Evidence map›Paper›PMID 30499790›Full record

ArticleDimensions of critical care nursing : DCCN

An Educational and Skill-Building Intervention to Improve Symptom Recognition and Interpretation in Women With Acute Coronary Syndrome: A Pilot Study.

Leslie L Davis, Thomas P McCoy

Abstract read
In one paragraph

Article in Dimensions of critical care nursing : DCCN. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
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  3. Article
  4. Article
  5. 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

2 authors.

Leslie L DavisLeslie L. Davis, PhD, RN, ANP-BC, FAANP, FAHA, is an associate professor of nursing at the School of Nursing, University of North Carolina, Greensboro. Dr Davis is a board certified adult nurse practitioner and has clinical expertise in hypertension, heart failure, and coronary artery disease. Her program of research focuses on self-care related to symptom monitoring and symptom management of cardiovascular conditions. Thomas P. McCoy, PhD, PStat, is a statistician and clinical associate professor at the School of Nursing, University of North Carolina, Greensboro. Dr McCoy has a PhD in Educational Research, Measurement, and Evaluation. He is also an Accredited Professional Statistician by the American Statistical Association. His research interests are biostatistics and psychometrics.
Thomas P McCoy

Funding

TRIAD Center for Health DisparitiesP20MD002289 · NIMHD · UNIVERSITY OF NORTH CAROLINA GREENSBORO · PI CALKINS, SUSAN D · 2007 to 2015
$10.6M
NIMHD NIH HHS P20 MD002289
6 · The paper itself

Abstract

backgroundThe type of symptoms that a woman experiences during an acute coronary syndrome (ACS) event influences symptom recognition and interpretation. Women who experience intense, abrupt symptoms are more likely to correctly attribute symptoms to a cardiac etiology and seek care faster than women with less intense, intermittent symptoms.

objectiveA single-group pretest-posttest design was used to evaluate the feasibility and acceptability of a nurse-delivered education and skill-building intervention designed to improve symptom recognition and interpretation in women with recurrent ACS symptoms.

methodsWomen hospitalized for an ACS event received an individualized education and skill-building intervention that was conceptually framed by the investigator's previous research. Three in-person sessions were followed by 2 telephone sessions for reinforcement. Outcomes and acceptability were evaluated at close-out (approximately 2 months after the index event).

resultsAll but 2 women approached agreed to participate. Of the 10 women enrolled, 9 completed all study sessions within an average of 55 days. Mean knowledge scores increased by 7.4% measured by the ACS Response Index. Attitudes toward symptom recognition and help seeking increased by 2.4, whereas beliefs toward expectations and actions increased by 3.2. The women were pleased with the intervention (satisfaction scores averaging 1.4 on a 4-point Likert scale, with 1 as "strongly agree" and 4 as "strongly disagree"). All women who completed the study would recommend it to others.

conclusionThe nurse-delivered intervention was feasible and acceptable to women in the study. Results support further testing and refinement of the intervention in a longitudinal randomized control study to determine efficacy and sustainability.

Indexed as

Diagnostic Self EvaluationNurse's RoleAcute Coronary SyndromeAgedFemaleHealth EducationHumansMiddle AgedPilot ProjectsRecurrence

Identifiers

PMID30499790
PMCPMC6278947

What OpenQuestion holds

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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.