title: Decision making processes in people with symptoms of acute myocardial infarction: qualitative study.
abstract: OBJECTIVE
  To identify the themes that influence decision making processes used by patients with symptoms of acute myocardial infarction.
  
  
  METHODS
  Qualitative study using semistructured interviews.
  
  
  METHODS
  Two district hospitals in North Yorkshire.
  
  
  METHODS
  22 patients admitted to hospital with confirmed second, third, or fourth acute myocardial infarction.
  
  
  METHODS
  Patients' perceptions of their experience between the onset of symptoms and the decision to seek medical help.
  
  
  RESULTS
  Six main themes that influence the decision making process were identified: appraisal of symptoms, perceived risk, previous experience, psychological and emotional factors, use of the NHS, and context of the event.
  
  
  CONCLUSIONS
  Knowledge of symptoms may not be enough to promote prompt action in the event of an acute myocardial infarction. Cognitive and emotional processes, individual beliefs and values, and the influence of the context of the event should also be considered in individual interventions designed to reduce delay in the event of symptoms of acute myocardial infarction.
authors.affiliation: Department of Health Sciences, University of York, Heslington, York YO10 5DQ. jp30@york.ac.uk
authors.forename: Jill
authors.initials: J
authors.lastname: Pattenden
authors.forename: Ian
authors.initials: I
authors.lastname: Watt
authors.forename: Robert J P
authors.initials: RJ
authors.lastname: Lewin
authors.forename: Neil
authors.initials: N
authors.lastname: Stanford
mesh_terms: D000368:Aged; D003657:Decision Making; D004739:England; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006300:Health Services Misuse; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012008:Recurrence; D018570:Risk Assessment; D013222:State Medicine; D013997:Time Factors