Effects of a lifestyle-related risk factor modification intervention on lifestyle changes among patients with coronary artery disease in Nepal. Issue 6 (June 2021)

• Record Type: Journal Article
• Authors: Gaudel, Pramila; Neupane, Subas; Koivisto, Anna-Maija; Kaunonen, Marja; Rantanen, Anja
• Is Part Of: Patient education and counseling. Volume 104:Issue 6(2021)
• Page Start: 1406
• Page End: 1414
• Publication Date: 2021-06
• Subjects: Coronary artery disease -- Lifestyle -- Risk factors -- Randomized trials; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2020.11.030
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Study was conducted among an under-studied Nepali population. Seven lifestyle-related risk factors were studied simultaneously. Intervention improved dietary habit, physical activity, medication adherence and stress level significantly. Nurse-led one-time cardiac rehabilitation intervention was effective to improve healthy lifestyle habit among CAD patients. Abstract: Objective: To investigate the effect of a lifestyle-related risk factor modification intervention on coronary artery disease (CAD) patients' lifestyle changes. Method: A randomized controlled study was conducted in Nepal. A total of 224 CAD patients (112 in each study group) were included at baseline, and 196 patients (98 in each group) completed the one-month follow-up. Patients in the intervention group (IG) received nurse-led intervention in addition to the usual care. Face-to face and telephone interview was conducted using standard questionnaires to collect data on lifestyle-related risk factors; smoking, alcohol consumption, diet, body mass index, stress, adherence to medical therapy, and physical activity. General linear model repeated measure analysis was used to analyse the effects of the intervention. Results: Based on self-reported data we found significant improvement in lifestyle-related risk factor habits in the IG compared with the usual care group with respect to diet (p < 0.001), physical activity (p < 0.001), medication adherence (p < 0.001) and stress (p < 0.001) at one-month follow-up. Conclusion: Lifestyle-related risk factor modification intervention can positively influence health risk habits, even when it is less intensive but supplemented with information leaflets. Practical implications: Nurse-led one-time intervention may successfully deliver counselling to improve healthy lifestyle among underserved CAD patients.