Randomized controlled trial of a lay-facilitated angina management programme

Gill Furze; Helen Cox; Veronica Dale; Ling-Hsiang Chuang; Robert J P Lewin; Pauline Nelson; Richard Carty; Heather Norris; Nicky Patel; Peter Elton

doi:10.1111/j.1365-2648.2011.05920.x

Randomized controlled trial of a lay-facilitated angina management programme

Gill Furze, Helen Cox, Veronica Dale, Ling-Hsiang Chuang, Robert J P Lewin, Pauline Nelson, Richard Carty, Heather Norris, Nicky Patel, Peter Elton

Health Sciences

Research output: Contribution to journal › Article › peer-review

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 Nursing00(0), 000-000. doi: 10.1111/j.1365-2648.2011.05920.x 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.

Original language	English
Pages (from-to)	2267-2279
Number of pages	13
Journal	Journal of Advanced Nursing
Volume	68
Issue number	10
DOIs	https://doi.org/10.1111/j.1365-2648.2011.05920.x
Publication status	Published - Oct 2012

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10.1111/j.1365-2648.2011.05920.x

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2011.05920.x/abstract

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@article{dc06694600c04e01b22abe5b6022e4bc,

title = "Randomized controlled trial of a lay-facilitated angina management programme",

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 Nursing00(0), 000-000. doi: 10.1111/j.1365-2648.2011.05920.x 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.",

author = "Gill Furze and Helen Cox and Veronica Dale and Ling-Hsiang Chuang and Lewin, {Robert J P} and Pauline Nelson and Richard Carty and Heather Norris and Nicky Patel and Peter Elton",

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year = "2012",

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doi = "10.1111/j.1365-2648.2011.05920.x",

language = "English",

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AU - Furze, Gill

AU - Cox, Helen

AU - Dale, Veronica

AU - Chuang, Ling-Hsiang

AU - Lewin, Robert J P

AU - Nelson, Pauline

AU - Carty, Richard

AU - Norris, Heather

AU - Patel, Nicky

AU - Elton, Peter

PY - 2012/10

Y1 - 2012/10

N2 - 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 Nursing00(0), 000-000. doi: 10.1111/j.1365-2648.2011.05920.x 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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DO - 10.1111/j.1365-2648.2011.05920.x

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JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

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ER -

Randomized controlled trial of a lay-facilitated angina management programme

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