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Therapeutics
Self management with the Angina Plan reduced anxiety, depression, angina attacks, and use of medication

http://dx.doi.org/10.1136/ebm.8.1.14

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    (2002) Br J Gen Pract 52, 194; Lewin RJ, Furze G, Robinson J, et al.. A randomized controlled trial of a self-management plan for patients with newly diagnosed angina. . ;. :. –201.
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 QUESTION: In patients with newly diagnosed angina, does self management using the Angina Plan introduced by a practice nurse improve psychological outcomes more than an educational programme delivered by a nurse?

    Design

    Randomised (allocation concealed*), blinded ({patients}† and data collectors),* controlled trial with 6 months of follow up.

    Setting

    20 general practices in York, UK.

    Patients

    142 patients (mean age 67 y, 60% men) who had been diagnosed with angina in the previous 12 months. Exclusion criteria were angina for >12 months, a life threatening illness, dementia, or mental confusion. Follow up was 91%.

    Intervention

    Patients were allocated to a self help manual (the Angina Plan) (n=68) or educational sessions with additional booklets (n=74). The Angina Plan consisted of a 70 page, patient held workbook and a 20 minute audiotaped relaxation programme, which were given to the patient and, when possible, partner …

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    Footnotes

    • Source of funding: Pfizer.

    • For correspondence: Professor R Lewin, University of York, York, UK. RJPL1{at}york.ac.uk

    • ↵* See glossary.

    • ↵† Information provided by author.