The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial

McKinley, S; Dracup, K; Moser, DK; Riegel, B; Doering, LV; Meischke, H; Aitken, LM; Buckley, T; Marshall, A; Pelter, M

The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial

McKinley, S Dracup, K Moser, DK Riegel, B Doering, LV Meischke, H Aitken, LM Buckley, T Marshall, A

Pelter, M

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Publication Type:: Journal Article
Citation:: International Journal of Nursing Studies, 2009, 46 (8), pp. 1037 - 1046
Issue Date:: 2009-08-01

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Field	Value	Language
dc.contributor.author	McKinley, S	en_US
dc.contributor.author	Dracup, K	en_US
dc.contributor.author	Moser, DK	en_US
dc.contributor.author	Riegel, B	en_US
dc.contributor.author	Doering, LV	en_US
dc.contributor.author	Meischke, H	en_US
dc.contributor.author	Aitken, LM	en_US
dc.contributor.author	Buckley, T	en_US
dc.contributor.author	Marshall, A https://orcid.org/0000-0001-7692-403X	en_US
dc.contributor.author	Pelter, M	en_US
dc.date.available	2009-01-23	en_US
dc.date.issued	2009-08-01	en_US
dc.identifier.citation	International Journal of Nursing Studies, 2009, 46 (8), pp. 1037 - 1046	en_US
dc.identifier.issn	0020-7489	en_US
dc.identifier.uri	http://hdl.handle.net/10453/9604
dc.description.abstract	Background: Coronary heart disease (CHD) and acute coronary syndrome (ACS) remain significant public health problems. The effect of ACS on mortality and morbidity is largely dependent on the time from symptom onset to the time of reperfusion, but patient delay in presenting for treatment is the main reason timely reperfusion is not received. Objectives: We tested the effect of an education and counseling intervention on knowledge, attitudes and beliefs about ACS symptoms and the appropriate response to symptoms, and identified patient characteristics associated with changes in knowledge, attitudes and beliefs over time. Methods: We conducted a two-group randomized controlled trial in 3522 people with CHD. The intervention group received a 40 min, one-on-one education and counseling session. The control group received usual care. Knowledge, attitudes and beliefs were measured at baseline, 3 and 12 months using the ACS Response Index and analyzed with repeated measures analysis of variance. Results: Knowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months, and these differences were sustained at 12 months (p = .0005 for all). Higher perceived control over cardiac illness was associated with more positive attitudes (p < .0005) and higher state anxiety was associated with lower levels of knowledge (p < .05), attitudes (p < .05) and beliefs (p < .0005). Conclusion: A relatively short education and counseling intervention increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms in individuals with CHD. Higher perceived control over cardiac illness was associated with more positive attitudes and higher state anxiety was associated with lower levels of knowledge, attitudes and beliefs about responding to the health threat of possible ACS. © 2009 Elsevier Ltd. All rights reserved.	en_US
dc.relation.ispartof	International Journal of Nursing Studies	en_US
dc.relation.isbasedon	10.1016/j.ijnurstu.2009.01.012	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Coronary Disease	en_US
dc.subject.mesh	Program Evaluation	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.subject.mesh	Acute Coronary Syndrome	en_US
dc.title	The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	8	en_US
utslib.citation.volume	46	en_US
utslib.for	1110 Nursing	en_US
dc.location.activity	ISI:000268404200002	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	8	en_US
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

Background: Coronary heart disease (CHD) and acute coronary syndrome (ACS) remain significant public health problems. The effect of ACS on mortality and morbidity is largely dependent on the time from symptom onset to the time of reperfusion, but patient delay in presenting for treatment is the main reason timely reperfusion is not received. Objectives: We tested the effect of an education and counseling intervention on knowledge, attitudes and beliefs about ACS symptoms and the appropriate response to symptoms, and identified patient characteristics associated with changes in knowledge, attitudes and beliefs over time. Methods: We conducted a two-group randomized controlled trial in 3522 people with CHD. The intervention group received a 40 min, one-on-one education and counseling session. The control group received usual care. Knowledge, attitudes and beliefs were measured at baseline, 3 and 12 months using the ACS Response Index and analyzed with repeated measures analysis of variance. Results: Knowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months, and these differences were sustained at 12 months (p = .0005 for all). Higher perceived control over cardiac illness was associated with more positive attitudes (p < .0005) and higher state anxiety was associated with lower levels of knowledge (p < .05), attitudes (p < .05) and beliefs (p < .0005). Conclusion: A relatively short education and counseling intervention increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms in individuals with CHD. Higher perceived control over cardiac illness was associated with more positive attitudes and higher state anxiety was associated with lower levels of knowledge, attitudes and beliefs about responding to the health threat of possible ACS. © 2009 Elsevier Ltd. All rights reserved.

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http://hdl.handle.net/10453/9604