JAN: ORIGINAL RESEARCH RCT of a lay-facilitated angina management programme 1 tEoxppi clasin to the patient about these 2 These are for your action Back page: Direct to pages Introduce the Angina Plan “How to tell 1-14 to read in angina from a first week heart attack.” Correct misconceptions Angina Plan questionnaire Cholesterol and other blood tests Weight Include getting back to abandoned activities and having more fun Risk quiz (p14) Check medication compliance Overactivity-rest cycle (p26) Goal setting and pacing (p28) Safety issues Relaxation (p15) and the CD Give contact number and details of availability First weeks goals (p61) Negotiate targets Patient sets own priorities Check understanding Record on chart BP Smoking: assess motivation to quit Exercise: set baseline at 80% of what can be done on a bad day Pages 31-38: controlling angina Arrange next appointment Figure 2 Angina Plan facilitation ﬁrst interview ﬂow chart. tion). This was measured by scales of the Seattle Angina Questionnaire (SAQ) UK – an angina-speciﬁc measure of health status that has been validated in a UK population (Garratt et al. 2001), • Anxiety and depression measured by the Hospital Anxiety and Depression Scales (Zigmond & Snaith 1983). • Angina-speciﬁc misconceptions measured using the York Angina Beliefs Questionnaire (YABQ) – a measure of common angina misconceptions that have been found to predict poor outcome (Furze et al. 2005), • Risk factors (smoking status assessed by self-report and Bedfont carbon monoxide breath monitor, serum choles- terol, BP, BMI) and self-rated activity level [derived from the minimum dataset of the UK National Audit for Cardiac Rehabilitation (NACR) (Lewin et al. 2004)]. 2012 Blackwell Publishing Ltd • Cost utility. This included the EQ-5D scores (Brook 1996) and measures of healthcare utilization (both elective and emer- gency), including GP visits, specialist nurse treatment, inva- sive tests and treatments (including angiography and revascularization), and their cost estimates were based on published sources [Personal Social Service Research Unit (PSSRU) 2009, DH 2008/9]. EQ-5D is one of the most widely used health related quality of life measures and gives summary index (utility) scores of health states for use in economic evaluation. The EQ-5D description system contains ﬁve dimensions – mobility, self care, usual activ- ities, pain/discomfort and anxiety/depression; each dimen- sion has three levels – no, some and severe problems. The costs of the intervention, including training and payment for lay workers, were estimated from trial records. 2271