The role of medical and psychosocial factors for unfavourable coronary risk factor control.
OBJECTIVE
This project aims to identify socio-demographic, medical and psychosocial factors (study factors) associated with coronary risk control and prognosis, and to test their impact in a representative sample of coronary heart disease (CHD) patients.


METHODS
The first phase includes a cross-sectional study designed to explore the association between the study factors and coronary risk factor control in CHD patients. Data from hospital records, a questionnaire, clinical examination and blood samples were collected. The independent effects of study factors on subsequent coronary events will be explored prospectively by controlling for baseline coronary risk factors. In the second phase, we will test the effect of tailored interventions to modify the study factors associated with unfavourable risk profile in phase I.


RESULTS
In all 1366 patients (21% women), aged 18-80 years with a coronary event on average 17 (2-38) months prior to study participation were identified (83% participation rate). Of the 239 patients who refused participation, 229 patients consented to analysis of hospital record data (non- participants).


CONCLUSIONS
If the study variables contribute to CHD risk factors and prognosis, the present project may be important for the development of prevention programs by tailoring these to the patients perceived needs and behaviour profiles.
a Department of Medicine , Drammen Hospital , Drammen , Norway ;
John
J
Munkhaugen
a Department of Medicine , Drammen Hospital , Drammen , Norway ;
Elise
E
Sverre
b Department of Medicine , Vestfold Hospital , Tønsberg , Norway ;
Kari
K
Peersen
a Department of Medicine , Drammen Hospital , Drammen , Norway ;
Erik
E
Gjertsen
c Department of Cardiology , Oslo University Hospital Rikshospitalet , Oslo , Norway ;
Lars
L
Gullestad
d Department of Behavioral Sciences in Medicine , University of Oslo , Oslo , Norway ;
Torbjorn
T
Moum
b Department of Medicine , Vestfold Hospital , Tønsberg , Norway ;
Jan Erik
JE
Otterstad
e Department of Cardiology, Public Health Department, Linnaeus University , Kalmar , Sweden.
Joep
J
Perk
a Department of Medicine , Drammen Hospital , Drammen , Norway ;
Einar
E
Husebye
d Department of Behavioral Sciences in Medicine , University of Oslo , Oslo , Norway ;
Toril
T
Dammen
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult; D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D003430:Cross-Sectional Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D008019:Life Style; D008499:Medical Records; D009664:Norway / Q000453:epidemiology; D011314:Preventive Health Services; D011379:Prognosis; D011446:Prospective Studies; D012107:Research Design; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D016032:Randomized Controlled Trials as Topic; D064887:Observational Studies as Topic
Secondary prevention; coronary heart disease; psychosocial factors