A Randomized Controlled Trial to Reduce Prehospital Delay Time in Patients With Acute Coronary Syndrome (ACS)

Mooney, Mary; McKee, Gábrielle; Fealy, Gerard; O’Brien, Frances; O’Donnell, Sharon; Moser, Debra K.

doi:10.1016/j.jemermed.2013.08.114

Cited by 58 publications

(104 citation statements)

References 55 publications

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“…Moreover, although the differences were not statistically significant ( p >0.05), male patients with diabetes and dyslipidemia tended to make decisions to seek medical assistance at a hospital later. Such findings are similar to those of the randomized clinical trial conducted by Mooney, et al37 They divided 1944 patients who were treated for acute coronary syndrome into an intervention group receiving education and a control group (n=972 patients in each group). In the control group, the arrival time was more prolonged for recurrent episodes of acute coronary syndrome than for the initial episode.…”

Section: Discussionsupporting

confidence: 85%

“…In the control group, the arrival time was more prolonged for recurrent episodes of acute coronary syndrome than for the initial episode. Considering the results of our study and those of the study by Mooney, et al,37 patients who appear to be less interested in their health seem to have worse health-related behaviors. Accordingly, these people would be more susceptible to chronic diseases and myocardial infarction.…”

Section: Discussionsupporting

confidence: 70%

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Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

et al. 2017

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PurposeThe aim of our study was to investigate gender differences in factors related to prehospital delay and identify whether the knowledge of acute myocardial infarction symptoms affects this delay in Korean patients with ST-elevation myocardial infarction (STEMI).Materials and MethodsA total of 350 patients (286 men, 64 women) with confirmed STEMI were interviewed to investigate socio-demographics, history of disease, symptom onset time, and factors that contributed to delayed decision time in seeking treatment and hospital arrival time from symptom onset. Factors associated with prehospital delay were examined separately by gender using univariate and multivariate analyses.ResultsFemale patients had higher proportions of ≥60-minute decision time and ≥120-minute arrival time compared to male patients (33.9% vs. 23.1%, 60.9% vs. 52.1%, respectively). However, the difference was not statistically significant (p=0.093 and 0.214, respectively). Previous cardiovascular disease (CVD) was associated with increased decision time in men, whereas, in women, lower educational status caused a greater delay in decision time. Factors associated with hospital arrival time excluding delayed decision time were referral from another hospital, previous CVD, and percutaneous coronary intervention in men, and referral from another hospital in women.ConclusionGender differences exist in factors related to prehospital delay. Therefore, public education to reduce prehospital delay should be conducted according to gender with a focus on the pertinent factors.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 70%

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

et al. 2017

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“…This may in part be due to differences in the cohort studied, which in our study was limited to patients who were middle aged, medically stable and English speaking. However, other randomised controlled trials targeting patients with coronary heart disease24 or a provisional diagnosis of ACS25 with personalised education sessions have also shown no increase in EMS use.…”

Section: Discussionmentioning

confidence: 99%

The barriers associated with emergency medical service use for acute coronary syndrome: the awareness and influence of an Australian public mass media campaign

et al. 2017

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“…It comprised a one-to-one individualized educational session and is described in detail elsewhere [23]. In brief, from a cognitive perspective, detailed information was given about the range, variability and unpredictability of ACS symptoms.…”

Section: The Interventionmentioning

confidence: 99%

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

O’Brien

McKee

Mooney

et al. 2014

Patient Education and Counseling

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CitationImproving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial. Methods: This multi-site, randomized controlled trial was conducted on 1947 patients with a diagnosis of ACS. Both groups received usual in-hospital education.Participants randomized to the intervention group received a 40-minute one to one individualized education session, delivered using motivational interviewing techniques. The intervention was reinforced one month and six months later.Knowledge, attitudes and beliefs were measured using the ACS Response Index. A total of 1,136 patients (control, n=551; intervention, n=585) completed the questionnaire at baseline, 3 and 12 months. Data were analysed using repeated measures analysis of variance. Ethical approval was obtained. Results:There was a significant effect of the intervention on mean knowledge (p<0.001), attitude (p=0.003) and belief (p<0.001) scores at 3 and 12 months. Conclusion:Ensuring patients retain information post education has always been difficult to attain. This study demonstrated that patient education using motivational interviewing techniques and an individualized approach has the potential to alter knowledge, attitudes and beliefs about ACS among a high risk population.Practice Implications: This relatively short, simple and effective educational intervention could be delivered by nurses in multiple settings.

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A Randomized Controlled Trial to Reduce Prehospital Delay Time in Patients With Acute Coronary Syndrome (ACS)

Cited by 58 publications

References 55 publications

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction

The barriers associated with emergency medical service use for acute coronary syndrome: the awareness and influence of an Australian public mass media campaign

Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial

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