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Choice of Health Options in Prevention of Cardiovascular Events (CHOICE) Replication Study

机译：预防心血管事件（选择）复制研究的健康选择选择

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BackgroundGlobally, attendance at cardiac rehabilitation (CR) is between 15 and 30%. Alternative models of individualised care are recommended to promote participation in CR, however there has been no prospective testing of different durations of such models. We aimed to replicate the previously proven Choice of Health Options In prevention of Cardiovascular Events (CHOICE) intervention, and to determine if an extended version (CHOICEplus) would confer additional benefits. MethodsAcute coronary syndrome (ACS) survivors not accessing centre-based CR (n=203) were randomised to CHOICE for 3 months (n=100) or CHOICEplusfor 24 months (n=103) at four urban hospitals. The program comprised telephone-based tailored risk-factor reduction. ResultsCHOICE and CHOICEpluswere equivalent demographically and in risk profile at baseline. At 24 months, lipid profiles improved significantly and fewer patients had ≥3 risk factors above target compared to baseline in both groups. There were no significant differences between groups. ConclusionsThe 24-month CHOICEplusprogram did not confer additional benefit above the brief 3-month CHOICE intervention. However, participation ineitherCHOICE and CHOICEplussignificantly improved cardiovascular risk profile in ACS survivors. Importantly, the study was feasible, and the intervention translated readily across four hospitals. Overall, this study adds to the existing evidence for brief individualised approaches to CR.
机译：背景眩光，心脏康复（Cr）的出勤率在15％至30％之间。建议促进个性化的替代模型来促进CR的参与，但是没有对这种模型的不同持续时间的前瞻性测试。我们旨在复制先前经过验证的健康选择选择，以防止心血管事件（选择）干预，并确定扩展版本（选取）是否会赋予额外的福利。方法冠状动脉综合征（ACS）幸存者未访问基于中心的Cr（n = 203），随机选择3个月（n = 100）或在四个城市医院的24个月（n = 103）。该计划包括基于电话的定制风险因素减少。在基线的人口统计地和风险概况等同于果实票据和选择。在24个月时，与两组基线相比，脂质型材显着提高，≥3患者≥3危险因素。组之间没有显着差异。结论24个月的24个月选择持续高于3个月选择干预的额外福利。然而，参与在ACS幸存者中不起作用和选择性改善了心血管风险简介。重要的是，该研究是可行的，并且在四家医院方便的干预。总体而言，本研究增加了现有的证据，以便简短个性化的CR方法。

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