Evidence map›Paper›PMID 19243778›Full record

Trial reportInternational journal of nursing studies2009

The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: a randomized controlled trial.

Sharon McKinley, Kathleen Dracup, Debra K Moser, Barbara Riegel, Lynn V Doering, Hendrika Meischke, Leanne M Aitken, Tom Buckley, Andrea Marshall, Michele Pelter

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of nursing studies, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Health-Promoting Lifestyle among People Without Heart Disease in Isfahan.International journal of preventive medicine · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Factors associated with medical orders' compliance among hyperlipidemic patients.Iranian journal of nursing and midwifery research · 2013
    Article
  16. Cardiovascular disease self-care interventions.Nursing research and practice · 2013
    Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sharon McKinleyUniversity of Technology Sydney and Northern Sydney Central Coast Health, Critical Care Nursing Professorial Unit, Level 6, Royal North Shore Hospital, St Leonards, NSW 2065, Australia. sharon.mckinley@uts.edu.au
Kathleen Dracup
Debra K Moser
Barbara Riegel
Lynn V Doering
Hendrika Meischke
Leanne M Aitken
Tom Buckley
Andrea Marshall
Michele Pelter

Funding

Reducing Prehospital Delay Acute Myocardial InfarctionR01NR007952 · NINR · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI DRACUP, KATHLEEN A · 2001 to 2005
$2.5M
NINR NIH HHS R01 NR007952NINR NIH HHS R01NR07952
6 · The paper itself

Abstract

backgroundCoronary heart disease (CHD) and acute coronary syndrome (ACS) remain significant public health problems. The effect of ACS on mortality and morbidity is largely dependent on the time from symptom onset to the time of reperfusion, but patient delay in presenting for treatment is the main reason timely reperfusion is not received.

objectivesWe tested the effect of an education and counseling intervention on knowledge, attitudes and beliefs about ACS symptoms and the appropriate response to symptoms, and identified patient characteristics associated with changes in knowledge, attitudes and beliefs over time.

methodsWe conducted a two-group randomized controlled trial in 3522 people with CHD. The intervention group received a 40 min, one-on-one education and counseling session. The control group received usual care. Knowledge, attitudes and beliefs were measured at baseline, 3 and 12 months using the ACS Response Index and analyzed with repeated measures analysis of variance.

resultsKnowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months, and these differences were sustained at 12 months (p=.0005 for all). Higher perceived control over cardiac illness was associated with more positive attitudes (p<.0005) and higher state anxiety was associated with lower levels of knowledge (p<.05), attitudes (p<.05) and beliefs (p<.0005).

conclusionA relatively short education and counseling intervention increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms in individuals with CHD. Higher perceived control over cardiac illness was associated with more positive attitudes and higher state anxiety was associated with lower levels of knowledge, attitudes and beliefs about responding to the health threat of possible ACS.

Indexed as

Health Knowledge, Attitudes, PracticeAcute Coronary SyndromeAgedAged, 80 and overCoronary DiseaseFemaleHumansMaleMiddle AgedPatient Education as TopicProgram Evaluation

Identifiers

PMID19243778
PMCPMC2748228

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.