title: Effect of a telephone-delivered coronary heart disease secondary prevention program (proactive heart) on quality of life and health behaviours: primary outcomes of a randomised controlled trial.
abstract: BACKGROUND
  Participation in coronary heart disease secondary prevention programs is low. Innovative programs to meet this treatment gap are required.
  
  
  OBJECTIVE
  To aim of this study is to describe the effectiveness of a telephone-delivered secondary prevention program for myocardial infarction patients.
  
  
  METHODS
  Four hundred and thirty adult myocardial infarction patients in Brisbane, Australia were randomised to a 6-month secondary prevention program or usual care. Primary outcomes were health-related quality of life (Short Form-36) and physical activity (Active Australia Survey).
  
  
  RESULTS
  Significant intervention effects were observed for health-related quality of life on the mental component summary score (p = 0.02), and the social functioning (p = 0.04) and role-emotional (p = 0.03) subscales, compared with usual care. Intervention participants were also more likely to meet recommended levels of physical activity (p = 0.02), body mass index (p = 0.05), vegetable intake (p = 0.04) and alcohol consumption (p = 0.05).
  
  
  CONCLUSIONS
  Telephone-delivered secondary prevention programs can significantly improve health outcomes and could meet the treatment gap for myocardial infarction patients.
authors.affiliation: Viertel Centre for Research in Cancer Control, Cancer Council Queensland, P.O. Box 201, Spring Hill, Brisbane, QLD 4004, Australia, Anna.Hawkes@gmail.com.
authors.forename: Anna L
authors.initials: AL
authors.lastname: Hawkes
authors.forename: Tania A
authors.initials: TA
authors.lastname: Patrao
authors.forename: John
authors.initials: J
authors.lastname: Atherton
authors.forename: Robert S
authors.initials: RS
authors.lastname: Ware
authors.forename: Craig B
authors.initials: CB
authors.lastname: Taylor
authors.forename: Adrienne
authors.initials: A
authors.lastname: O'Neil
authors.forename: Rachelle
authors.initials: R
authors.lastname: Foreman
authors.forename: Brian F
authors.initials: BF
authors.lastname: Oldenburg
mesh_terms: D000368:Aged; D000428:Alcohol Drinking; D001315:Australia; D015992:Body Mass Index; D003324:Coronary Artery Disease / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009203:Myocardial Infarction / Q000517:prevention & control* / Q000523:psychology; D015596:Nutrition Assessment; D011446:Prospective Studies; D011788:Quality of Life; D040242:Risk Reduction Behavior; D055502:Secondary Prevention / Q000379:methods*; D013689:Telephone; D016896:Treatment Outcome