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J de Vreugd, MMW van Boekel, G Lamboo, Th van Elderen Clinical and Health psychology Background: In a recent meta-analyses on the effects of health education and stressmanagement programmes for coronary heart patients v.Elderen 1999 ; positive effects were found concerning mortality, morbidity, risk-factors and lifestyles. No effect were found, however, on quality of life variables. In a previous research project funded by the Netherlands Heart Foundation we found neither positive effects on quality of life variables, nor on smoking cessation and physical exercise. There were positive effects on eating habits . On an international level several suggestions are made to improve the effectiveness of cardiac rehabilitation services: 1. More training for health professionals offering the programmes; 2. Screening for `high-risk' patients; 3. A focus on personal goals of the patients. Hypothesis: Improvements mentioned will lead to positive effects of health education and stress management programmes on quality of life variables and healthy lifestyles. Study objectives: Evaluation of the effects of improved health-education and stressmanagement-programmes for high-risk coronary patients on quality of life and lifestyles. Methods: In a randomised pre-test post-test control group design, on the basis of high-risk scores on quality of life variables and or lifestyles, patients will be selected for the experimental condition N 90 ; standard cardiac care, physical training, health education and psycho-educational prevention programs ; or for the control condition N 90 ; standard cardiac care and physical training ; . Expected results: Incremental effects in the experimental condition on quality of life and life-style variables, for example, affect ceoexa side.
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