A psychoeducation trial for people with chronic stable angina
By: by Michael Hugh McGillion.
Published: 2006
Language: eng
Number of pages: 189
ISBN-13: 9780494158937
Description: Chronic stable angina (CSA) is a cardinal symptom of coronary artery disease (CAD) and has a major negative impact on health-related quality of life (HRQOL) including general health status, and ability to self-manage. Current secondary prevention approaches lack adequate scope to address CSA as a multidimensional persistent pain problem. This trial evaluated the impact of a low-cost 6-week angina psychoeducation program (The Chronic Angina Self-Management Program [CASMP]) on HRQOL, self-efficacy and resourcefulness to self-manage symptoms, and CSA-related costs. Participants (N=130) were randomized to the CASMP or 3-month wait-list usual care; 117 completed the study. Measures were taken at baseline and 3 months. General HRQOL was measured using the SF-36 and the disease-specific Seattle Angina Questionnaire. Self-efficacy, resourcefulness and cost of illness were measured using the Self-Efficacy Scale, the Self-Control Schedule, and the Ambulatory Home Care Record respectively. The mean age of participants was 68, and 80% were male. ANOVA of change scores yielded significant improvements in treatment group physical functioning [F= 11.75(1,114), p&barbelow;&lt;0.001] and general health [F= 10.94(1,114), p&barbelow;=0.001] aspects of HRQOL. Angina frequency [F= 5.60(1,115), p&barbelow;=0.02], angina stability [F= 7.37(1,115), p&barbelow;=0.001], and self-efficacy to manage disease [F= 8.45(1,115), p&barbelow;=0.004] were also significantly improved at 3 months. The CASMP did not impact resourcefulness or cost of illness. Societal costs for angina were $12,615 per person per annum 2003--2005. These data indicate that the CASMP was effective for improving physical functioning, general health, angina symptoms, and self-efficacy to manage angina at 3 months, and provide data as a basis for long-term evaluation of the CASMP.
Notes: Source: Dissertation Abstracts International, Volume: 67-07, Section: B, page: 3704.

Thesis (Ph.D.)--University of Toronto, 2006.

Includes bibliographic references.

Electronic version licensed for access by U. of T. users.