Evidence map›Paper›PMID 25332805›Full record

ArticleOpen heart

Reducing patient delay with symptoms of acute coronary syndrome: a research protocol for a systematic review of previous interventions to investigate which behaviour change techniques are associated with effective interventions.

Barbara Farquharson, Stephan Dombrowski, Alex Pollock, Marie Johnston, Shaun Treweek, Brian Williams, Karen Smith, Nadine Dougall, Claire Jones, Stuart Pringle

Registry-linked trialAbstract read
In one paragraph

Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02820103 (Reducing Patient Delay in Acute Coronary Syndrome), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT02820103 naunknown statusnot on this map

Reducing Patient Delay in Acute Coronary Syndrome (RAPiD): A Web-based Randomised Controlled Trial Examining the Effect of a Behaviour Change Intervention on Participants' Intentions to Seek Help

TypeinterventionalSponsorEdinburgh Napier UniversityRan2017 to 2017Enrolled177ConditionsAcute Coronary SyndromeArmsText+Visual BCT-based intervention, Text-only BCT intervention, Leaflet information (control)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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.

Barbara FarquharsonNursing, Midwifery and Allied Health Professionals Research Unit , University of Stirling , Stirling , UK.
Stephan DombrowskiSchool of Psychology, University of Stirling , Stirling , UK.
Alex PollockNursing, Midwifery and Allied Health Professionals Research Unit , Glasgow Caledonian University , Glasgow , UK.
Marie JohnstonInstitute of Applied Health Sciences, University of Aberdeen , Aberdeen , UK.
Shaun TreweekHealth Services Research Unit , University of Aberdeen , Aberdeen , UK.
Brian WilliamsNursing, Midwifery and Allied Health Professionals Research Unit , University of Stirling , Stirling , UK.
Karen SmithSchool of Nursing and Midwifery, University of Dundee , Dundee , UK.
Nadine DougallNursing, Midwifery and Allied Health Professionals Research Unit , University of Stirling , Stirling , UK.
Claire JonesHealth Informatics Centre, University of Dundee , Dundee , UK.
Stuart PringleCardiology Department , NHS Tayside , Dundee , UK.

Funding

Chief Scientist Office CZH/4/1025Chief Scientist Office HSRU1Chief Scientist Office NMAHP2
6 · The paper itself

Abstract

introductionDelay to presentation with symptoms of acute coronary syndrome (ACS) is common meaning many fail to achieve optimal benefit from treatments. Interventions have had variable success in reducing delay. Evidence suggests inclusion of behaviour change techniques (BCTs) may improve effectiveness of interventions but this has not yet been systematically evaluated. Data from other time-critical conditions may be relevant. METHODS AND ANALYSIS: A systematic review will be undertaken to identify which BCTs are associated with effective interventions to reduce patient delay (or prompt rapid help-seeking) among people with time-critical conditions (eg, chest pain, ACS, lumps, stroke, cancer and meningitis). A systematic search of a wide range of databases (including Cochrane Library, MEDLINE, EMBASE, CINAHL, PsycInfo) and grey literature will be undertaken to identify all relevant intervention studies (randomised controlled trials, controlled clinical trials and cohort studies). Two independent reviewers will screen abstracts to identify relevant studies, apply inclusion criteria to full papers, assess methodological quality and extract data. PRIMARY OUTCOME MEASURE: Change in patient decision time BCTs reported in each of the included studies will be categorised and presented according to the latest reliable taxonomy. Results of included studies will be synthesised, exploring relationships between inclusion of each BCT and effectiveness of the overall intervention. Where possible, means and SDs for differences in delay time will be calculated and combined within meta-analyses to derive a standardised mean difference and 95% CI. Analysis of (1) all time-critical and (2) ACS-only interventions will be undertaken. ETHICS AND DISSEMINATION: No ethical issues are anticipated. Results will be submitted for publication in a relevant peer-reviewed journal.

Indexed as

Quality of Care and Outcomes

Identifiers

PMID25332805
PMCPMC4189291

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.