Determinants of Cardiac Risk Factor Modification in Latinos With Coronary Artery Disease



Status:Completed
Conditions:Peripheral Vascular Disease, Cardiology
Therapuetic Areas:Cardiology / Vascular Diseases
Healthy:No
Age Range:18 - Any
Updated:4/2/2016
Start Date:August 2004
End Date:August 2009
Contact:Carla Boutin-Foster, MD
Email:cboutin@med.cornell.edu
Phone:212-746-1607

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Determinants of Cardiac Risk Factors Modification

This is an observational study among Latino patients who have coronary artery disease. The
goal of the study is to determine the association between having depressive symptoms and the
ability to modify one's health behavior. Specifically, participate in physical activity.

Specific aims: Among 213 Latino adult patients who have had coronary artery angioplasty
within the past month, the specific aims of the proposed study are:

1. To determine whether patients who have more depressive symptoms at the time of
angioplasty are less likely to be active in physical activity at two years. Physical
activity will be measured by a survey that asks patients to describe their activities
including leisure activities or housework.

2. To determine whether lower perceived social support, lower self-efficacy for engaging
in physical activity, and greater perceived stress mediate the effects of depressive
symptoms on participation in physical activity.

Long-term objectives: The long-term objective of this study is to use these data to develop
a culturally tailored intervention to increase participation in physical activity and
ultimately improve the overall health and well being of Latino adults with coronary artery
disease.

Outcome: The outcome is being in the action or maintenance stage of physical activity two
years after angioplasty The stage of physical activity participation will be based on the
Stages of Change model. This model describes behavior change as a continuum from
pre-contemplation to contemplation.

Inclusion Criteria

- Patients must identify their ethnicity as Latino or Hispanic

- Patients must be able to complete a questionnaire in either English or Spanish.

- Patients must have angiographic evidence of coronary artery disease requiring
angioplasty

- Patients must also be clinically stable for an interview

- Patient must be able to provide informed consent.

Exclusion criteria

- Patients who are not clinically stable such as those who had cardiac arrest, who are
intubated, who have active psychosis, or who are cognitively impaired.

- Patients who are unable to provide consent.
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