In addition to participating in exercise training, patients received education on cardiovascular disease (CVD), coronary risk factors, and lifestyle modification with the use of the INTERxVENT program.11 Patient education was provided during cardiac rehabilitation sessions and included the use of written materials, audio compact disks (nutrition, physical activity and exercise, stress management, prevention, and health promotion), group education, and one-on-one counseling. On initiation of the cardiac rehabilitation program, patients were provided a computer-generated report outlining their current coronary risk factors, the goal level for each risk factor based on national guidelines (Table 3
),,4,13–19 and an individualized lifestyle management action plan for achieving these goals, based on several behavior change models (ie, social learning theory, stages of change, and single-concept learning theory). The action plan focused on lifestyle modification, but also identified the need for prescribed medications and/or medication changes to optimize coronary risk factor management in accordance with national guidelines. Based on the recommendations in each patient’s action plan, patients were referred to their personal physicians for consideration of medication changes.