Randomized controlled trial of a lay-facilitated angina management programme

AIMS: This article reports a randomized controlled trial of lay-facilitated angina management (registered trial acronym: LAMP). BACKGROUND: Previously, a nurse-facilitated angina programme was shown to reduce angina while increasing physical activity, however most people with angina do not receive a cardiac rehabilitation or self-management programme. Lay people are increasingly being trained to facilitate self-management programmes. DESIGN: A randomized controlled trial comparing a lay-facilitated angina management programme with routine care from an angina nurse specialist. METHODS: Participants with new stable angina were randomized to the angina management programme (intervention: 70 participants) or advice from an angina nurse specialist (control: 72 participants). Primary outcome was angina frequency at 6 months; secondary outcomes at 3 and 6 months included: risk factors, physical functioning, anxiety, depression, angina misconceptions and cost utility. Follow-up was complete in March 2009. Analysis was by intention-to-treat; blind to group allocation. RESULTS: There was no important difference in angina frequency at 6 months. Secondary outcomes, assessed by either linear or logistic regression models, demonstrated important differences favouring the intervention group, at 3 months for: Anxiety, angina misconceptions and for exercise report; and at 6 months for: Anxiety; Depression; and angina misconceptions. The intervention was considered cost-effective. CONCLUSION: The angina management programme produced some superior benefits when compared to advice from a specialist nurse

Work measurement and work simplification; design for organization, implementation, and management of a work study program.

Mode of access: Internet

Interviewing for eligibility determination; a management aid for enhancing agency-recipient communication.

Includes bibliography.Mode of access: Internet

Training for Federal Quality Control review.

Mode of access: Internet

Proceedings of the National Conference for the Prevention of Mental Retardation through Improved Maternity Care, March 27-29, 1968, Washington, D. C. /

Sponsored by New York Medical College, Department of Obstetrics and Gynecology and U.S. Department of Health, Education, and Welfare, Children's Bureau, Social and Rehabilitation Service.Running title: Mental retardation and maternity care.Spinetitle: Prevention of mental retardation--maternity care.Includes bibliographical references.Mode of access: Internet