title: Heart disease management by women: does intervention format matter?
abstract: A randomized controlled trial of two formats of a program (Women Take PRIDE) to enhance management of heart disease by patients was conducted. Older women (N = 575) were randomly assigned to a group or self-directed format or to a control group. Data regarding symptoms, functional health status, and weight were collected at baseline and at 4, 12, and 18 months. The formats produced different outcomes. At 18 months, the self-directed format was better than the control in reducing the number (p ≤ .02), frequency (p ≤ .03), and bothersomeness (p ≤ .02) of cardiac symptoms. The self-directed format was also better than the group format in reducing symptom frequency of all types (p ≤ .04). The group format improved ambulation at 12 months (p ≤ .04) and weight loss at 18 months (p ≤ .03), and group participants were more likely to complete the program (p ≤ .05). The availability of different learning formats could enhance management of cardiovascular disease by patients.
authors.affiliation: University of Michigan, Ann Arbor, MI, USA mclark@umich.edu.
authors.forename: Noreen M
authors.initials: NM
authors.lastname: Clark
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Janz
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Julia A
authors.initials: JA
authors.lastname: Dodge
authors.affiliation: Harvard University, Cambridge, MA, USA.
authors.forename: Xihong
authors.initials: X
authors.lastname: Lin
authors.affiliation: Fred Hutchinson Cancer Research Center, University of Washington, Seattle, WA, USA.
authors.forename: Britton L
authors.initials: BL
authors.lastname: Trabert
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Niko
authors.initials: N
authors.lastname: Kaciroti
authors.affiliation: Columbia University, New York, NY, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Mosca
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Wheeler
authors.affiliation: Henry Ford Hospital, Detroit, MI, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Keteyian
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006266:Health Education / Q000266:history* / Q000379:methods; D006331:Heart Diseases / Q000188:drug therapy / Q000266:history*; D049674:History, 21st Century; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D012648:Self Care; D011795:Surveys and Questionnaires
keywords: heart disease; interventions for patients; program evaluation