Causal attributions for angina: results of an interview study

Furze, Gill; Lewin, B.

doi:10.1054/chec.2000.0083

Cited by 10 publications

(6 citation statements)

References 15 publications

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“…This study has demonstrated both similarities and differences between control and intervention groups. In line with previous literature (Furze & Lewin , Tod et al . ), all participants reported low levels of prior knowledge about angina and feelings of shock upon diagnosis as many attributed their symptoms to other causes such as indigestion.…”

Section: Discussionsupporting

confidence: 93%

“…This study has demonstrated both similarities and differences between control and intervention groups. In line with previous literature (Furze & Lewin 2000, Tod et al 2001, all participants reported low levels of prior knowledge about angina and feelings of shock upon diagnosis as many attributed their symptoms to other causes such as indigestion. The tendency to downplay or ignore bodily symptoms of illness has long been noted (Tod et al 2001, Ryan & Zerwic 2003, and the process of 'sanctioning' bodily signs and symptoms of illness through discussion with others before seeking medical help (the 'lay referral network') is well known (Vassilev et al 2011).…”

Section: Discussionsupporting

confidence: 85%

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Participants' experiences of care during a randomized controlled trial comparing a lay‐facilitated angina management programme with usual care: a qualitative study using focus groups

Nelson

Cox

Furze

et al. 2012

Journal of Advanced Nursing

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AimThis paper is a report of a qualitative study conducted as part of a randomized controlled trial comparing a lay-facilitated angina management programme with usual care. Its aim was to explore participants' beliefs, experiences, and attitudes to the care they had received during the trial, particularly those who had received the angina management intervention.BackgroundAngina affects over 50 million people worldwide. Over half of these people have symptoms that restrict their daily life and would benefit from knowing how to manage their condition.DesignA nested qualitative study within a randomized controlled trial of lay-facilitated angina management.MethodWe conducted four participant focus groups during 2008; three were with people randomized to the intervention and one with those randomized to control. We recruited a total of 14 participants to the focus groups, 10 intervention, and 4 control.FindingsAlthough recruitment to the focus groups was relatively low by comparison to conventional standards, each generated lively discussions and a rich data set. Data analysis demonstrated both similarities and differences between control and intervention groups. Similarities included low levels of prior knowledge about angina, whereas differences included a perception among intervention participants that lifestyle changes were more easily facilitated with the help and support of a lay-worker.ConclusionLay facilitation with the Angina Plan is perceived by the participants to be beneficial in supporting self-management. However, clinical expertise is still required to meet the more complex information and care needs of people with stable angina.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 85%

Participants' experiences of care during a randomized controlled trial comparing a lay‐facilitated angina management programme with usual care: a qualitative study using focus groups

Nelson

Cox

Furze

et al. 2012

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…The results also suggest that while women recognize that smoking and obesity are major cardiovascular risk factors, only a small minority understand that BP, diabetes and high cholesterol are also important. In contrast to men, women are more likely to consider factors such as stress as significant risk factors 12 and others see themselves at risk only after reaching menopause. 13…”

Section: Discussionmentioning

confidence: 99%

Gender disparities in the assessment and management of cardiovascular risk in primary care: the AusHEART study

Turnbull

Arima

Heeley

et al. 2011

European Journal of Cardiovascular Prevention & Rehabilitat

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“…These findings are likely to be applicable to other countries as a National Heart Foundation of Australia cross-sectional survey of 3,500 Australians in the year 2009 reported that only around 20% of women knew that CVD was the leading cause of mortality for women and that they felt more threatened by breast cancer, despite the fact that mortality from heart disease is 4 times higher (personal written communication, June 9th, 2010). In contrast to men, women are more likely to consider factors such as stress as significant risk factors 62 and they see themselves at risk only after reaching menopause. 63 …”

Section: Patients’ Perception Of Their Cvd Riskmentioning

confidence: 99%

Perceptions of risk: understanding cardiovascular disease

Webster¹,

Heeley²

2010

RMHP

100

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Cardiovascular disease (CVD) is still the leading cause of death and disability worldwide despite the availability of well-established and effective preventive options. Accurate perception of a patient’s risk by both the patient and the doctors is important as this is one of the components that determine health-related behavior. Doctors tend to not use cardiovascular (CV) risk calculators and underestimate the absolute CV risk of their patients. Patients show optimistic bias when considering their own risk and consistently underestimate it. Poor patient health literacy and numeracy must be considered when thinking about this problem. Patients must possess a reasonably high level of understanding of numerical processes when doctors discuss risk, a level that is not possessed by large numbers of the population. In order to overcome this barrier, doctors need to utilize various tools including the appropriate use of visual aids to accurately communicate risk with their patients. Any intervention has been shown to be better than nothing in improving health understanding. The simple process of repeatedly conveying risk information to a patient has been shown to improve accuracy of risk perception. Doctors need to take responsibility for the accurate assessment and effective communication of CV risk in their patients in order to improve patient uptake of cardioprotective lifestyle choices and preventive medications.

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Causal attributions for angina: results of an interview study

Cited by 10 publications

References 15 publications

Participants' experiences of care during a randomized controlled trial comparing a lay‐facilitated angina management programme with usual care: a qualitative study using focus groups

Participants' experiences of care during a randomized controlled trial comparing a lay‐facilitated angina management programme with usual care: a qualitative study using focus groups

Gender disparities in the assessment and management of cardiovascular risk in primary care: the AusHEART study

Perceptions of risk: understanding cardiovascular disease

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