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Telephone-delivered health coaching improves anxiety outcomes after myocardial infarction: the 'ProActive Heart' trial
Citation
O'Neil, A and Hawkes, A and Atherton, JJ and Patrao, TA and Sanderson, K and Wolfe, R and Taylor, CB and Oldenburg, B, Telephone-delivered health coaching improves anxiety outcomes after myocardial infarction: the 'ProActive Heart' trial, European Journal of Preventive Cardiology, 21, (1) pp. 30-38. ISSN 2047-4873 (2014) [Refereed Article]
Copyright Statement
Copyright 2014 The European Society of Cardiology
DOI: doi:10.1177/2047487312460515
Abstract
Background: Recently, we found a telephone-delivered secondary prevention programme using health coaching ('ProActive Heart') to be effective in improving a range of key behavioural outcomes for myocardial infarction (MI) patients. What remains unclear, however, is the extent to which these treatment effects translate to important psychological outcomes such as depression and anxiety outcomes, an issue of clinical significance due to the substantial proportion of MI patients who experience depression and anxiety. The objective of the study was to investigate, as a secondary hypothesis of a larger trial, the effects of a telephone-delivered health coaching programme on depression and anxiety outcomes of MI patients.Design: Two-arm, parallel-group, randomized, controlled design with six-months outcomes.Methods: Patients admitted to one of two tertiary hospitals in Brisbane, Australia following MI were assessed for eligibility. Four hundred and thirty patients were recruited and randomly assigned to usual care or an intervention group comprising up to 10 telephone-delivered 'health coaching' sessions (ProActive Heart). Regression analysis compared Hospital Anxiety and Depression Scale scores of completing participants at six months (intervention: n = 141 versus usual care: n = 156).Results: The intervention yielded reductions in anxiety at follow-up (mean difference = -0.7, 95% confidence interval=-1.4,-0.02) compared with usual care. A similar pattern was observed in mean depression scores but was not statistically significant.Conclusions: The ProActive Heart programme effectively improves anxiety outcomes of patients following myocardial infarction. If combined with psychological-specific treatment, this programme could impact anxiety of greater intensity in a clinically meaningful way.
Item Details
Item Type: | Refereed Article |
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Keywords: | Myocardial infarction, anxiety, depression, health coaching, tele-health |
Research Division: | Health Sciences |
Research Group: | Health services and systems |
Research Field: | Health counselling |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Sanderson, K (Associate Professor Kristy Sanderson) |
ID Code: | 85427 |
Year Published: | 2014 |
Web of Science® Times Cited: | 20 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2013-07-04 |
Last Modified: | 2017-10-31 |
Downloads: | 0 |
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