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Participants' experiences of care during a randomized controlled trial comparing a lay-facilitated angina management programme with usual care: a qualitative study using focus groups.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Apr2013, Vol. 69 Issue 4, p840-850, 11p, 3 Charts
- Publication Year :
- 2013
-
Abstract
- Aim This paper is a report of a qualitative study conducted as part of a randomized controlled trial comparing a lay-facilitated angina management programme with usual care. Its aim was to explore participants' beliefs, experiences, and attitudes to the care they had received during the trial, particularly those who had received the angina management intervention. Background Angina affects over 50 million people worldwide. Over half of these people have symptoms that restrict their daily life and would benefit from knowing how to manage their condition. Design A nested qualitative study within a randomized controlled trial of lay-facilitated angina management. Method We conducted four participant focus groups during 2008; three were with people randomized to the intervention and one with those randomized to control. We recruited a total of 14 participants to the focus groups, 10 intervention, and 4 control. Findings Although recruitment to the focus groups was relatively low by comparison to conventional standards, each generated lively discussions and a rich data set. Data analysis demonstrated both similarities and differences between control and intervention groups. Similarities included low levels of prior knowledge about angina, whereas differences included a perception among intervention participants that lifestyle changes were more easily facilitated with the help and support of a lay-worker. Conclusion Lay facilitation with the Angina Plan is perceived by the participants to be beneficial in supporting self-management. However, clinical expertise is still required to meet the more complex information and care needs of people with stable angina. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANGINA pectoris
BEHAVIOR modification
CARDIOVASCULAR disease nursing
COGNITIVE therapy
COMMUNITY health workers
COMPARATIVE studies
EXERCISE
FOCUS groups
HEALTH attitudes
HEALTH behavior
HEALTH promotion
CARDIAC patients
INTERVIEWING
MARITAL status
HEALTH outcome assessment
PATIENT compliance
PATIENT education
PRIMARY health care
RESEARCH funding
HEALTH self-care
COMORBIDITY
QUALITATIVE research
JUDGMENT sampling
ACTIVITIES of daily living
THEMATIC analysis
RANDOMIZED controlled trials
TREATMENT effectiveness
EVALUATION of human services programs
DATA analysis software
PATIENTS' attitudes
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 69
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 86048225
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2012.06069.x