Reducing Cardiovascular Risk in Spouses of Cardiac Patients: A Randomized Controlled Trial

Bernice C. Yates, Sheri Rowland, Kerry Mancuso, Kevin A. Kupzyk, Joseph F. Norman, Scott Shurmur, Karen Tesina

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Few studies have examined risk-reducing interventions in spouses of coronary artery bypass patients. This study examined the effects of the Partners Together in Health (PaTH) intervention versus usual care on cardiovascular risk factors. Spouses in the experimental group (n = 17/group) attended cardiac rehabilitation with patients and made the same physical activity and healthy eating changes as patients. Spouses in the usual care group attended educational classes with patients. Spouses’ 30-year cardiovascular risk was calculated using the Lifetime Risk Scale before and after cardiac rehabilitation (3 months), and at 6 months. Spouses in both groups significantly reduced 30-year risk scores at 3 and 6 months. Exercise was the key ingredient in lowering risk. There was a trend toward reduction in systolic blood pressure and an increase in high-density lipoprotein cholesterol in both groups. Although there were no group differences, having spouses participate in cardiac rehabilitation with the patient was effective for reducing spouses’ cardiovascular risk.

Original languageEnglish (US)
Pages (from-to)85-102
Number of pages18
JournalWestern journal of nursing research
Issue number1
StatePublished - Jan 28 2015


  • cardiac rehabilitation
  • coronary heart disease
  • couple-focused intervention
  • exercise
  • risk factors

ASJC Scopus subject areas

  • Nursing(all)


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