Despite medical intervention many patients with chronic illness
remain functionally limited and psychologically distressed. As a
result, many lose productive years of life and become frequent
consumers of medical services. A notable increase in the number of
people living with heart disease has stimulated the development of
various approaches to rehabilitating these patients. With limited
resources at our disposal it has been suggested that home-based
rehabilitation may be useful, particularly where goal setting,
exercise and cognitive-behavioural methods are employed. As most
rehabilitation programmes tend to combine these methods it remains
difficult to distinguish those aspects that provide benefit from
those that do not. Within this context the author provides a
wide-ranging and critical view of the evidence influencing the form
and structure of modern cardiac rehabilitation. The book then
reports a 2x2 factorial trial which was used to disassemble and
evaluate the cost-effectiveness and safety profile of a Self-help
rehabilitation programme (The Angina Plan) to promote exercise and
psychological adjustment in stable angina.
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