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

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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?


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


20 general practices in York, UK.


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%.


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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  • Source of funding: Pfizer.

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

  • * See glossary.

  • Information provided by author.