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Title: The women's heart health programme: A pilot trial of sex-specific cardiovascular management
Authors: Low, T.T
Chan, S.P 
Wai, S.H
Ang, Z
Kyu, K
Lee, K.Y
Ching, A
Comer, S 
Tan, N.Q.P 
Thong, E.G.H.E
Nang, T
Dutta, M 
Lam, C.S.P 
Keywords: hemoglobin A1c
glycosylated hemoglobin
hemoglobin A1c protein, human
high density lipoprotein
low density lipoprotein
attitude to health
blood pressure
body mass
cardiovascular disease
cardiovascular risk
controlled study
diabetes mellitus
follow up
health care need
health program
major clinical study
Malay (people)
medical care
outcome assessment
quality of life
randomized controlled trial
risk factor
self report
women's health
attitude to health
cardiovascular disease
health promotion
middle aged
patient education
pilot study
sex factor
very elderly
women's health
Aged, 80 and over
Blood Pressure
Body Mass Index
Cardiovascular Diseases
Diabetes Mellitus
Glycated Hemoglobin A
Health Knowledge, Attitudes, Practice
Health Promotion
Lipoproteins, HDL
Lipoproteins, LDL
Middle Aged
Patient Education as Topic
Pilot Projects
Quality of Life
Risk Factors
Sex Factors
Women's Health
Issue Date: 2018
Citation: Low, T.T, Chan, S.P, Wai, S.H, Ang, Z, Kyu, K, Lee, K.Y, Ching, A, Comer, S, Tan, N.Q.P, Thong, E.G.H.E, Nang, T, Dutta, M, Lam, C.S.P (2018). The women's heart health programme: A pilot trial of sex-specific cardiovascular management. BMC Women's Health 18 (1) : 56. ScholarBank@NUS Repository.
Abstract: Background: There is increasing knowledge of sex-specific differences in cardiovascular disease and recognition of sex disparities in management. In our study, we investigated whether a cardiovascular programme tailored to the specific needs of women could lead to improved outcomes. Methods: We randomised 100 female patients to receive cardiology follow-up with the conventional sex-neutral cardiac programme (control), or the sex-tailored Women's Heart Health Programme (intervention). The intervention group was managed by an all-women multidisciplinary team and received culture-centred health intervention workshops, designed through in-depth interviews with the participants. The primary outcome was cardiovascular risk factor improvement at 1 year. Secondary outcomes include cardiovascular event rates, quality of life scores, and self-reported improvement in knowledge, attitudes, intentions and practices. Generalised structural equation model analysis was used to determine if the intervention group had better outcomes at alpha level 0.1. Results: The mean age was 67.3 ± 12.7 years, with an ethnic distribution of 70% Chinese, 18% Malays, and 12% Indians. The majority of these patients had no formal or primary level of education (63%), and were mostly unemployed (78%). Patients in intervention group had better control of diabetes mellitus (lower HbA1c of 0.63% [CI 0.21-1.04], p = 0.015) and lower body-mass-index (0.74 kg/m2 [CI 0.02-1.46], p = 0.092) at 1 year, but there was no significant difference in blood pressure or lipid control. Overall, there was a trend towards better risk factor control, 31.6% of intervention group versus 26.5% of control group achieved improvement in at least 1 CV risk factor control to target range. There was no significant difference in incidence of cardiovascular events, quality of life, or domains in knowledge, attitudes, intention and practices. Conclusion: This pilot study is the first of its kind evaluating a new model of care for women with heart disease. The potential to improve outcomes needs to be studied in a larger trial with longer follow up. © 2018 The Author(s).
Source Title: BMC Women's Health
ISSN: 1472-6874
DOI: 10.1186/s12905-018-0548-6
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