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- Hofman-Bang, Claes, et al.
(författare)
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Two year results of a controlled study of a residential rehabilitation for patients treated with percutaneous transluminal coronary angioplasty : A randomized study of a multifactorial programme
- 1999
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Ingår i: European Heart Journal. - : Oxford University Press (OUP). - 0195-668X .- 1522-9645. ; 20:20, s. 1465-1474
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Tidskriftsartikel (refereegranskat)abstract
- Aims In a multifactorial lifestyle behaviour programme, of 2 years duration, to study the maintenance of achieved behaviour and risk factor-related changes. Methods and Results Out of a consecutive population of 151 patients treated with percutaneous transluminal angioplasty under 65 years of age, 87 were randomly allocated to an intervention group (n=46) or to a control group (n=41). The programme started with a 4 week residential stay, which was focused on health education and the achievement of behaviour change. During the first year of follow-up, a maintenance programme included regular contacts with a nurse, while no further rehabilitative efforts were offered during the second year. One patient died (control). During the second year the proportion of hospitalized patients was lower in the intervention group (4% vs 20%;P<0·05). Patients in the intervention group improved several lifestyle dependent behaviours: diet (index at 0, 12 and 24 months): 10·5±3·4, 12·9±2·5 and 12·4±2·6 in the intervention group (I) vs 10·1±3·2, 10·7±3·0 and 11·8±3·2 in the control group (C);P<0·05, exercise sessions per week: 2·5±2·3, 4·5±1·9 and 4·4±2·1 (I) vs 3·1±2·2, 3·5±2·3 and 3·7±2·7 (C);P<0·05, and smoking; 18%, 6% and 9% (I) vs 12%, 21% and 18% (C);P<0·05. This corresponded to improvement in exercise capacity (0, 12 and 24 months): 156±42, 174±49 and 165±47W (I) vs 164±40, 163±49 and 156±48 watts (C);P<0·05. There were no significant differences between the two groups with regard to serum cholesterol levels at 0 and 24 months: 5·4±0·8 and 5·2±0·9mmol.l–1(I) vs 5·4±1·0 and 4·9±0·9mmol.l–1(C); ns, low density lipoprotein cholesterol level: 3·6±0·8 and 3·4±0·8mmol.l–1(I) vs 3·7±0·9 and 3·3±0·7mmol.l–1(C); ns, triglyceride level: 2·2±1·6 and 1·8±1·3mmol.l–1(I) vs 2·2±1·4 and 1·6±0·6mmol.l–1(C); ns, body mass index (0, 12 and 24 months): 27·5±4·5, 27·0±4·3 and 27·4± 4·5kg.m–2(I) vs 26·8±2·8, 26·9±2·7 and 26·9± 3·2kg.m–2(C); ns, waist/hip ratio or blood pressure. The two groups did not differ in quality of life, or psychological factors. Return to work after 12 and 24 months was 74% and 78% (I) vs 68% and 61% (C); ns. Conclusion This rehabilitation programme influenced important lifestyle behaviour and reduced some, but not all, important risk factors Key Words: Rehabilitation, risk factors
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| 2. |
- Lisspers, Jan, et al.
(författare)
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Behavioral effects of a comprehensive, multifactorial program for lifestyle change after percutaneous transluminal coronary angioplasty : A prospective, randomized, controlled study
- 1999
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Ingår i: Journal of Psychosomatic Research. - 0022-3999. ; 46:2, s. 143-154
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Tidskriftsartikel (refereegranskat)abstract
- A group of 93 coronary patients recently treated with percutaneous transluminal coronary angioplasty (PTCA) were randomly assigned to either an intervention or a control group. Subjects in the intervention group participated in a comprehensive behaviorally oriented program aimed at achieving significant long-term changes in risk factor–related lifestyle behavior. Assessments of lifestyle behaviors, psychological factors, biological risk factors, and rehabilitation as well as secondary prevention endpoints were carried out, at inclusion and after 12 months. Results showed that the intervention patients, as compared with controls, improved significantly on measures assessing smoking, exercise, and diet habits. These self-rated changes were confirmed by weight reductions and improved exercise capacity, as well as by between-group differences in subclinical chest pain during an exercise test. However, few effects were found on the different psychological variables, as well as on morbidity or return to work.
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| 3. |
- Lisspers, Jan, et al.
(författare)
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BVP-biofeedback in the treatment of migraine: The effects of constriction and dilatation during different phases of the migraine attack
- 1990
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Ingår i: Behavior modification. - : SAGE Publications. - 0145-4455 .- 1552-4167. ; 14:2, s. 200-221
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Tidskriftsartikel (refereegranskat)abstract
- Biofeedback training for self-regulation of blood-volume pulse ("BVP") amplitude of the temporal arteries has been used previously with good results in treatment of migraine headaches. In the present study, 23 subjects were randomly assigned to one of three groups and given (a) biofeedback training in temporal artery constriction and instructions to apply these skills during headaches; (b) the same training and instructions to apply the skills between headaches, during stress periods, and (c) biofeedback training to dilate the temporal arteries, and instructions to use these skills during stress periods. Clinically meaningful headache reductions were achieved and maintained at follow-up. Furthermore, results indicated that voluntary temporal artery dilatation also leads to headache reductions, and that there is a connection between levels of achieved self-regulation sldll and the clinical effects.
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| 4. |
- Lisspers, Jan, et al.
(författare)
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Clinical effects of biofeedback treatment in migraine: The relation to achieved self-control and pretreatment predictors
- 1992
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Ingår i: Scandinavian Journal of Behaviour Therapy. - 0284-5717. ; 21:4, s. 171-190
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Tidskriftsartikel (refereegranskat)abstract
- Three studies involving a total of 63 Ss (aged 23-59 yrs) examined factors contributing to headache reduction 6 mo after treatment. Ss were migraine sufferers who had originally been treated with either peripheral skin temperature biofeedback, biofeedback for blood-volume-pulse amplitude of the temporal artery, or applied relaxation. In Study 1, biofeedback Ss who had achieved self-control of the trained physiological parameter had greater headache reductions than "nonlearners." In Studies 2 and 3, potential predicting factors of clinical effects were studied. Age and whether Ss had achieved self-control emerged as weak predictors. Using partial least squares projections to latent structures, a model emerged which gave a more complex picture and which might indicate that there are different sets of factors which predict success and nonsuccess in treatment .
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| 5. |
- Lisspers, Jan, et al.
(författare)
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Hospital Anxiety and Depression Scale (HAD) : some psychometric data for a Swedish sample
- 1997
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Ingår i: Acta Psychiatrica Scandinavica. - : Wiley. - 0001-690X .- 1600-0447. ; 96:4, s. 281-286
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Tidskriftsartikel (refereegranskat)abstract
- Examined the factor structure of the Hospital Anxiety and Depression Scale (HAD) using data from 624 male vs female Swedish adults (aged 30-39 vs 40-49 vs 50-59 yrs), and compared the HAD with the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). A secondary aim was to examine the factor structure of the HAD. Results indicate that the factor structure was quite strong, consistently showing 2 factors in the whole sample as well as in the different subsamples. The correlations between the total HAD scale and the BDI and the STAI, respectively, were stronger than those obtained using the different subscales of the HAD (the anxiety and depression subscales). As expected, there was also a stronger correlation between the HAD and the nonphysical items of the BDI. It was somewhat surprising that the factor analyses were consistently extracting 2 factors, "depression" and "anxiety", while on the other hand both the BDI and the STAI tended to correlate more strongly with the total HAD score than with the specific depression and anxiety HAD subscales. Nevertheless, the HAD appeared to be a useful clinical indicator of the possibility of depression and clinical anxiety.
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| 6. |
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| 7. |
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| 8. |
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| 9. |
- Lisspers, Jan, et al.
(författare)
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Long-term follow-up of migraine treatment: Do the effects remain up to six years?
- 1990
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Ingår i: Behaviour Research and Therapy. - 0005-7967 .- 1873-622X. ; 28, s. 313-322
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Tidskriftsartikel (refereegranskat)abstract
- Fifty migraine subjects (constituting 79% of the originally treated sample) participated in a follow-up study to 6 yr after the end of treatment. Subjects had been treated with different forms of biofeedback methods (skin temperature, BVP of the temporal artery) and applied relaxation training. The assessment included 4 weeks of continuous self-monitoring of headache activity and medication usage, as well as a retrospective self-rating scale. The main results indicated that, on a group basis, headache reductions achieved at the end of treatment persisted for up to 6 yr, and were indeed enhanced during the follow-up period.
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| 10. |
- Lisspers, Jan, et al.
(författare)
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Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease
- 1999
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Ingår i: Scandinavian Cardiovascular Journal. - : Informa UK Limited. - 1401-7431 .- 1651-2006. ; 33:1, s. 9-16
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Tidskriftsartikel (refereegranskat)abstract
- A comprehensive, multifactorial lifestyle behavior change program was developed for rehabilitation and secondary prevention of subjects with coronary artery disease. The purpose of the present report is to describe this intervention model and to analyze results achieved in a first group of consecutive participants. Main inclusion criteria for the 292 subjects were a recent history of acute myocardial infarction, coronary artery bypass surgery, or percutaneous transluminal coronary angioplasty. The program commenced with a 4-week residential stay, with the focus on health education and the achievement of behavior change in major lifestyle areas. During the year of follow-up a systematic maintenance program included regular contact with a nurse. Morbidity and mortality was low. Self-reported quality of life improved and there were significant improvements in blood lipids, exercise capacity and body mass index. There were also significant changes both in psychological variables such as Type A behavior, anger, hostility, and in major lifestyle areas such as stress reactions, diet, exercise and smoking. These changes compared favorably with data from relevant samples from the Swedish normal population. This program had a considerable effect on a number of important factors for rehabilitation and secondary prevention of coronary artery disease.
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