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Health Education & Behavior
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Heart Disease Management by Women: Does Intervention Format Matter?

Noreen M. Clark, PhD

University of Michigan, Ann Arbor, mclark{at}umich.edu

Nancy K. Janz, PhD

University of Michigan, Ann Arbor

Julia A. Dodge, MS

University of Michigan, Ann Arbor

Xihong Lin, PhD

Harvard University, Cambridge, Massachusetts

Britton L. Trabert, MSPH

Fred Hutchinson Cancer Research Center, University of Washington, Seattle

Niko Kaciroti, PhD

University of Michigan, Ann Arbor

Lori Mosca, MD, PhD

Columbia University, New York

John R. Wheeler, PhD

University of Michigan, Ann Arbor

Steven Keteyian, PhD

Henry Ford Hospital, Detroit, Michigan

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.

Key Words: interventions for patients • heart disease • program evaluation

This version was published on April 1, 2009

Health Education & Behavior, Vol. 36, No. 2, 394-409 (2009)
DOI: 10.1177/1090198107309458


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