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Randomized controlled trial of a lay-facilitated angina management programme
AIMS: This article reports a randomized controlled trial of lay-facilitated angina management (registered trial acronym: LAMP). BACKGROUND: Previously, a nurse-facilitated angina programme was shown to reduce angina while increasing physical activity, however most people with angina do not receive a...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491702/ https://www.ncbi.nlm.nih.gov/pubmed/22229483 http://dx.doi.org/10.1111/j.1365-2648.2011.05920.x |
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author | Furze, Gill Cox, Helen Morton, Veronica Chuang, Ling-Hsiang Lewin, Robert JP Nelson, Pauline Carty, Richard Norris, Heather Patel, Nicky Elton, Peter |
author_facet | Furze, Gill Cox, Helen Morton, Veronica Chuang, Ling-Hsiang Lewin, Robert JP Nelson, Pauline Carty, Richard Norris, Heather Patel, Nicky Elton, Peter |
author_sort | Furze, Gill |
collection | PubMed |
description | AIMS: This article reports a randomized controlled trial of lay-facilitated angina management (registered trial acronym: LAMP). BACKGROUND: Previously, a nurse-facilitated angina programme was shown to reduce angina while increasing physical activity, however most people with angina do not receive a cardiac rehabilitation or self-management programme. Lay people are increasingly being trained to facilitate self-management programmes. DESIGN: A randomized controlled trial comparing a lay-facilitated angina management programme with routine care from an angina nurse specialist. METHODS: Participants with new stable angina were randomized to the angina management programme (intervention: 70 participants) or advice from an angina nurse specialist (control: 72 participants). Primary outcome was angina frequency at 6 months; secondary outcomes at 3 and 6 months included: risk factors, physical functioning, anxiety, depression, angina misconceptions and cost utility. Follow-up was complete in March 2009. Analysis was by intention-to-treat; blind to group allocation. RESULTS: There was no important difference in angina frequency at 6 months. Secondary outcomes, assessed by either linear or logistic regression models, demonstrated important differences favouring the intervention group, at 3 months for: Anxiety, angina misconceptions and for exercise report; and at 6 months for: Anxiety; Depression; and angina misconceptions. The intervention was considered cost-effective. CONCLUSION: The angina management programme produced some superior benefits when compared to advice from a specialist nurse. |
format | Online Article Text |
id | pubmed-3491702 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-34917022012-11-09 Randomized controlled trial of a lay-facilitated angina management programme Furze, Gill Cox, Helen Morton, Veronica Chuang, Ling-Hsiang Lewin, Robert JP Nelson, Pauline Carty, Richard Norris, Heather Patel, Nicky Elton, Peter J Adv Nurs Research Papers AIMS: This article reports a randomized controlled trial of lay-facilitated angina management (registered trial acronym: LAMP). BACKGROUND: Previously, a nurse-facilitated angina programme was shown to reduce angina while increasing physical activity, however most people with angina do not receive a cardiac rehabilitation or self-management programme. Lay people are increasingly being trained to facilitate self-management programmes. DESIGN: A randomized controlled trial comparing a lay-facilitated angina management programme with routine care from an angina nurse specialist. METHODS: Participants with new stable angina were randomized to the angina management programme (intervention: 70 participants) or advice from an angina nurse specialist (control: 72 participants). Primary outcome was angina frequency at 6 months; secondary outcomes at 3 and 6 months included: risk factors, physical functioning, anxiety, depression, angina misconceptions and cost utility. Follow-up was complete in March 2009. Analysis was by intention-to-treat; blind to group allocation. RESULTS: There was no important difference in angina frequency at 6 months. Secondary outcomes, assessed by either linear or logistic regression models, demonstrated important differences favouring the intervention group, at 3 months for: Anxiety, angina misconceptions and for exercise report; and at 6 months for: Anxiety; Depression; and angina misconceptions. The intervention was considered cost-effective. CONCLUSION: The angina management programme produced some superior benefits when compared to advice from a specialist nurse. Blackwell Publishing Ltd 2012-10 /pmc/articles/PMC3491702/ /pubmed/22229483 http://dx.doi.org/10.1111/j.1365-2648.2011.05920.x Text en © 2012 Blackwell Publishing Ltd http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation. |
spellingShingle | Research Papers Furze, Gill Cox, Helen Morton, Veronica Chuang, Ling-Hsiang Lewin, Robert JP Nelson, Pauline Carty, Richard Norris, Heather Patel, Nicky Elton, Peter Randomized controlled trial of a lay-facilitated angina management programme |
title | Randomized controlled trial of a lay-facilitated angina management programme |
title_full | Randomized controlled trial of a lay-facilitated angina management programme |
title_fullStr | Randomized controlled trial of a lay-facilitated angina management programme |
title_full_unstemmed | Randomized controlled trial of a lay-facilitated angina management programme |
title_short | Randomized controlled trial of a lay-facilitated angina management programme |
title_sort | randomized controlled trial of a lay-facilitated angina management programme |
topic | Research Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491702/ https://www.ncbi.nlm.nih.gov/pubmed/22229483 http://dx.doi.org/10.1111/j.1365-2648.2011.05920.x |
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