Randomized controlled trial of a lay-facilitated angina management programme

J Adv Nurs. 2012 Oct;68(10):2267-79. doi: 10.1111/j.1365-2648.2011.05920.x. Epub 2012 Jan 10.


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 management 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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Angina Pectoris / nursing
  • Angina Pectoris / rehabilitation*
  • Community Health Workers* / education
  • Cost-Benefit Analysis
  • England
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nurse Clinicians
  • Patient Care Management / economics
  • Patient Care Management / organization & administration*
  • Prospective Studies
  • Regression Analysis
  • Self Care*
  • Single-Blind Method
  • Social Support*
  • Treatment Outcome