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Randomized controlled trial of a lay-facilitated angina management programme
Article first published online: 10 JAN 2012
© 2012 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 68, Issue 10, pages 2267–2279, October 2012
How to Cite
Furze, G., Cox, H., Morton, V., Chuang, L.-H., Lewin, R. J.P., Nelson, P., Carty, R., Norris, H., Patel, N. and Elton, P. (2012), Randomized controlled trial of a lay-facilitated angina management programme. Journal of Advanced Nursing, 68: 2267–2279. doi: 10.1111/j.1365-2648.2011.05920.x
- Issue published online: 6 SEP 2012
- Article first published online: 10 JAN 2012
- Accepted for publication 28 November 2011
- angina nurses;
- cardiac rehabilitation;
- lay-led care;
- randomized controlled trial;
- stable angina
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.