Family Heart Health Program: Randomized, Controlled Trial

Inclusion criteria

• Spouse, offspring or sibling of patient hospitalized at UOHI within the past 5 years for:

• Acute coronary syndrome (ACS);
• Elective percutaneous coronary intervention (PCI); or
• Bypass surgery (CABG);
• Willing to provide informed consent;
• At least one of the following modifiable risk factors:

• Current smoker;
• Systolic blood pressure ≥ 140 and or Diastolic BP ≥ 90 and/or currently on medication to treat high blood pressure;
• Total cholesterol/HDL-cholesterol ratio ≥ 5.0 and/or on antilipemic medication;
• Abdominal obesity (for men, waist circumference > 102 cm; for women, waist circumference > 88cm);
• Physical Inactivity [<150 min mod, 5-7 d/week or <100 min vig, 4-7 d/week]
• Geographically available for assessment, intervention and follow-up.

Exclusion criteria

• Unable to understand English or French;
• History of diabetes mellitus or any atherosclerotic disease;
• Fasting glucose ≥ 7.0 mmol/L at screening;
• Presence of life threatening illness (e.g., known or suspected cancer or other disease with a life expectancy of less than five years);
• Chronic kidney disease and/or undergoing dialysis;
• Active liver disease;
• Pregnant or planning to become pregnant within the next year;
• Cognitive impairment;
• Other family member already participating in study.