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dc.contributor.authorNeubeck, Lis
dc.contributor.authorFreedman, Ben
dc.contributor.authorLowres, Nicole
dc.contributor.authorHyun, Karice K
dc.contributor.authorOrchard, Jessica
dc.contributor.authorBriffa, Tom
dc.contributor.authorBauman, Adrian
dc.contributor.authorRogers, Kris
dc.contributor.authorRedfern, Julie
dc.date.accessioned2018-11-29T23:11:56Z
dc.date.available2018-11-29T23:11:56Z
dc.date.issued2017-09-25
dc.identifier.citationNeubeck, L., Freedman, B., Lowres, N., Hyun, K., Orchard, J., Briffa, T., … Redfern, J. (2018). Choice of Health Options in Prevention of Cardiovascular Events (CHOICE) Replication Study. Heart, Lung and Circulation, 27(12), 1406–1414.en_US
dc.identifier.issn1444-2892
dc.identifier.urihttp://hdl.handle.net/2328/38621
dc.descriptionThis manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/ which permits use, distribution and reproduction in any medium, provided the original work is properly cited. This author accepted manuscript is made available following 24 month embargo from date of publication (Sept 2017) in accordance with the publisher’s archiving policy.en_US
dc.description.abstractBackground Globally, 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. Methods Acute coronary syndrome (ACS) survivors not accessing centre-based CR (n = 203) were randomised to CHOICE for 3 months (n = 100) or CHOICEplus for 24 months (n = 103) at four urban hospitals. The program comprised telephone-based tailored risk-factor reduction. Results CHOICE and CHOICEplus were 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. Conclusions The 24-month CHOICEplus program did not confer additional benefit above the brief 3-month CHOICE intervention. However, participation in either CHOICE and CHOICEplus significantly 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.en_US
dc.description.sponsorshipThis work was supported by a Hospital Contributions Fund (HCF) Foundation Grant. LN was funded by an NHMRC Early Career Fellowship (APP1036763). JR is funded by an NHMRC Career Development Fellowship (1061793) co-funded with a National Heart Foundation Future Leader Fellowship (G160523). KH is supported by an Australian Postgraduate Award. NL was funded by a National Heart Foundation Postgraduate Scholarship (PP12S6990).en_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rights© 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.subjectsecondary preventionen_US
dc.subjectTelehealthen_US
dc.subjectcardiac rehabilitationen_US
dc.titleChoice of Health Options in Prevention of Cardiovascular Events (CHOICE) Replication Studyen_US
dc.typeArticleen_US
dc.relation.grantnumberNHMRC/APP1036763en_US
dc.relation.grantnumberNHMRC/1061793en_US
dc.identifier.doihttps://doi.org/10.1016/j.hlc.2017.09.016en_US
dc.rights.holder© 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserveden_US
dc.rights.licenseCC-BY-NC-ND


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