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Barriers to Coronary Heart Disease Risk Modification in Women without Prior History of Coronary Heart Disease


  • Joanne L. Thanavaro ND, APRN-BC

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      Joanne L. Thanavaro, ND, APRN-BC, is an Adult Nurse Practitioner in private practice and an Associate Professor of Nursing at Barnes-Jewish College of Nursing and Allied Health, Washington University, St. Louis, MO 63110.

Contact Dr. Thanavaro by e-mail at



To explore the extent to which women perceive barriers to coronary heart disease (CHD) risk modification and to determine if access to a nurse practitioner (NP) decreases perceived barriers to CHD risk modification.

Data sources

Surveys completed by 120 women between the ages of 35 and 60 years, with no known history of CHD. The barriers scale was used to examine women's perceived barriers to CHD risk modification.


Women with access to an NP had less perceived barriers to CHD risk modification.

Implications for practice

NPs are ideally suited to decrease the mortality and morbidity associated with CHD through education strategies and attention to individual barriers women face when attempting to incorporate CHD risk factor modification into their lifestyles.