Pain Clinical Trial
Official title:
Assessing Pain as a Mediator of Behavior Change in Post-coronary Angioplasty Patients
The focus of this secondary data analysis is to determine whether pain due to a combination of both cardiac and non cardiac sources operates as a mediator of behavior change, an area that has not been previously evaluated.
This is a secondary data analysis of an existing dataset generated from The Healthy Behavior
Trial, an NHLBI-funded randomized controlled trial that enrolled 660 post-coronary
angioplasty patients between October 1999 and March 2001. This study employed a behavioral
intervention to motivate PCI patients to adopt health behaviors in order to reduce major
cardiac and neurologic morbidity and mortality. Patients in the experimental arm were told
their estimated biologic age (calculated from the health risk assessment) and risk factors
were presented in terms of "biologic age reduction" that could be achieved if a change was
made in each health behavior area. Those in the control arm were provided with risk factors
(also obtained from the health risk assessment) and told that changing each health behavior
could "increase your lifespan."
Specific Aims:
Utilizing 12 month longitudinal data for patients with cardiovascular disease who have
undergone coronary angioplasty we will:
Specific aim 1: Determine if pain is a mediator of health behavior change over 12 months.
Specific aim 2: Assess behavior change patterns over 12 months, stratifying for degree of
pain, depression and/or stress.
Specific aim 3: Evaluate the effect of pain on quality of life (physical, social,
role-physical, role-emotional, vitality, mental health, bodily pain and general health
domains), combined major cardiac and neurologic morbidity/mortality and hospitalizations
over 12 months.
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Observational Model: Cohort, Time Perspective: Retrospective
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