Telephone delivered health coaching improves anxiety outcomes after myocardial infarction : the 'ProActive Heart' trial

O'Neil, Adrienne, Hawkes, Anna L., Atherton, John J., Patrao, Tania A., Sanderson, Kristy, Wolfe, Rory, Taylor, C. Barr and Oldenburg, Brian 2014, Telephone delivered health coaching improves anxiety outcomes after myocardial infarction : the 'ProActive Heart' trial, European journal of preventive cardiology, vol. 21, no. 1, pp. 30-38.

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Title Telephone delivered health coaching improves anxiety outcomes after myocardial infarction : the 'ProActive Heart' trial
Author(s) O'Neil, Adrienne
Hawkes, Anna L.
Atherton, John J.
Patrao, Tania A.
Sanderson, Kristy
Wolfe, Rory
Taylor, C. Barr
Oldenburg, Brian
Journal name European journal of preventive cardiology
Volume number 21
Issue number 1
Start page 30
End page 38
Total pages 9
Publisher Sage Publications
Place of publication London, England
Publication date 2014-01
ISSN 2047-4873
2047-4881
Keyword(s) myocardial infarction
health coaching
depression
anxiety
tele-health
Summary Background: Recently, we found a telephone-delivered secondary prevention programme using health coaching (‘ProActive Heart’) to be effective in improving a range of key behavioural outcomes for myocardial infarction (MI) patients. What remains unclear, however, is the extent to which these treatment effects translate to important psychological outcomes such as depression and anxiety outcomes, an issue of clinical significance due to the substantial proportion of MI patients who experience depression and anxiety. The objective of the study was to investigate, as a secondary hypothesis of a larger trial, the effects of a telephone-delivered health coaching programme on depression and anxiety outcomes of MI patients.

Design: Two-arm, parallel-group, randomized, controlled design with six-months outcomes.

Methods: Patients admitted to one of two tertiary hospitals in Brisbane, Australia following MI were assessed for eligibility. Four hundred and thirty patients were recruited and randomly assigned to usual care or an intervention group comprising up to 10 telephone-delivered ‘health coaching’ sessions (ProActive Heart). Regression analysis compared Hospital Anxiety and Depression Scale scores of completing participants at six months (intervention: n = 141 versus usual care: n = 156).

Results: The intervention yielded reductions in anxiety at follow-up (mean difference = -0.7, 95% confidence interval=-1.4,-0.02) compared with usual care. A similar pattern was observed in mean depression scores but was not statistically significant.

Conclusions: The ProActive Heart programme effectively improves anxiety outcomes of patients following myocardial infarction. If combined with psychological-specific treatment, this programme could impact anxiety of greater intensity in a clinically meaningful way.
Language eng
Field of Research 110201 Cardiology (incl Cardiovascular Diseases)
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, Sage Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30050514

Document type: Journal Article
Collection: School of Medicine
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