D013781:Texas
D008076:Cholesterol, HDL