The role of medical and psychosocial factors for unfavourable coronary risk factor control
John Munkhaugen1, Elise Sverre1, Kari Peersen2
1a Department of Medicine , Drammen Hospital , Drammen , Norway ;
Insights
This study identifies factors impacting coronary heart disease (CHD) risk control and prognosis. Findings will inform tailored prevention programs for CHD patients.
Area of Science:
- Cardiology
- Public Health
- Behavioral Medicine
Background:
- Coronary heart disease (CHD) management requires understanding factors influencing risk control and patient prognosis.
- Identifying socio-demographic, medical, and psychosocial factors is crucial for effective CHD patient care.
Purpose of the Study:
- To identify socio-demographic, medical, and psychosocial factors associated with coronary risk control and prognosis in CHD patients.
- To assess the impact of these factors on CHD outcomes in a representative patient sample.
Main Methods:
- A two-phase study involving a cross-sectional analysis of patient data (hospital records, questionnaires, clinical exams, blood samples).
- Prospective follow-up to explore the independent effects of identified factors on subsequent coronary events, controlling for baseline risks.
- Phase II will test tailored interventions targeting modifiable factors identified in Phase I.
Main Results:
- 1366 CHD patients (21% women, aged 18-80) with events 17 months prior were studied (83% participation).
- Data from hospital records were also obtained for non-participants.
Conclusions:
- The identified study factors may significantly influence CHD risk factors and patient prognosis.
- This research can guide the development of personalized prevention programs addressing patient needs and behaviors.
Objectives:
This project aims to identify socio-demographic, medical and psychosocial factors (study factors) associated with coronary risk control and prognosis, and to test their impact in a representative sample of coronary heart disease (CHD) patients.
Design:
The first phase includes a cross-sectional study designed to explore the association between the study factors and coronary risk factor control in CHD patients. Data from hospital records, a questionnaire, clinical examination and blood samples were collected. The independent effects of study factors on subsequent coronary events will be explored prospectively by controlling for baseline coronary risk factors. In the second phase, we will test the effect of tailored interventions to modify the study factors associated with unfavourable risk profile in phase I.
Results:
In all 1366 patients (21% women), aged 18-80 years with a coronary event on average 17 (2-38) months prior to study participation were identified (83% participation rate). Of the 239 patients who refused participation, 229 patients consented to analysis of hospital record data (non- participants).
Conclusions:
If the study variables contribute to CHD risk factors and prognosis, the present project may be important for the development of prevention programs by tailoring these to the patients perceived needs and behaviour profiles.
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