Feasability of Collaborative Care in the Secondary Prevention of Coronary Heart Disease
Feasability of Collaborative Care in the Secondary Prevention of Coronary Heart Disease
The main focus of the pilot study is to evaluate the feasability and effectiveness of a
 collaborative care intervention for patients suffering from a coronary heart disease (CHD)
 with insufficient controlled health related risk factors in their lifestyle. The design of
 the study is a wait list control design. 30 patients will receive treatment immediately after
 submission, the other 30 after 6 months. An interdisciplinary team, including a care manager
 for each patient, will offer an individualized treatment plan, based on shared decision
 making for each patient to reduce risk factors and improve quality of life.
The following assumptions will be evaluated:

 1. The collaborative care concept is feasable in the context of the german health care
 system and leads to greater patient satisfaction

 2. The team-based intervention leads to a decrease of cardiovascular risk factors of
 patients in the intervention group compared to participants in the waitlist condition

 3. The collaborative care intervention leads to an improvement of quality of life as well
 as mental well being of participants in the intervention group compared to participants
 of the waitlist condition
Inclusion Criteria:

 -  both sexes

 -  coronary heart disease (angiographically oder clinically approved)

 -  sufficient knowledge of the german language

 -  at least one not sufficient controlled risk factor : Diabetes mellitus (HbA1c>7,5%),
 smoking, lack of physical activity (less than 60 minutes of light physical exercise
 per week), heightened stress level (PSS-4 >5), arterial hypertension (blood pressure
 despite medication repeatedly heightened >140/90 or in a 24-hour measurement >135/85
 mmHg), hypercholesteremia (LDL >130 mg/dl)

 -  written informed consent to participate

 Exclusion Criteria:

 -  no existence of an medically approved coronary heart disease

 -  insufficient knowledge of the german language and ulterior disabilities to complete
 the questionnaires or to understand the education about the Intervention

 -  existence of a psychosis

 -  drug dependency (except tobacco)

 -  dementia

 -  severe episode of Depression

 -  current suicidal tendency

 -  cardiac insufficiency NYHA 4

 -  missing informed consent

 -  malign tumor (unless curative treated and without relapse)

 -  acute coronary syndrome or cardiosurgery within the last 3 months