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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 …
Footnotes
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Source of funding: Pfizer.
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For correspondence: Professor R Lewin, University of York, York, UK. RJPL1{at}york.ac.uk
↵† Information provided by author.