Reducing patient delay in acute coronary syndrome: Randomized controlled trial testing effect of behaviour change intervention on intentions to seek help.

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Title: Reducing patient delay in acute coronary syndrome: Randomized controlled trial testing effect of behaviour change intervention on intentions to seek help.
Authors: Farquharson, Barbara (AUTHOR), Johnston, Marie (AUTHOR), Williams, Brian (AUTHOR), Smith, Karen (AUTHOR), Dombrowski, Stephan (AUTHOR), Jones, Claire (AUTHOR), Treweek, Shaun (AUTHOR), Dougall, Nadine (AUTHOR), Grindle, Mark (AUTHOR), Savinc, Jan (AUTHOR), Abyhankar, Purva (AUTHOR)
Source: British Journal of Health Psychology. Feb2023, Vol. 28 Issue 1, p188-207. 20p. 1 Illustration, 2 Diagrams, 5 Charts.
Subjects: Acute coronary syndrome, Retrieval practice, Randomized controlled trials, Help-seeking behavior, Intention
Abstract: Objectives: The aim of this study was to evaluate the efficacy of a behaviour change intervention to reduce patient delay with symptoms of acute coronary syndrome. Design: A 3‐arm web‐based, parallel randomized controlled trial. Methods: The intervention comprised 12 behaviour change techniques (BCTs) embedded in a text‐only or text+visual narrative (the techniques were systematically identified through systematic review and a consensus exercise). Between February and November 2017, n = 145 people who had recently experienced acute coronary syndrome were randomly allocated to intervention ('text+visual' or 'text‐only') or control. Intentions to phone an ambulance immediately for acute coronary syndrome symptoms were assessed before and after the intervention using symptom scenarios, and the change in intention was compared across the three groups. Results: Significant increases in intention to phone an ambulance immediately for ACS symptoms were seen following the 'text+visual' intervention but not following 'text‐only' or control. However, the study was underpowered to detect any significant changes in intention between the 3 groups. There were no unintended effects on intentions for non‐urgent symptoms. Conclusions: A 'text+visual' BCT‐based intervention may significantly increase intention to phone an ambulance with symptoms of ACS. Further testing of the effect of the intervention on actual behaviour is required. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Health Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
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  Data: Reducing patient delay in acute coronary syndrome: Randomized controlled trial testing effect of behaviour change intervention on intentions to seek help.
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  Data: <searchLink fieldCode="AR" term="%22Farquharson%2C+Barbara%22">Farquharson, Barbara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnston%2C+Marie%22">Johnston, Marie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+Brian%22">Williams, Brian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+Karen%22">Smith, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dombrowski%2C+Stephan%22">Dombrowski, Stephan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Claire%22">Jones, Claire</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Treweek%2C+Shaun%22">Treweek, Shaun</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dougall%2C+Nadine%22">Dougall, Nadine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grindle%2C+Mark%22">Grindle, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Savinc%2C+Jan%22">Savinc, Jan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abyhankar%2C+Purva%22">Abyhankar, Purva</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Health+Psychology%22">British Journal of Health Psychology</searchLink>. Feb2023, Vol. 28 Issue 1, p188-207. 20p. 1 Illustration, 2 Diagrams, 5 Charts.
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  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Acute+coronary+syndrome%22">Acute coronary syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Retrieval+practice%22">Retrieval practice</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: The aim of this study was to evaluate the efficacy of a behaviour change intervention to reduce patient delay with symptoms of acute coronary syndrome. Design: A 3‐arm web‐based, parallel randomized controlled trial. Methods: The intervention comprised 12 behaviour change techniques (BCTs) embedded in a text‐only or text+visual narrative (the techniques were systematically identified through systematic review and a consensus exercise). Between February and November 2017, n = 145 people who had recently experienced acute coronary syndrome were randomly allocated to intervention ('text+visual' or 'text‐only') or control. Intentions to phone an ambulance immediately for acute coronary syndrome symptoms were assessed before and after the intervention using symptom scenarios, and the change in intention was compared across the three groups. Results: Significant increases in intention to phone an ambulance immediately for ACS symptoms were seen following the 'text+visual' intervention but not following 'text‐only' or control. However, the study was underpowered to detect any significant changes in intention between the 3 groups. There were no unintended effects on intentions for non‐urgent symptoms. Conclusions: A 'text+visual' BCT‐based intervention may significantly increase intention to phone an ambulance with symptoms of ACS. Further testing of the effect of the intervention on actual behaviour is required. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of British Journal of Health Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/bjhp.12619
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      – SubjectFull: Randomized controlled trials
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              Text: Feb2023
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