ArticleBMC health services research2006
Development and testing of innovative patient resources for the management of coronary heart disease (CHD): a descriptive study.
Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- The CHOICE (Choice of Health Options In prevention of Cardiovascular Events) replication trial: study protocol.BMC cardiovascular disorders · 2008Trial
- Physicians' shared decision-making behaviors in depression care.Archives of internal medicine · 2008Trial
- Use of co-design methodology in the development of cardiovascular disease secondary prevention interventions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Information Needs and Communication Strategies for People with Coronary Heart Disease: A Scoping Review.International journal of environmental research and public health · 2023Article
- Using a citizens' jury approach to determine a good nutrition resource for pregnant women.Public health nutrition · 2020Article
- Understanding Preferences for Osteoporosis Information to Develop an Osteoporosis Patient Education Brochure.The Permanente journal · 2017Article
- Validation of the Society for Vascular Surgery's objective performance goals for critical limb ischemia in everyday vascular surgery practice.Journal of vascular surgery · 2011Article
- Chronic illness and smoking cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2009Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough heart disease is a major cause of morbidity and mortality the majority of patients do not access existing rehabilitation programs and patient resources are not designed to facilitate patient choice and decision-making. The objective of this study was to develop and test a series of risk factor modules and corresponding patient information leaflets for secondary prevention of CHD.
methodsIn phase one, a series of risk factor modules and management options were developed following analysis of literature and interviews with health professionals. In phase two, module information leaflets were developed using published guidelines and interviews of people with CHD. In phase three, the leaflets were tested for quality (DISCERN), readability (Flesch) and suitability (SAM) and were compared to the existing cardiac rehabilitation (CR) information leaflet. Finally, the patients assessed the leaflets for content and relevance.
resultsFour key risk factors identified were cholesterol, blood pressure, smoking and physical inactivity. Choice management options were selected for each risk factor and included medical consultation, intensive health professional led program, home program and self direction. Patient information needs were then identified and leaflets were developed. DISCERN quality scores were high for cholesterol (62/80), blood pressure (59/80), smoking (62/80) and physical activity (62/80), all scoring 4/5 for overall rating. The mean Flesch readability score was 75, representing "fairly easy to read", all leaflets scored in the superior category for suitability and were reported to be easy to understand, useful and motivating by persons with CHD risk factors. The developed leaflets scored higher on each assessment than the existing CR leaflets.
conclusionUsing a progressive three phase approach, a series of risk factor modules and information leaflets were successfully developed and tested. The leaflets will contribute to shared-decision making and empowerment for persons with CHD.
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Registered trials
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