J A N J O U R N A L O F A D V A N C E D N U R S I N G O R I G I N A L R E S E A R C H Randomized controlled trial of a lay-facilitated angina management programme Gill Furze, Helen Cox, Veronica Morton, Ling-Hsiang Chuang, Robert J.P. Lewin, Pauline Nelson, Richard Carty, Heather Norris, Nicky Patel & Peter Elton Accepted for publication 28 November 2011 Re-use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/ onlineopen#OnlineOpen_Terms Correspondence to G. Furze: e-mail: gill.furze@coventry.ac.uk Gill Furze PhD RN Professor in Adult Nursing and Healthcare Faculty of Health and Life Sciences, Coventry University, UK Helen Cox MSc Research Fellow York Trials Unit, Department of Health Sciences, University of York, UK Veronica Morton MSc Statistician Department of Health Sciences, University of York, UK Ling-Hsiang Chuang PhD Health Economist Department of Health Sciences, University of York, UK Robert J.P. Lewin MPhil CPsychol Professor of Rehabilitation British Heart Foundation Care and Education Research Unit, University of York, UK Pauline Nelson PhD Research Associate School of Community Based Medicine, University of Manchester, UK continued on page 2 2012 Blackwell Publishing Ltd F U R Z E G . , C O X H . , M O R T O N V . , C H U A N G L . - H . , L E W I N R . J . P . , N E L S O N P . , C A R T Y R . , N O R R I S H . , P A T E L N . & E L T O N P . ( 2 0 1 2 ) Randomized controlled trial of a lay-facilitated angina management programme. Journal of Advanced Nursing 68(10), 2267–2279. doi: 10.1111/j.1365-2648.2011.05920.x Abstract Aims. This article reports a randomized controlled trial of lay-facilitated angina management (registered trial acronym: LAMP). Background. Previously, a nurse-facilitated angina programme was shown to reduce angina while increasing physical activity, however most people with angina do not receive a cardiac rehabilitation or self-management programme. Lay people are increasingly being trained to facilitate self-management programmes. Design. A randomized controlled trial comparing a lay-facilitated angina manage- ment programme with routine care from an angina nurse specialist. Methods. Participants with new stable angina were randomized to the angina management programme (intervention: 70 participants) or advice from an angina nurse specialist (control: 72 participants). Primary outcome was angina frequency at 6 months; secondary outcomes at 3 and 6 months included: risk factors, physical functioning, anxiety, depression, angina misconceptions and cost utility. Follow-up was complete in March 2009. Analysis was by intention-to-treat; blind to group allocation. Results. There was no important difference in angina frequency at 6 months. Secondary outcomes, assessed by either linear or logistic regression models, demonstrated important differences favouring the intervention group, at 3 months for: Anxiety, angina misconceptions and for exercise report; and at 6 months for: Anxiety; Depression; and angina misconceptions. The intervention was considered cost-effective. Conclusion. The angina management programme produced some superior beneﬁts when compared to advice from a specialist nurse. Keywords: angina nurses, cardiac rehabilitation, lay-led care, randomized controlled trial, self-management, stable angina 2267