Trial reportBMJ (Clinical research ed.)1994
Randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk.
Trial report in BMJ (Clinical research ed.), 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 11 of them syntheses that pooled 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.
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.
Who cites it
58 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Health-promotion interventions targeting multiple behaviors: A meta-analytic review of general and behavior-specific processes of change.Psychological bulletin · 2024Pooled it
- Comparison of seven popular structured dietary programmes and risk of mortality and major cardiovascular events in patients at increased cardiovascular risk: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2023Pooled it
- Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017Pooled it
- Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Pooled it
- When it comes to lifestyle recommendations, more is sometimes less: a meta-analysis of theoretical assumptions underlying the effectiveness of interventions promoting multiple behavior domain change.Psychological bulletin · 2015Pooled it
- Service organisation for the secondary prevention of ischaemic heart disease in primary care.The Cochrane database of systematic reviews · 2010Pooled it
- Meta-analysis of interventions to increase physical activity among cardiac subjects.International journal of cardiology · 2009Pooled it
- Meta-analysis of patient education interventions to increase physical activity among chronically ill adults.Patient education and counseling · 2008Pooled it
- Randomised trials of secondary prevention programmes in coronary heart disease: systematic review.BMJ (Clinical research ed.) · 2001Pooled it
- Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol.The Cochrane database of systematic reviews · 2001Pooled it
- Cardiac rehabilitation.Quality in health care : QHC · 1999Pooled it
- Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- Impact of short evidence summaries in discharge letters on adherence of practitioners to discharge medication. A cluster-randomised controlled trial.Quality & safety in health care · 2007Trial
- Surveillance and treatment of dyslipidemia in the post-infarct patient: can a nurse-led management approach make a difference?The Canadian journal of cardiology · 2006Trial
- Effects of general practice-based nurse-counselling on ambulatory blood pressure and antihypertensive drug prescription in patients at increased risk of cardiovascular disease.Journal of human hypertension · 2003Trial
- Secondary prevention clinics for coronary heart disease: four year follow up of a randomised controlled trial in primary care.BMJ (Clinical research ed.) · 2003Trial
- Secondary prevention of cardiovascular disease: a randomised trial of training in information management, evidence-based medicine, both or neither: the PIER trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Trial
- Quitting and restarting smoking: cohort study of patients with angina in primary care.BMJ (Clinical research ed.) · 2002Trial
- A randomised controlled trial of a self-management plan for patients with newly diagnosed angina.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Trial
- Cluster randomised controlled trial to compare three methods of promoting secondary prevention of coronary heart disease in primary care.BMJ (Clinical research ed.) · 2001Trial
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the value of health education for patients with angina in reducing risk factors for cardiovascular disease and lessening the effect of angina on everyday activities.
designRandomised controlled trial of personal health education given every four months.
setting18 general practices in the greater Belfast area. SUBJECTS: 688 patients aged less than 75 years and known to have had angina for at least six months; 342 randomised to receive education and 346 to no education.
main outcome measuresRestriction of everyday activities, dietary habit, smoking habit, frequency of physical exercise; blood pressure, body mass index, and serum total cholesterol concentration at entry to trial and after two years.
results317 in the intervention group and 300 in the control group completed the trial. At the two year review more of the intervention group (140, 44%) reported taking daily physical exercise than the control group (70, 24%). The intervention group also reported eating a healthier diet than the control group and less restriction by angina in any everyday activity. No significant differences were found between the groups in smoking habit, systolic or diastolic blood pressure, cholesterol concentration, or body mass index.
conclusionDespite having no significant effect on objective cardiovascular risk factors, personal health education of patients with angina seems to increase exercise and improve dietary habits and is effective in lessening the restriction of everyday activities.
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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.