Does patient education for cardiac rehabilitation patients affect mortality (all-cause or CV-related), cardiovascular morbidity, revascularization, or hospitalization?

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•    DynaMed.  Coronary Artery Disease.  Use the navigation pane on the left side of the page to select Treatment>Counseling.  Cites this systematic review.

Cochrane Database Syst Rev. 2011 Dec 7;(12):CD008895.  Brown JP, et al.  Patient education in the management of coronary heart disease.

Reviews 13 RCTs of educational interventions in over 68,000 CAD patients.  Interventions used various methods.  Results for effect on health-related quality of life were inconsistent.  No statistically significant evidence for reduction of mortality, cardiac morbidity, revascularization, or hospitalization.  Educational interventions varied in format.  See the review for descriptions of individual interventions.

•    Joanna Briggs JBI+Connect.  Cardiac Rehabilitation: Interventions

JBI also cites the Brown (2011) review above, as well as:

Kummel M, et al. Effects of an intervention on health behaviors of older coronary artery bypass (CAB) patients. Arch Gerontol Geriatr. 2008; 46 (2): 227-44
RCT of 117 patients randomized to usual care or an intervention consisting of multiple sessions of health counseling, guidance, and adjustment education.  Intervention positively impacted physical activity and functional abilities.  No evaluation of effect on mortality or morbidity.

Reviewed by John Nemeth 4/14

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