Who listens to our advice? A secondary analysis of data from a clinical trial testing an intervention designed to decrease delay in seeking treatment for acute coronary syndrome

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dc.contributor.author Riegel, B
dc.contributor.author Elmi, A
dc.contributor.author Moser, D
dc.contributor.author McKinley, SM
dc.contributor.author Meischke, H
dc.contributor.author Doering, L
dc.contributor.author Davidson, PM
dc.contributor.author Pelter, M
dc.contributor.author Baker, H
dc.contributor.author Dracup, K
dc.date.accessioned 2012-10-12T03:34:27Z
dc.date.issued 2011-01
dc.identifier.citation Patient Education And Counseling, 2011, 85 pp. 33 - 38
dc.identifier.issn 0738-3991
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18633
dc.description.abstract Objective: Prolonged prehospital delay in persons experiencing acute coronary syndrome (ACS) remains a problem. Understanding which patients respond best to particular interventions designed to decrease delay time would provide mechanistic insights into the process by which interventions work. Methods: In the PROMOTION trial, 3522 at-risk patients were enrolled from 5 sites in the United States (56.4%), Australia and New Zealand; 490 (N = 272 intervention, N = 218 control) had an acute event within 2 years. Focusing on these 490, we (1) identified predictors of a rapid response to symptoms, (2) identified intervention group subjects with a change in these predictors over 3 months of follow-up, and (3) compared intervention group participants with and without the favorable response pattern. Hypothesized predictors of rapid response were increased perceived control and decreased anxiety. Knowledge, attitudes, and beliefs were hypothesized to differ between responders and non-responders. Results: Contrary to hypothesis, responders had low anxiety and low perceived control. Only 73 (26.8%) subjects showed this pattern 3 months following the intervention. No differences in ACS knowledge, attitudes, or beliefs were found. Conclusion: The results of this study challenge existing beliefs. Practice implications: New intervention approaches that focus on a realistic decrease in anxiety and perceived control are needed.
dc.publisher Elsevier Ireland
dc.relation.isbasedon 10.1016/j.pec.2010.07.043
dc.title Who listens to our advice? A secondary analysis of data from a clinical trial testing an intervention designed to decrease delay in seeking treatment for acute coronary syndrome
dc.type Journal Article
dc.parent Patient Education And Counseling
dc.journal.volume 85
dc.journal.number en_US
dc.publocation Ireland en_US
dc.identifier.startpage 33 en_US
dc.identifier.endpage 38 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.for 1110 Nursing
dc.personcode 930003
dc.personcode 106354
dc.personcode 110950
dc.personcode 105630
dc.percentage 50 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Acute coronary syndrome, Treatment seeking delay, Denial, Common sense model, Responder analysis en_US
dc.description.keywords Buyer-Seller Relationships
dc.description.keywords Organizational Commitment
dc.description.keywords Business Relationships
dc.description.keywords Distribution Channels
dc.description.keywords Marketing Channels
dc.description.keywords Trust
dc.description.keywords Satisfaction
dc.description.keywords Impact
dc.description.keywords Determinants
dc.description.keywords Performance
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)

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