title: A randomized controlled trial to reduce delay in older adults seeking help for symptoms of acute myocardial infarction.
abstract: Older adults with symptoms of acute myocardial infarction (AMI) have longer pre-treatment delay times than their younger counterparts. A 2-group, randomized controlled sample consisted of 115 adults, 65 years of age or older with a self-reported history of coronary artery disease. A pre-test was given to all participants followed by a structured education and counseling intervention to those in the experimental group. Data were re-collected at 3 months. There was a statistically significant increase in knowledge, beliefs, and perceived control without an increase in anxiety in the intervention group. There was no significant difference in attitudes. Older adults at risk for AMI should be targeted for individualized education and counseling in clinics, physician offices, and community centers.
authors: School of Nursing, University of Virginia, Charlottesville, VA 22908-0782, USA.
authors: Dorothy F
authors: DF
authors: Tullmann
authors: Kathy H
authors: KH
authors: Haugh
authors: Kathleen A
authors: KA
authors: Dracup
authors: Cheryl
authors: C
authors: Bourguignon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001007:Anxiety; D003071:Cognition; D003327:Coronary Disease / Q000451:nursing*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008960:Models, Psychological; D009203:Myocardial Infarction / Q000175:diagnosis*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*; D013997:Time Factors