Abstract 1823: A Nursing Intervention Increases Knowledge, Attitudes and Beliefs About Response to Acute Coronary Syndrome in People with Coronary Heart Disease
Background: The largest contributor to delayed receipt of reperfusion therapy for acute coronary syndrome (ACS) is patient delay in recognizing symptoms and seeking treatment.
Objectives: We tested the effect of an education and counseling intervention designed to reduce patient delay on knowledge, attitudes and beliefs about ACS symptoms and the response to symptoms.
Methods: We conducted a 2-group randomized controlled trial in 3,522 people with coronary heart disease (CHD). The intervention group (n=1777) received a one-on-one education and counseling session from a cardiovascular nurse that addressed informational, emotional, and social responses associated with onset of ACS symptoms, followed by a telephone call at one month. The control group (n=1745) received usual care. Knowledge, attitudes and beliefs were measured at baseline and 3 and 12 months using the ACS Response Index. Repeated measures ANOVA was used to assess differences in outcomes over time.
Results: Patients were 67±11 years old; 67% were male and 45% had history of AMI. Knowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months and remained higher at 12 months (Table⇓).
Conclusion: A relatively short one-on-one education and counseling intervention significantly increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms, sustained to 12 months following the intervention. The results of the study suggest that individualized education for those at high risk of ACS is effective in increasing the knowledge, attitudes and beliefs required to make an appropriate decision about seeking care for ACS.