Evidence map›Paper›PMID 7950723›Full record

Trial reportBMJ (Clinical research ed.)1994

Randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk.

M E Cupples, A McKnight

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 11 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

58 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
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  4. 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 · 2015
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  11. Cardiac rehabilitation.Quality in health care : QHC · 1999
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  19. 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 · 2002
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

M E CupplesDepartment of General Practice, Queen's University of Belfast.
A McKnight

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Family PracticeHealth PromotionActivities of Daily LivingAdultAgedAngina PectorisCardiovascular DiseasesDietExerciseFemaleHealth EducationHumansLife StyleMaleMiddle AgedSmoking

Identifiers

PMID7950723
PMCPMC2541257

What OpenQuestion holds

Textmetadata
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.