Randomized controlled trial of a lay‐facilitated angina management programme
Open accessAbstract
furze g., cox h., morton v., chuang l.‐h., lewin r.j.p., nelson p., carty r., norris h., patel n. & elton p. (2012) Randomized controlled trial of a lay‐facilitated angina management programme. Journal of Advanced Nursing68(10), 2267–2279. 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.
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Nineteen studies were ex-post economic evaluations; of those, 17 were cost-effectiveness analyses.
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- Authors
- Furze, G., Cox, H., Morton, V., Chuang, L., Lewin, R. J. P., Nelson, P., Carty, R., Norris, H., Patel, N., & Elton, P.
- Affiliations
- Coventry University (GB)
- University of York (GB)
- British Heart Foundation (GB)
- University of Manchester (GB)
- Pennine Acute Hospitals NHS Trust (GB)
- Corresponding author
- Furze, Gill
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2012-01-10
- Volume
- 68
- Issue
- 10
- Pages
- 2267-2279
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- PMC
- PMC3491702
- OpenAlex
- W1798457041
- Cited by
- 31
- References
- 46
- Citations by year
- 2023: 9 · 2022: 2 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure (Coventry University) (submittedVersion, other-oa)
- Coventry University Open Collections (Coventry university) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- The Open Collections (Coventry University) (submittedVersion)
- Funders
- British Heart Foundation (PG05/048)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Social Sciences › Education › Health Education and Validation
- Keywords
- stable angina, angina frequency, anxiety, depression, physical activity, cost-effectiveness, cardiac rehabilitation
- MeSH terms
- Adult, Aged, Angina Pectoris, Community Health Workers, Cost-Benefit Analysis, England, Female, Humans, Male, Middle Aged, Nurse Clinicians, Patient Care Management, Prospective Studies, Regression Analysis, Self Care, Social Support, Single-Blind Method, Treatment Outcome
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