Examining the Effectiveness of the Educational Components of A Multifaceted, Comprehensive Lifestyle Modification Program for Prevention and Treatment of Coronary Artery Disease: A Retrospective Study of a Cardiac Rehabilitation Program
By: Michele Smallidge
Published: 05/22/2013
Uploaded: 12/15/2017
Uploaded by: Pocket Masters
Pockets: 2013 (May) Teachers College Columbia University Ed.D. Dissertations, Gottesman Libraries Archive, Historical Dissertations
Tags: Cardiac, Education, lifestyle, Modification, program, Rehabilitation

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Description/Abstract: The purpose of this chart review study was to examine the effectiveness of group education in the context of a multifaceted comprehensive, lifestyle modification program for secondary prevention and the treatment of cardiovascular heart disease (CHD). The study examined the association of age, gender, marital status, and CHD risk status with attendance at group education, and in turn, the number of classes attended and which classes (along with individual nutrition consultation) with improvements in outcomes. For the review, 189 charts from the population of participant attending the program who had completed the required 24-36 program exercise sessions were chosen. Participants had diagnosis of CHD or were at high risk. Descriptive statistics revealed participants were 70.9% male; 77.2% married; average age 68.2; average BMI 29.57. Age and gender influenced attendance of a few education classes with younger participants attending classes on CHD and testing and stress. Percent class attendance revealed that while more males participated in the program, they attended education as much as females (~62.5%), smokers attended least (<17%), and sedentary and morbidly obese the most (29-59%). Changes in outcomes, for those that attended group education classes were significant, compared to those not attending. Attending classes Exercise 1 and Nutrition 1, resulted in significant weight loss of 3.98 and 4.13lbs, respectively. Improvements in daily activity scores (DASI +1.60+1.5), and quality of life scores (QoL -5.06+4.34) were also noted. Number of classes attended influenced outcomes, notably those attending as many as 10 or 12 classes lost more weight, -7.57+ 6.39lbs, and attending as few as 3 improved DASI +2.23+2.0 and functional capacity (METs +6.21+15.9). No changes were found in outcomes of those attending an additional individualized nutrition consultation, but the consultation influenced attending other education classes. This study demonstrates that group education in a cardiac rehabilitation program can be effective at improving some outcomes. As few studies have investigated the impact of education components of such programs, this research may help identify which types of sessions are most effective, and which need to be refined in order to enhance the program's attendance and delivery.