Healthy Habits Program for High Cardiovascular Risk Patients: Randomized Controlled Clinical Trial. Effectiveness of a Program Using Cognitive Behavioral Therapy to Improve Healthy Habits in a Population With Cardiovascular Disease.

CompletadoClinicalTrials.gov

ID: NCT01861977Tipo: INTERVENTIONALInicio: 1 de jun de 2013Fin estimado: 1 de ene de 2016

Traducción no disponible, mostrando original

Resumen

The purpose of this study is to determine the effectiveness of a program to improve habits in a population with cardiovascular disease, comparing two different educational techniques (cognitive behavioral therapy group vs. informational workshops).

Elegibilidad

Edad mínima: 45 YearsEdad máxima: 80 YearsSexo: ALL

Criterios de inclusión

Patients who live in the catchment area of the health centers participating in the trial or that have their primary care physician in these centers.
or
Patients with a diagnosis of coronary heart disease, and / or transluminal angioplasty and / or coronary artery bypass grafting (CABG). These diagnoses must have occurred longer than six months from the time of inclusion.
or
Patients with a diagnosis of cerebrovascular accident (CVA), transient ischemic attack (TIA), carotid endarterectomy and / or carotid angioplasty. These diagnoses must have occurred longer than six months from the time of inclusion.
or
Patients with peripheral arterial disease with or without intermittent claudication, revascularization surgery, bypass placement of arterial and / or peripheral arterial angioplasty. These diagnoses must have occurred longer than six months from the time of inclusion.
and
Sedentary persons, defined as less than 90 minutes per week of moderate aerobic physical activity in their daily life (leisure, travel or work).

Criterios de exclusión

\- Patients on chronic home monitoring and / or institutionalized before admission or living in a tertiary institution.
or
Moderate or severe limitation on functional capacity and / or mobility. or
Patients with dementia. or
Patients diagnosed with psychiatric illnesses that compromise patient autonomy. or
Life expectancy less than 1 year. or
Patients who do not want to take part in the program. or
Patients who are participating in another research protocol at recruitment. or
Patients with a diagnosis of intracranial hemorrhage secondary to aneurysmal rupture.

Intervenciones

behavioral

Cognitive Behavioral Therapy

Participants in this arm will be invited to attend 8 weekly group meetings and 3 monthly follow-up meetings. In each meeting a coordinator will explore the experiences of the participants and encourage them to look for strategies to solve problems associated with changing habits. In the meetings we will use a therapeutic education approach with motivational interviewing techniques and problem solving in order to increase self-efficacy and motivation to adopt healthy habits. There will be periodic reminders and telephone contacts with patients before the meetings to assess the achievement of objectives.

behavioral

Informational Workshop

Participants will be invited to participate in 4 weekly group meetings and an additional reinforcing meeting in the 5th month. In each meeting, workshop techniques will be used, together with educational materials as brochures, pictures, etc. The informational material will focus on the benefits of lifestyle changes in diet and physical activity.

Ubicaciones

Hospital Italiano de Buenos Aires

Buenos Aires, Buenos Aires F.D., Argentina

Patrocinadores

PrincipalHospital Italiano de Buenos Aires

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