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Randomised controlled trial
Tailoring and targeting interventions for women with heart disease: the need for gender-based approaches
  1. Patricia M Davidson
  1. Centre for Cardiovascular and Chronic Care, University of Technology Sydney, Sydney, New South Wales, Australia
  1. Correspondence to: Patricia M Davidson
    Centre for Cardiovascular and Chronic Care, Level 7, Building 10, Jones Street, Broadway, Sydney, NSW 2007, Australia; patriciamary.davidson{at}

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Implications for practice and research

  • Increasingly, there is recognition that women with heart disease have greater psychological morbidity than men.

  • Owing to increased rates of depression and other factors, such as older age, women are less likely to adhere to behaviour change strategies and attend cardiac rehabilitation (CR).

  • A tailored and targeted approach, using a gender-based framework and a theoretically derived behaviour change strategy, can improve depressive symptoms in women following an acute cardiac event.

  • The worth of tailoring and targeting strategies to women's readiness to change behaviours as well as the likely benefit of providing a gender-based approach to care delivery.

  • The need to replicate this study in other study settings and in women from cultural and linguistically diverse groups.

  • The importance of measuring process measures and ensuring monitoring of intervention fidelity in research.


In developed countries, coronary heart disease (CHD) contributes to death and disability among women.1 Gender is a dynamic and socially defined construct comprising role enactment, values and beliefs of men and women. Gender-based roles and health …

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  • Competing interests PMD has previously undertaken funded research on women and heart disease.