%0 Journal Article
%T Development and testing of innovative patient resources for the management of coronary heart disease (CHD): a descriptive study
%A Julie Redfern
%A Elizabeth Ellis
%A Tom Briffa
%A Saul B Freedman
%J BMC Health Services Research
%D 2006
%I BioMed Central
%R 10.1186/1472-6963-6-95
%X In phase one, a series of risk factor modules and management options were developed following analysis of literature and interviews with health professionals. In phase two, module information leaflets were developed using published guidelines and interviews of people with CHD. In phase three, the leaflets were tested for quality (DISCERN), readability (Flesch) and suitability (SAM) and were compared to the existing cardiac rehabilitation (CR) information leaflet. Finally, the patients assessed the leaflets for content and relevance.Four key risk factors identified were cholesterol, blood pressure, smoking and physical inactivity. Choice management options were selected for each risk factor and included medical consultation, intensive health professional led program, home program and self direction. Patient information needs were then identified and leaflets were developed. DISCERN quality scores were high for cholesterol (62/80), blood pressure (59/80), smoking (62/80) and physical activity (62/80), all scoring 4/5 for overall rating. The mean Flesch readability score was 75, representing "fairly easy to read", all leaflets scored in the superior category for suitability and were reported to be easy to understand, useful and motivating by persons with CHD risk factors. The developed leaflets scored higher on each assessment than the existing CR leaflets.Using a progressive three phase approach, a series of risk factor modules and information leaflets were successfully developed and tested. The leaflets will contribute to shared-decision making and empowerment for persons with CHD.Coronary heart disease (CHD) is a chronic illness that is best managed when positive health behaviors become integrated into long-term lifestyle habits [1]. Secondary prevention of CHD involves risk factor reduction through control of health behaviors such as diet, physical activity, smoking and medication adherence using a coordinated approach and referrals to health professionals [2,3]. M
%U http://www.biomedcentral.com/1472-6963/6/95