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dc.contributor.authorMcKinley, Sharon
dc.contributor.authorDracup, Kathleen
dc.contributor.authorMoser, Debra K
dc.contributor.authorRiegel, Barbara
dc.contributor.authorDoering, Lynn V
dc.contributor.authorMeischke, Hendrika
dc.contributor.authorAitken, Leanne M
dc.contributor.authorBuckley, Tom
dc.contributor.authorMarshall, Andrea
dc.contributor.authorPelter, Michele
dc.date.accessioned2017-05-03T13:22:36Z
dc.date.available2017-05-03T13:22:36Z
dc.date.issued2009
dc.date.modified2010-07-02T06:53:45Z
dc.identifier.issn0020-7489
dc.identifier.doi10.1016/j.ijnurstu.2009.01.012
dc.identifier.urihttp://hdl.handle.net/10072/28582
dc.description.abstractBackground 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent249446 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1037
dc.relation.ispartofpageto1046
dc.relation.ispartofjournalInternational Journal of Nursing Studies
dc.relation.ispartofvolume46
dc.rights.retentionY
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleThe 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
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2009 Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2009
gro.hasfulltextFull Text
gro.griffith.authorMarshall, Andrea


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