%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Ingles, Jodie
%A Neubeck, Lis
%A Johnston, Stephanie
%A Semsarian, Christopher
%T Tweeting Our Way to Cardiovascular Health.
%B Journal of the American College of Cardiology
%D 2013
%C United States
%I Elsevier Inc.
%V 61
%N 15
%P 1657-1658
%@ 0735-1097
%X 
%Z FOR Codes: 110201


%0 Journal Article
%~ PubMed
%A Briffa, Tom G
%A Neubeck, Lis
%A Clark, Alexander M
%A Freedman, S Ben
%A Redfern, Julie
%T Changing the lexicon of 'Cardiac Rehabilitation': a progressive step.
%B European Journal of Preventive Cardiology
%D 2012
%C United States
%I Sage Publications Ltd.
%V 19
%N 2
%P 167-168
%@ 2047-4881
%X 
%Z FOR Codes: 110201 110321


%0 Journal Article
%~ PubMed
%A Chow, C K
%A Redfern, J
%A Thiagalingam, A
%A Jan, S
%A Whittaker, R
%A Hackett, M
%A Graves, N
%A Mooney, J
%A Hillis, G S
%T Design and rationale of the tobacco, exercise and diet messages (TEXT ME) trial of a text message-based intervention for ongoing prevention of cardiovascular disease in people with coronary disease: a randomised controlled trial protocol.
%B BMJ Open
%D 2012
%C United Kingdom
%I BMJ Group
%V 2
%N 1
%P e000606
%@ 2044-6055
%X Background Although supporting lifestyle change is an effective way of preventing further events in people with cardiovascular disease, providing access to such interventions is a major challenge. This study aims to investigate whether simple reminders about behaviour change sent via mobile phone text message decrease cardiovascular risk. Methods and analysis Randomised controlled trial with 6 months of follow-up to evaluate the feasibility, acceptability and effect on cardiovascular risk of repeated lifestyle reminders sent via mobile phone text messages compared to usual care. A total of 720 patients with coronary artery disease will be randomised to either standard care or the TEXT ME intervention. The intervention group will receive multiple weekly text messages that provide information, motivation, support to quit smoking (if relevant) and recommendations for healthy diets and exercise. The primary end point is a change in plasma low-density lipoprotein cholesterol at 6 months. Secondary end points include a change in systolic blood pressure, smoking status, quality of life, medication adherence, waist circumference, physical activity levels, nutritional status and mood at 6 months. Process outcomes related to acceptability and feasibility of TEXT ME will also be collected. Ethics and dissemination Primary ethics approval was received from Western Sydney Local Health Network Human Research Ethics Committee-Westmead. Results will be disseminated via the usual scientific forums including peer-reviewed publications and presentations at international conferences. Clinical trials registration number ACTRN12611000161921.
%Z FOR Codes: 111716 110201


%0 Journal Article
%~ PubMed
%A Lowres, Nicole
%A Neubeck, Lis
%A Freedman, S Ben
%A Briffa, Tom
%A Bauman, Adrian
%A Redfern, Julie
%T Lifestyle risk reduction interventions in atrial fibrillation: a systematic review.
%B European Journal of Cardiovascular Prevention and Rehabilitation
%D 2012
%C United States
%I Sage Publications Ltd.
%V 19
%N 5
%P 1091-1100
%@ 1741-8275
%X Background: The burden of atrial fibrillation (AF) is escalating even though it is potentially modifiable. Affected persons, at high risk of stroke and death, are typically not targeted for risk reduction. We aimed to determine if risk-factor interventions can improve physical functioning, health-related quality of life (HRQoL) and cardiovascular risk in AF. Methods: We conducted a systematic review of clinical trials evaluating lifestyle and biomedical risk reduction interventions in AF patients. Trials were identified by searching electronic databases, reference lists and grey literature. Trials were included if conducted by a health professional, and reported changes in multiple risk factor levels or HRQoL. Results: Five trials, solely exercise based, were identified (166 participants): two randomised controlled trials, one quasi-experimental and two pre-post designs. Exercise capacity improved after 2-12 months in the intervention group in all trials. This was assessed by maximal oxygen uptake (two trials, 2.5-5.4 ml/kg/min (17-32%) improvement, p < 0.02); six-minute walking distance (one trial, 114 m (27%) improvement, p < 0.001); cumulated work (one trial, 564 W/min (37%) improvement, p < 0.001) and incremental exercise testing (one trial, 11 m/min (10%) improvement, p = 0.05). Three trials evaluated heart rate (HR), demonstrating HR reduction at rest (7-13 bpm, p < 0.05) and during exercise (9 bpm, p< 0.05). Two trials measured HRQoL, both reporting significant improvements in SF-36 physical summary scores. Conclusions: Literature suggests risk reduction interventions for AF can improve exercise levels, HRQoL and reduce HR, but the evidence base is small, methodologically compromised and focused on physical functioning. High-quality research in this area is required in order to help the multitudes of people living with AF.
%Z FOR Codes: 1103 1102


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Freedman, S Ben
%A Clark, Alexander M
%A Briffa, Tom
%A Bauman, Adrian
%A Redfern, Julie
%T Participating in cardiac rehabilitation: a systematic review and meta-synthesis of qualitative data.
%B European Journal of Cardiovascular Prevention and Rehabilitation
%D 2012
%C United Kingdom
%I Sage Publications Ltd.
%V 19
%N 3
%P 494-503
%@ 1741-8267
%X Background: Participation in cardiac rehabilitation (CR) benefits patients with coronary heart disease (CHD), yet worldwide only some 15-30% of those eligible attend. To improve understanding of the reasons for poor participation we undertook a systematic review and meta-synthesis of the qualitative literature. Methods: Qualitative studies identifying patient barriers and enablers to attendance at CR were identified by searching multiple electronic databases, reference lists, relevant conference lists, grey literature, and keyword searching of the internet (1990-2010). Studies were selected if they included patients with CHD and reviewed experience or understanding about CR. Meta-synthesis was used to review the papers and to synthesize the data. Results: From 1165 papers, 34 unique studies were included after screening. These included 1213 patients from eight countries. Study methodology included interviews (n = 25), focus groups (n = 5), and mixed-methods (n = 4). Key reasons for not attending CR were physical barriers, such as lack of transport, or financial cost, and personal barriers, such as embarrassment about participation, or misunderstanding the reasons for onset of CHD or the purpose of CR. Conclusions: There is a vast amount of qualitative research which investigates patients'' reasons for non-attendance at CR. Key issues include system-level and patient-level barriers, which are potentially modifiable. Future research would best be directed at investigating strategies to overcome these barriers.
%Z FOR Codes: 110201 111716 111004


%0 Journal Article
%~ PubMed
%A Lowres, Nicole
%A Freedman, Saul Benedict
%A Redfern, Julie
%A McLachlan, Andrew
%A Krass, Ines
%A Bennett, Alexandra
%A Briffa, Thomas
%A Bauman, Adrian
%A Neubeck, Lis
%T Screening Education And Recognition in Community pHarmacies of Atrial Fibrillation to prevent stroke in an ambulant population aged >=65 years (SEARCH-AF stroke prevention study): a cross-sectional study protocol.
%B BMJ Open
%D 2012
%C United Kingdom
%I BMJ Group
%V 2
%N 3
%P e001355
%@ 2044-6055
%X BACKGROUND: Atrial fibrillation (AF) is associated with a high risk of stroke and may often be asymptomatic. AF is commonly undiagnosed until patients present with sequelae, such as heart failure and stroke. Stroke secondary to AF is highly preventable with the use of appropriate thromboprophylaxis. Therefore, early identification and appropriate evidence-based management of AF could lead to subsequent stroke prevention. This study aims to determine the feasibility and impact of a community pharmacy-based screening programme focused on identifying undiagnosed AF in people aged 65 years and older. METHODS AND ANALYSIS: This cross-sectional study of community-based screening to identify undiagnosed AF will evaluate the feasibility of screening for AF using a pulse palpation and handheld single-lead electrocardiograph (ECG) device. 10 community pharmacies will be recruited and trained to implement the screening protocol, targeting a total of 1000 participants. The primary outcome is the proportion of people newly identified with AF at the completion of the screening programme. Secondary outcomes include level of agreement between the pharmacist''s and the cardiologist''s interpretation of the single-lead ECG; level of agreement between irregular rhythm identified with pulse palpation and with the single-lead ECG. Process outcomes related to sustainability of the screening programme beyond the trial setting, pharmacist knowledge of AF and rate of uptake of referral to full ECG evaluation and cardiology review will also be collected. ETHICS AND DISSEMINATION: Primary ethics approval was received on 26 March 2012 from Sydney Local Health District Human Research Ethics Committee-Concord Repatriation General Hospital zone. Results will be disseminated via forums including, but not limited to, peer-reviewed publication and presentation at national and international conferences. CLINICAL TRIALS REGISTRATION NUMBER: ACTRN12612000406808.
%Z FOR Codes: 110201 111716


%0 Journal Article
%~ PubMed
%A Peiris, David
%A Usherwood, Tim
%A Panaretto, Katie
%A Harris, Mark
%A Hunt, Jenny
%A Patel, Bindu
%A Zwar, Nicholas
%A Redfern, Julie
%A Macmahon, Stephen
%A Colagiuri, Stephen
%A Hayman, Noel
%A Patel, Anushka
%T The Treatment of cardiovascular Risk in Primary care using Electronic Decision supOrt (TORPEDO) study-intervention development and protocol for a cluster randomised, controlled trial of an electronic decision support and quality improvement intervention in Australian primary healthcare.
%B BMJ Open
%D 2012
%C United Kingdom
%I BMJ Group
%V 2
%N 6
%P e002177
%@ 2044-6055
%X 
%Z FOR Codes: 111799


%0 Journal Article
%~ PubMed
%A Clark, Alexander M
%A Briffa, Thomas G
%A Thirsk, Lorraine
%A Neubeck, Lis
%A Redfern, Julie
%T What football teaches us about researching complex health interventions.
%B BMJ
%D 2012
%C United Kingdom
%I BMJ Group
%V 345
%N 
%P e8316
%@ 1756-1833
%X 
%Z FOR Codes: 111799


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Maiorana, Andrew
%A Neubeck, Lis
%A Clark, Alexander M
%A Briffa, Tom
%T Achieving coordinated secondary prevention of coronary heart disease for all in need (SPAN).
%B International journal of cardiology
%D 2011
%C Ireland
%I Elsevier Ireland Ltd
%V 146
%N 1
%P 1-3
%@ 0167-5273
%X Effective disease management after an acute coronary event is essential, but infrequently implemented, due to challenges around the research evidence and its translation. Policy-makers, health professionals and researchers are confronted by the need for increased services, to improve access and equity, but often with finite and reducing resources. There is a clear need to develop innovative ways of delivering ongoing preventative care to the vast and increasing population with coronary disease. However, translation into clinical practice is becoming increasingly difficult while the volume of trial and review evidence of disparate models of delivery expands. Indeed, the prevention literature has evolved into a complex web of differing models offered to diverse patient populations in an array of settings. We describe a united organisation of care that aims to facilitate coordinated secondary prevention for all in need (SPAN). SPAN is inherently flexible yet provides a minimum level of health service standardisation. It can be delivered across any area health service regardless of a patient''s age, gender, ethnicity, geographical location, or socioeconomic status. Importantly, the setting, communication technologies and components of each patient''s care are governed and woven into continuing care provided by the family physician in concert with a cardiac care facilitator.
%Z FOR Codes: 110201 111799


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Nedkoff, Lee
%T Engagement of physiotherapists in cardiology research.
%B Journal of Physiotherapy
%D 2011
%C Australia
%I Elsevier Australia
%V 57
%N 4
%P 209-211
%@ 1836-9553
%X 
%Z FOR Codes: 110201 110317


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%T Expanded cardiac rehabilitation reduces cardiac events over five years.
%B Journal of Physiotherapy
%D 2011
%C Australia
%I Australian Physiotherapy Association
%V 57
%N 1
%P 57
%@ 1836-9553
%X In people with coronary artery disease, does an expanded cardiac rehabilitation program reduce cardiac deaths, myocardial infarctions, and hospital admissions due to cardiovascular disease?
%Z FOR Codes: 110201


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Freedman, S B
%A Briffa, Tom
%A Bauman, Adrian
%A Redfern, Julie
%T Four-year follow-up of the Choice of Health Options In prevention of Cardiovascular Events randomized controlled trial.
%B European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
%D 2011
%C United States, Franc
%I Lippincott Williams & Wilkins
%V 18
%N 2
%P 278-86
%@ 1741-8275
%X To determine if the improved risk factor profile at 1 year attributed to the Choice of Health Options In prevention of Cardiovascular Events (CHOICE) program was maintained at 4 years.
%Z FOR Codes: 1113


%0 Journal Article
%~ PubMed
%A Fernandez, Ritin S
%A Rowe, Anne
%A Redfern, Julie
%A Neubeck, Lis
%A Briffa, Tom
%T Knowledge Dissemination Resulting from the Australian Cardiac Rehabilitation Association Annual Scientific Meetings.
%B Heart, Lung & Circulation
%D 2011
%C Australia, United St
%I Wiley-Blackwell Publishing Asia
%V 20
%N 1
%P 19-23
%@ 1444-2892
%X BACKGROUND: Publication of scientific work presented at national conferences underpins knowledge translation. However, no such data exists for cardiac rehabilitation abstracts presented at Australian conferences. We reviewed a series of conferences to determine the number of abstracts that resulted in subsequent full publication. METHODS: Australian Cardiac Rehabilitation Association (ACRA) Conference Proceedings for 2003-2007 were searched for oral and poster author details and abstract titles were searched in multiple databases for publication in a peer-reviewed journal and the results summarised. RESULTS: In total, 279 abstracts were presented at the five conferences, of which 186 were podium, 83 poster and 10 moderated poster presentations. The majority (42%) of abstracts were from Victoria (n=116), and were dominated by presentations from registered nurses (38%; n=107). Only 17 (9%) were subsequently published as full manuscripts in scientific journals with impact factors ranging from 0.55 to 7.92. The mean time from presentation to complete manuscript publication was 19??21.6 months. The median citation rate of the publications was 2.0 (range 0-12). CONCLUSIONS: Most abstracts presented at the ACRA scientific meetings were not published as manuscripts in journals. Failure to publish comprises research principles and progress healthcare. There is an urgent need to investigate the reasons for the low publication rates and develop effective strategies to redress the imbalance.
%Z FOR Codes: 110201


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Redfern, Julie
%A Freedman, S Ben
%T Letter by neubeck et Al regarding article, "impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community".
%B Circulation
%D 2011
%C United States
%I Lippincott Williams & Wilkins
%V 124
%N 22
%P e572; author reply e573
%@ 0009-7322
%X 
%Z FOR Codes: 110201 110321


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Briffa, Tom
%A Freedman, S Ben
%A Clark, Alexander M
%A Redfern, Julie
%T Nurse-led telephone interventions for people with cardiac disease: The importance of the multi-disciplinary approach.
%B European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
%D 2011
%C Netherlands, France
%I Elsevier BV
%V 10
%N 1
%P 70-1
%@ 1873-1953
%X 
%Z FOR Codes: 110201 111004 111799


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Ascanio, Rhoda
%A Bauman, Adrian
%A Briffa, Tom
%A Clark, Alexander M
%A Freedman, Ben
%A Redfern, Julie
%T Planning locally relevant Internet programs for secondary prevention of cardiovascular disease.
%B European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
%D 2011
%C Netherlands, France
%I Elsevier BV
%V 10
%N 4
%P 213-20
%@ 1873-1953
%X Although the Internet has been shown to be an effective tool for supporting behavioural change in other chronic diseases, less in known about the efficacy of, or need for, Internet-based interventions in the prevention of coronary heart disease (CHD).
%Z FOR Codes: 110299


%0 Journal Article
%~ PubMed
%A Jan, Stephen
%A Usherwood, Tim
%A Brien, Jo Anne
%A Peiris, David
%A Rose, John
%A Hayman, Noel
%A Howard, Kirsten
%A Redfern, Julie
%A Laba, Tracey
%A Cass, Alan
%A Patel, Anushka
%T What determines adherence to treatment in cardiovascular disease prevention? Protocol for a mixed methods preference study.
%B BMJ Open
%D 2011
%C United Kingdom
%I B M J Group
%V 1
%N 2
%P e000372
%@ 2044-6055
%X Background Significant gaps exist between guidelines-recommended therapies for cardiovascular disease prevention and current practice. Fixed-dose combination pills (''polypills'') potentially improve adherence to therapy. This study is a preference study undertaken in conjunction with a clinical trial of a polypill and seeks to examine the underlying reasons for variations in treatment adherence to recommended therapy.  Methods/design A preference study comprising: (1) Discrete Choice Experiment for patients; and (2) qualitative study of patients and providers. Both components will be conducted on participants in the trial. A joint model combining the observed adherence in the clinical trial (revealed preference) and the Discrete Choice Experiment data (stated preference) will be estimated. Estimates will be made of the marginal effect (importance) of each attribute on overall choice, the extent to which respondents are prepared to trade-off one attribute for another and predicted values of the level of adherence given a fixed set of attributes, and contextual and socio-demographic characteristics. For the qualitative study, a thematic analysis will be used as a means of exploring in depth the preferences and ultimately provide important narratives on the experiences and perspectives of individuals with regard to adherence behaviour.  Ethics and dissemination Primary ethics approval was received from Sydney South West Area Health Service Human Research Ethics Committee (Royal Prince Alfred Hospital zone). In addition to usual scientific forums, the findings will be reported back to the communities involved in the studies through site-specific reports and oral presentations.
%Z FOR Codes: 110201 111717 111716


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Menzies, Monique
%A Briffa, Tom
%A Freedman, S B
%T Impact of medical consultation frequency on modifiable risk factors and medications at 12months after acute coronary syndrome in the CHOICE randomised controlled trial.
%B International journal of cardiology
%D 2010
%C Ireland
%I Elsevier Ireland Ltd
%V 145
%N 3
%P 481-6
%@ 0167-5273
%X We aimed to determine whether the frequency of General Practitioner and Cardiologist consultations impacted on improvements in risk factors in Choice of Health Options in Reducing Cardiovascular Events (CHOICE) randomised controlled trial.
%Z FOR Codes: 110201 111712


%0 Journal Article
%~ PubMed
%A Elkins, Mark R
%A Redfern, Julie
%T Is 'fast tracking' to Phase IV as effective as standard cardiac rehabilitation?
%B International journal of cardiology
%D 2010
%C Ireland
%I Elsevier Ireland Ltd
%V 145
%N 3
%P 531-2
%@ 0167-5273
%X 
%Z FOR Codes: 110201


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Briffa, Tom
%T Rethink the effect of resistance training on six-minute walk distance?
%B Journal of Physiotherapy
%D 2010
%C Australia
%I Australian Physiotherapy Association
%V 56
%N 3
%P 206
%@ 1836-9553
%X 
%Z FOR Codes: 111003


%0 Journal Article
%~ PubMed
%A Briffa, Tom G
%A Kinsman, Leigh
%A Maiorana, Andrew J
%A Zecchin, Robert
%A Redfern, Julie
%A Davidson, Patricia M
%A Paull, Glenn
%A Nagle, Amanda
%A Denniss, A Robert
%T An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia.
%B The Medical Journal of Australia
%D 2009
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 190
%N 12
%P 683-686
%@ 0025-729X
%X Implementing existing knowledge about cardiac rehabilitation (CR) and heart failure management could markedly reduce mortality after acute coronary syndromes and revascularisation therapy. Contemporary CR and secondary prevention programs are cost-effective, safe and beneficial for patients of all ages, leading to improved survival, fewer revascularisation procedures and reduced rehospitalisation. Despite the proven benefits attributed to these secondary prevention interventions, they are not well attended by patients. Modern programs must be flexible, culturally safe, multifaceted and integrated with the patient''s primary health care provider to achieve optimal and sustainable benefits for most patients.
%Z FOR Codes: 110299


%0 Journal Article
%~ PubMed
%A Kinsman, Leigh D
%A Redfern, Julie
%A Briffa, Tom G
%T Invasive management and late clinical outcomes in contemporary Australian management of acute coronary syndromes: observations from the ACACIA registry.
%B The Medical journal of Australia
%D 2009
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 190
%N 3
%P 162; author reply 162
%@ 0025-729X
%X 
%Z FOR Codes: 110201 111709


%0 Journal Article
%A Briffa, T
%A Redfern, Julie
%T Preventing Recurrent Coronary Disease in General Practice
%B Cardiology in General Practice
%D 2009
%C Australia
%I Good Health
%V 10
%N 0
%P 12-14
%@ 1835-9833
%X 
%Z FOR Codes: 110299


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Redfern, Julie
%A Fernandez, Ritin
%A Briffa, Tom
%A Bauman, Adrian
%A Freedman, Saul Ben
%T Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review.
%B European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
%D 2009
%C United States
%I Lippincott Williams & Wilkins
%V 16
%N 3
%P 281-9
%@ 1741-8275
%X Coronary heart disease (CHD) is a leading cause of death globally. Despite proven health benefits and international recommendations, attendance at cardiac rehabilitation programs is poor. Telehealth (phone, Internet, and videoconference communication between patient and health-care provider) has emerged as an innovative way of delivering health interventions. This review aimed to determine telehealth effectiveness in CHD management. Study design includes systematic review with meta-analysis. Randomized controlled trials evaluating telehealth interventions in patients with CHD were identified by searching multiple electronic databases, reference lists, relevant conference lists, gray literature, and key-word searching of the Internet. Studies were selected if they evaluated a telephone, videoconference, or web-based intervention, provided objective measurements of mortality, changes in multiple risk factor levels or quality of life. In total, 11 trials were identified (3145 patients). Telehealth interventions were associated with nonsignificant lower all-cause mortality than controls [relative risk=0.70, 95% confidence interval (CI)=0.45-1.1; P=0.12]. These interventions showed a significantly lower weighted mean difference (WMD) at medium long-term follow-up than controls for total cholesterol (WMD=0.37 mmol/l, 95% CI=0.19-0.56, P<0.001), systolic blood pressure (WMD=4.69 mmHg, 95% CI=2.91-6.47, P<0.001), and fewer smokers (relative risk = 0.84, 95% CI=0.65-0.98, P = 0.04). Significant favorable changes at follow-up were also found in high-density lipoprotien and low-density lipoprotein. In conclusion, telehealth interventions provide effective risk factor reduction and secondary prevention. Provision of telehealth models could help increase uptake of a formal secondary prevention by those who do not access cardiac rehabilitation and narrow the current evidence-practice gap.
%Z FOR Codes: 1102


%0 Journal Article
%A Hwang, R
%A Redfern, Julie
%T A narrative review on home-based exercise training for patients with chronic heart failure
%B Physical Therapy Reviews
%D 2008
%C United Kingdom
%I Maney Publishing
%V 13
%N 
%P 227-236
%@ 1083-3196
%X 
%Z FOR Codes: 110317


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Briffa, Tom
%A Ellis, Elizabeth
%A Freedman, Saul Ben
%T Choice of secondary prevention improves risk factors after acute coronary syndrome: one year follow-up of the CHOICE (Choice of Health Options In prevention of Cardiovascular Events) randomised controlled trial.
%B Heart (British Cardiac Society)
%D 2008
%C UK
%I BMJ Publishing Group
%V 95
%N 0
%P 468-75
%@ 1355-6037
%X To determine the effect of a new CHOICE (Choice of Health Options In prevention of Cardiovascular Events) programme on cardiovascular risk factors in acute coronary syndrome (ACS) survivors.
%Z FOR Codes: 110321 110201 110321 110201


%0 Journal Article
%~ PubMed
%A Dwyer, Jeremy P
%A Redfern, Julie
%A Freedman, S Benedict
%T Low utilisation of cardiovascular risk reducing therapy in patients with acute coronary syndromes and non-obstructive coronary artery disease.
%B International journal of cardiology
%D 2008
%C Ireland
%I Elsevier Ireland Ltd
%V 129
%N 0
%P 394-8
%@ 0167-5273
%X Between 6-25% of patients undergoing coronary angiography for acute coronary syndrome (ACS) have non-obstructive coronary artery disease (NOCAD).
%Z FOR Codes: 111716


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Briffa, Tom
%A Ellis, Elizabeth
%A Freedman, Saul B
%T Patient-centered modular secondary prevention following acute coronary syndrome: a randomized controlled trial.
%B Journal of Cardiopulmonary Rehabilitation and Prevention
%D 2008
%C United States
%I Lippincott Williams and Wilkins
%V 28
%N 2
%P 107-15; quiz 116-7
%@ 1932-7501
%X PURPOSE: Cardiac rehabilitation (CR) is beneficial for those who attend, but alternative models for nonattenders need investigation. We tested the effectiveness of modular prevention on risk factors in survivors of acute coronary syndrome (ACS) not accessing CR. METHODS: We randomly allocated ACS survivors not accessing CR to a control group (n = 72) receiving conventional care or modular group (n = 72) who participated in risk factor modules on the basis of patient-centered care and collaborative goal setting to systematically lower risk factors. We also recruited a consecutive reference group of ACS survivors participating in CR (n = 64). Blinded measurements of risk factors and global risk were completed at baseline and 3 months. RESULTS: Although well matched for risk factor level and prevalence at baseline, by 3 months, the modular group had significantly reduced risk factor level in comparison with controls for most risk factors including total cholesterol (158 +/- 3.9 vs 186 +/- 3.9 mg/dL, P < .001), systolic blood pressure (133.5 +/- 2.0 vs 144.4 +/- 2.4 mm Hg, P < .01), body mass index (28.9 +/- 0.7 vs 31.0 +/- 0.7 kg/m, P = .02), and physical activity (1,187 +/- 164 vs 636 +/- 115 metabolic equivalents [METS]/kg/min, P < .01). Also at 3 months, fewer patients in the modular group smoked than in the control group (6% vs 23%, P < .01) and were in the moderate to high-risk category of the Long-Term Intervention with Pravastatin in Ischemic Disease (LIPID) score (40% vs 59%, P = .02). Although the modular group had higher risk factors at baseline, they achieved similar mean levels as the CR group at 3 months. CONCLUSIONS: Patient-centered modular prevention significantly improves coronary risk profile in comparison with conventional care and provides an effective alternative for the large numbers of ACS survivors not accessing CR.
%Z FOR Codes: 111716 110299


%0 Journal Article
%~ PubMed
%A Neubeck, Lis
%A Redfern, Julie
%A Briffa, Tom
%A Bauman, Adrian
%A Hare, David
%A Freedman, Sb
%T The CHOICE (Choice of Health Options In prevention of Cardiovascular Events) replication trial: study protocol.
%B BMC cardiovascular disorders
%D 2008
%C United Kingdom
%I BioMed Central Ltd
%V 8
%N 25
%P 1-7
%@ 1471-2261
%X ABSTRACT: BACKGROUND: Although morbidity and mortality from coronary heart disease (CHD) are high, only a minority of acute coronary syndrome (ACS) survivors accesses an effective secondary prevention program. We aim to determine whether the previously proven CHOICE program can be replicated at multiple sites and whether ongoing reinforcement further improves risk factor modification. METHODS/DESIGN: Participants eligible for but not accessing standard cardiac rehabilitation will be randomly allocated to either a previously tested 3-month CHOICE program or a 30-month CHOICE program (CHOICE-plus). Both groups will participate in individualised risk factor modules of differing duration that involve choice, goal setting and telephone follow-up for three months. CHOICE-plus will also receive additional face-to-face and telephone reinforcement between three and 30 months. At one site we will recruit a randomised control group, receiving conventional care. Primary outcomes are lipid levels, blood pressure, physical activity levels and smoking rates. Secondary outcomes include readmission rates, death, the number of risk factors, other modifiable risk factors, quality of life and process evaluation measures over three years. DISCUSSION: We present the rationale and design of a multi-centre, replication study testing a modular approach for the secondary prevention of CHD following an ACS. TRIAL REGISTRATION: [Clinical Trial Registration Number, ACTRN12608000182392].
%Z FOR Codes: 111799 110201


%0 Journal Article
%~ PubMed
%A Brady, Bernadette
%A Redfern, Julie
%A Macdougal, Graeme
%A Williams, Jan
%T The addition of aquatic therapy to rehabilitation following surgical rotator cuff repair: a feasibility study.
%B Physiotherapy research international : the journal for researchers and clinicians in physical therapy
%D 2008
%C United Kingdom
%I John Wiley & Sons, Inc
%V 13
%N 
%P 153-61
%@ 1358-2267
%X Rotator cuff tears are frequently encountered in medical outpatient settings and often require surgical repair to achieve desirable functional outcomes. However, the optimal form of post-operative rehabilitation of rotator cuff repairs remains unidentified by the research literature. The aim of this study was to determine the feasibility of implementing and investigating the effect of a combined aquatic and land-based rehabilitation programme in the post-operative rehabilitation of rotator cuff tears.
%Z FOR Codes: 110317


%0 Journal Article
%~ PubMed
%A Redfern, Julie
%A Ellis, Elizabeth R
%A Briffa, Tom
%A Freedman, S Ben
%T High risk-factor level and low risk-factor knowledge in patients not accessing cardiac rehabilitation after acute coronary syndrome.
%B The Medical journal of Australia
%D 2007
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 186
%N 1
%P 21-25
%@ 1326-5377
%X OBJECTIVE: To document the risk-factor profile and risk-factor knowledge of patients with an acute coronary syndrome (ACS) not attending standard cardiac rehabilitation. DESIGN AND SETTING: Cross-sectional comparison in a tertiary hospital. PARTICIPANTS: Patients admitted to hospital with an ACS, residing within 20 km of the hospital, and without severe comorbidity who did not access cardiac rehabilitation (NCR) were compared with a group about to commence standard cardiac rehabilitation (SCR). MAIN OUTCOME MEASURES: Risk-factor profile, knowledge of risk factors via face-to-face assessment, quality of life. RESULTS: Of the 446 patients eligible for cardiac rehabilitation, 208 attended for assessment (NCR: n = 144; SCR: n = 64). The NCR group had higher mean (+/- SEM) low-density lipoprotein (LDL) cholesterol levels (2.6 +/- 0.1 v 2.3 +/- 0.1; P = 0.02), and were more likely than the SCR group to have a total cholesterol level of > 4.0 mmol/L (78% v 53%; P < 0.001) and an LDL cholesterol level > 2.5 mmol/L (47% v 25%; P = 0.01). They were more likely than the SCR group to be physically inactive (77% v 22%; P < 0.001); obese (46% v 33%; P = 0.04); depressed (21% v 5%; P < 0.001); or current smokers (21% v 1%; P < 0.001). Compared with the SCR group, the NCR group also had higher risk scores (LIPID risk score) (4.5 v 2.1; P < 0.001); lower quality of life (Medical Outcome Short Form [SF-36] Health Survey); and significantly poorer knowledge of risk factors. Among patients with at least two modifiable cardiac risk factors, the NCR group were less likely than the SCR group to be able to state at least one risk factor (24% v 38%; P < 0.001). CONCLUSIONS: Patients not participating in cardiac rehabilitation after an ACS have more adverse risk profiles and poorer knowledge of risk factors compared with those about to commence cardiac rehabilitation. Alternate models for secondary prevention are required to improve health outcomes in patients not attending cardiac rehabilitation.
%Z FOR Codes: 111716