title: Effect of goal attainment theory based education program on cardiovascular risks, behavioral modification, and quality of life among patients with first episode of acute myocardial infarction: Randomized study.
abstract: Effect of goal-attainment-theory-based education program on cardiovascular risks, behavioral modification, and quality of life among patients with first episode of acute myocardial infarction: randomized study BACKGROUND: The behavioral modification strategies should be explored at the time of admission to lead the maximum effect of cardiovascular risk management.
  
  
  OBJECTIVE
  This randomized study aimed to elucidate the effects of a nurse-led theory-based education program in individuals with a first episode of acute myocardial infarction on cardiovascular risks, health behaviors, and quality of life over 6 months.
  
  
  METHODS
  The study involved a convenience sample of 64 patients with acute myocardial infarction who were randomly assigned to either the education group or the control group. The goal-attainment-based education program was designed to set the mutually agreed goals of risk management and the behavioral modification strategies for achieving those goals. Those in the control group received routine management only. The participants in both groups were contacted at 6-8 weeks and at 6 months after discharge to measure outcome variables. Repeated measure ANOVA was conducted using SPSSWIN (version 20.0) to determine the significance of differences in outcome variables over 6 months between the groups.
  
  
  RESULTS
  Both groups showed significant positive changes in cardiovascular risks, health behaviors, and quality of life over 6 months. The 2-year risk of cardiovascular disease was significantly reduced in both study groups, but with no significant interaction effect (F=2.01, p=0.142). The performance and maintenance of health behaviors (F=3.75, p=0.029) and the mental component of quality of life (F=4.03, p=0.020) were significantly better in the education group than the control group.
  
  
  CONCLUSIONS
  Applying a goal-oriented education program at an early stage of hospital management improved and maintained blood glucose, health behaviors, and mental component of the quality of life up to six months in individuals with a first episode of myocardial infarction. Further studies are warranted to explore the role of behavioral modification mediating between cardiovascular risk management and quality of life in this population.
authors.affiliation: Department of Nursing, Woosong College, South Korea.
authors.forename: Moonkyoung
authors.initials: M
authors.lastname: Park
authors.affiliation: College of Nursing, Chungnam National University, South Korea. Electronic address: songry@cnu.ac.kr.
authors.forename: Rhayun
authors.initials: R
authors.lastname: Song
authors.affiliation: College of Medicine, Chungnam National University, South Korea.
authors.forename: Jin-Ok
authors.initials: JO
authors.lastname: Jeong
mesh_terms: D001521:Behavior Therapy; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D006040:Goals; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000523:psychology; D009723:Nurse-Patient Relations; D010353:Patient Education as Topic / Q000458:organization & administration*; D011788:Quality of Life
keywords: Cardiovascular disease risk; Health behavior; Myocardial infarction; Nursing theory; Quality of life