Abstract

This application is aimed at evaluating different health education approaches to improve the health-related quality of life and health care utilization of older women with heart disease. Approximately 1,100 women, who are 60 to 80 years old and have coronary heart disease, will be randomized to one of four treatment conditions: 1) usual care control, 2) group-based health education, 3) self-directed education via mail and phone contacts, or 4) a choice of either the self-directed or group program. The programs will be evaluated at 3, 12, and 18 months. The primary outcomes of interest are physical and psychological functioning, frequency and severity of symptoms, and health care utilization. It is hypothesized that both the self-directed and group health education formats will result in better long-term outcomes than usual care, and that the best outcomes will be observed when women are given a choice between either of the formats.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL058611-04
Application #
6183975
Study Section
Special Emphasis Panel (ZHL1-CCT-I (M2))
Project Start
1997-08-01
Project End
2002-07-31
Budget Start
2000-08-01
Budget End
2001-07-31
Support Year
4
Fiscal Year
2000
Total Cost
$649,096
Indirect Cost

  Institution

Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
791277940
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109

  Publications

Clark, Noreen M; Janz, Nancy K; Dodge, Julia A et al. (2014) Heart disease management by women: does intervention format matter? Health Educ Behav 41:518-27
Janevic, Mary R; Janz, Nancy K; Connell, Cathleen M et al. (2011) Progression of symptoms and functioning among female cardiac patients with and without diabetes. J Womens Health (Larchmt) 20:107-15
Pan, Wenqin; Zeng, Donglin; Lin, Xihong (2009) Estimation in semiparametric transition measurement error models for longitudinal data. Biometrics 65:728-36
Clark, Noreen M; Janz, Nancy K; Dodge, Julia A et al. (2009) Heart disease management by women: does intervention format matter? Health Educ Behav 36:394-409
Clark, Noreen M; Janz, Nancy K; Dodge, Julia A et al. (2008) The effect of patient choice of intervention on health outcomes. Contemp Clin Trials 29:679-86
Janz, Nancy K; Dodge, Julia A; Janevic, Mary R et al. (2004) Understanding and reducing stress and psychological distress in older women with heart disease. J Women Aging 16:19-38
Janevic, Mary R; Janz, Nancy K; Dodge, Julia A et al. (2003) The role of choice in health education intervention trials: a review and case study. Soc Sci Med 56:1581-94