Diet and Exercise Counseling Among Patients with CHD

先心病患者的饮食和运动咨询

• 批准号: 6948777
• 负责人: Elizabeth A. Jackson
• 金额: $ 12.7万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6948777
• 关键词: behavior modification; behavioral /social science research tag; behavioral medicine; cardiovascular disorder prevention; cardiovascular disorder therapy; clinical research; coronary disorder; counseling; data collection methodology /evaluation; dietary control; dietary lipid; electrocardiography; exercise; health surveys; human subject; human therapy evaluation; interview; longitudinal human study; nutrition related tag; outcomes research; patient oriented research; saturated fat; socioenvironment; therapy compliance

DESCRIPTION (provided by applicant): Current information on counseling interventions for diet and physical activity (PA) in cardiac patients is limited for several reasons. 1.) The majority of studies examine early outpatient cardiac rehabilitation (CR) programs and don't provide information on counseling for the estimated 80% of AMI patients who do not receive CR. 2.) Data on rates of referral to any type of counseling including CR for patients with unstable angina (UA) or other forms of coronary heart disease (CHD) remain scarce. 3.) Patterns of adherence to dietary modification and PA associated with different counseling methodologies have not been described. The objectives of this Patient-Oriented Research Career Development Award are two-fold. 1.) To provide Dr. Jackson with advanced training in nutrition, exercise science, and preventive and behavioral medicine research methods. 2.) To conduct a research study on nutritional and PA counseling methods for patients discharged from the hospital with CHD in two components. In the observational component, we will use surveys and chart review to examine receipt of counseling (nutritional, and PA) in 225 patients with documented CHD (AMI (n=75), UA (n=75) and patients found to have CHD at elective catheterization (n=75)) during hospitalization and at 6-month follow-up. The primary outcome is receipt of dietary or PA counseling, whether as part of CR (inpatient and outpatient) or in individual counseling interventions. Factors associated with adherence to a cardiac healthy diet and regular PA will be examined. We will construct a behavioral model to describe adherence patterns. In the feasibility component, we will assess the use of telephone counseling for the delivery of nutrition and PA interventions. The telephone counseling intervention will be adapted from a successful model used by Dr. I. Ockene for improvement in CHD risk factors. The data from this feasibility study and the observational component will be used as pilot data to obtain funding to conduct a randomized controlled trial testing the telephone counseling intervention. Our objective is to provide data on a variety of counseling interventions available to CHD patients and to identify innovative methods to improve receipt of and adherence to counseling for lifestyle modification. (End of Abstract)

描述（由申请人提供）： 由于多种原因，目前有关心脏病患者饮食和体力活动 (PA) 咨询干预的信息有限。 1.) 大多数研究考察了早期门诊心脏康复 (CR) 计划，并且没有为估计 80% 未接受 CR 的 AMI 患者提供咨询信息。 2.) 关于不稳定型心绞痛 (UA) 或其他形式的冠心病 (CHD) 患者转诊至任何类型咨询（包括 CR）的比率的数据仍然很少。 3.) 尚未描述与不同咨询方法相关的饮食调整和 PA 的坚持模式。这个以患者为中心的研究职业发展奖的目标有两个。 1.) 为杰克逊博士提供营养、运动科学以及预防和行为医学研究方法方面的高级培训。 2.) 对出院的冠心病患者的营养和 PA 咨询方法进行研究，分为两部分。在观察部分，我们将使用调查和图表审查来检查 225 名有记录的 CHD 患者（AMI (n=75)、UA (n=75) 和在择期导尿时发现患有 CHD 的患者 (n=75)）在住院期间和 6 个月随访期间接受咨询（营养和 PA）的情况。主要结局是接受饮食或 PA 咨询，无论是作为 CR（住院患者和门诊患者）还是个人咨询干预的一部分。将检查与坚持心脏健康饮食和定期 PA 相关的因素。我们将构建一个行为模型来描述依从模式。在可行性部分，我们将评估使用电话咨询提供营养和 PA 干预措施的情况。电话咨询干预将改编自 I. Ockene 博士用于改善冠心病危险因素的成功模型。该可行性研究和观察部分的数据将用作试点数据，以获得资金来进行测试电话咨询干预的随机对照试验。我们的目标是提供有关先心病患者可用的各种咨询干预措施的数据，并确定创新方法来改善生活方式改变咨询的接受和依从性。 （摘要完）