Randomized controlled trial of a lay-facilitated angina management programme.
OBJECTIVE
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.


METHODS
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.


CONCLUSIONS
The angina management programme produced some superior benefits when compared to advice from a specialist nurse.
Faculty of Health and Life Sciences, Coventry University, UK. gill.furze@coventry.ac.uk
Gill
G
Furze
Helen
H
Cox
Veronica
V
Morton
Ling-Hsiang
LH
Chuang
Robert J P
RJ
Lewin
Pauline
P
Nelson
Richard
R
Carty
Heather
H
Norris
Nicky
N
Patel
Peter
P
Elton
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000451:nursing / Q000534:rehabilitation*; D003150:Community Health Workers / Q000193:education; D003362:Cost-Benefit Analysis; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians; D010346:Patient Care Management / Q000191:economics / Q000458:organization & administration*; D011446:Prospective Studies; D012044:Regression Analysis; D012648:Self Care; D016037:Single-Blind Method; D012944:Social Support; D016896:Treatment Outcome