Methods	Cluster randomised multi-centre study (hospitals in and around Newcatle, Australia); F/U of 6 months
Participants	N=450 (EX n=213; CON n=237) 71% male Mean age: EX = 59 +/− 8, CON = 58 +/− 8 years Diagnosis: Ethnicity: NR Inclusion: <70 years with a suspected heart attack registered by the Newcastle collaborating centre of the WHO MONICA Project and discharged alive from hospital Exclusion: renal failure or other special dietary requirements and those considered by their physicians to have ‘endstage’ heart disease
Interventions	Exercise group: 3 packages to participant - 1st package: Step 1“Facts on fat” kit, together with walking programmme information (also (encouragement to walk in the form of a magnetic reminder sticker), and “Quit for Life” program for smokers. 2nd package: Step 2-3 “Facts on fat” kit; exercise log. 3rd package: Step 4-5 “Facts on fat” kit, together with information regarding local “Walking for Pleasure” groups Control group: usual care
Outcomes	Total mortality, health-related quality of life: QLMI Study outcomes assessed at 6 months
Notes	Low use of preventative services (dietary, anti smoking) by both groups. 10% of patients received rehab - mostly having had CABG.
Risk of bias
Bias	Authors’ judgement	Support for judgement
Random sequence generation (selection bias)	Unclear risk	Cluster randomisation by GP.
Allocation concealment (selection bias)	Unclear risk	Not reported.
Blinding (performance bias and detection bias) All outcomes	Unclear risk	Unclear in terms of assessment of outcomes.
Incomplete outcome data (attrition bias) All outcomes	High risk	17% lost to follow up, no description of withdrawals or dropouts
Selective reporting (reporting bias)	Unclear risk	No information reported.