Choice of Health Options In prevention of Cardiovascular Events (CHOICE) replication study two-year follow-up: is an extended program beneficial?

Neubeck, Lis; Freedman, Ben; Lowres, Nicole; Hyund, Karice; Orchard, Jessica; Briffa, Tom; Bauman, Adrian; Rogers, Kris; Redfern, Julie

Abstract

Background: Globally, attendance at cardiac rehabilitation (CR) is between 15-30%. Alternative models of individualised care are recommended to promote participation in CR, however there has been no prospective testing of different duration of such models. We aimed to replicate the previously proven CHOICE (Choice of Health Options In prevention of Cardiovascular Events) 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 three-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.

Citation

Neubeck, L., Freedman, B., Lowres, N., Hyund, K., Orchard, J., Briffa, T., Bauman, A., Rogers, K., & Redfern, J. (2017). Choice of Health Options In prevention of Cardiovascular Events (CHOICE) replication study two-year follow-up: is an extended program beneficial?. Heart, Lung and Circulation,

• Journal Article Type: Article
• Acceptance Date: Sep 25, 2017
• Online Publication Date: Oct 20, 2017
• Publication Date: Oct 20, 2017
• Deposit Date: Sep 25, 2017
• Publicly Available Date: Oct 21, 2018
• Journal: Heart, Lung and Circulation
• Print ISSN: 1443-9506
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Keywords: Secondary prevention, telehealth, cardiac rehabilitation
• Public URL: http://researchrepository.napier.ac.uk/Output/990452
• Contract Date: Sep 25, 2017