Randomized controlled trial of a lay-facilitated angina management programme |
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| Authors: | Furze Gill Cox Helen Morton Veronica Chuang Ling-Hsiang Lewin Robert J P Nelson Pauline Carty Richard Norris Heather Patel Nicky Elton Peter |
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| Affiliation: | Gill Furze PhD RN Professor in Adult Nursing and Healthcare Faculty of Health and Life Sciences, Coventry University, UK Helen Cox MSc Research Fellow York Trials Unit, Department of Health Sciences, University of York, UK Veronica Morton MSc Statistician Department of Health Sciences, University of York, UK Ling-Hsiang Chuang PhD Health Economist Department of Health Sciences, University of York, UK Robert J.P. Lewin MPhil Cpsychol Professor of Rehabilitation British Heart Foundation Care and Education Research Unit, University of York, UK Pauline Nelson PhD Research Associate School of Community Based Medicine, University of Manchester, UK Richard Carty MSc RN Angina Nurse Specialist Pennine Acute NHS Trust, UK Heather Norris BA RN Community Cardiac Nurse NHS Bury, UK Nicky Patel MA RN Manager Cardiac Services NHS Bury, UK Peter Elton MBChB MFCM Director of Public Health NHS Bury, UK. |
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| Abstract: | 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. ABSTRACT: 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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| Keywords: | angina nurses cardiac rehabilitation lay‐led care randomized controlled trial self‐management stable angina |
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