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Information sheets for patients with acute chest pain: randomised controlled trial

Arnold, J., Goodacre, S., Bath, P.A. and Price, J. (2009) Information sheets for patients with acute chest pain: randomised controlled trial. British Medical Journal, 338. Art. No.b541. ISSN 0959-8146

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Abstract

Objectives: To determine whether providing an information sheet to patients with acute chest pain reduces anxiety, improves health related quality of life, improves satisfaction with care, or alters subsequent symptoms or actions.

Design: Single centre, non-blinded, randomised controlled trial.

Setting: Chest pain unit of an emergency department.

Participants: 700 consecutive patients with acute chest pain and no clear diagnosis at initial presentation.

Interventions: After a diagnostic assessment patients were randomised to receive either standard verbal advice or verbal advice followed by an information sheet.

Main outcome measures: The primary outcome was anxiety (hospital anxiety and depression scale). Secondary outcomes were depression (hospital anxiety and depression scale), health related quality of life (SF-36), patient satisfaction, presentation with further chest pain within one month, lifestyle change (smoking cessation, diet, exercise), further information sought from other sources, and planned healthcare seeeking behaviour in response to further pain. Results 494 of 700 (70.6%) patients responded. Compared with those receiving standard verbal advice those receiving advice and an information sheet had lower mean hospital anxiety and depression scale scores for anxiety (7.61v8.63, difference 1.02, 95% confidence interval 0.20 to 1.84) and depression (4.14 v 5.28, difference 1.14, 0.41 to 1.86) and higher scores for mental health and perception of general health on the SF-36. The information sheet had no significant effect on satisfaction with care, subsequent symptoms, lifestyle change, information seeking, or planned actions in the event of further pain.

Conclusions: Provision of an information sheet to patients with acute chest pain can reduce anxiety and depression and improve mental health and perception of general health but does not alter satisfaction with care or other outcomes.

Trial registration Current Controlled Trials ISRCTN85248020.

Item Type: Article
Copyright, Publisher and Additional Information: © 2009 BMJ Publishing Group. This is an author produced version of a paper subsequently published in the British Medical Journal. Uploaded in accordance with the publisher's self-archiving policy.
Keywords: OBSERVATION UNIT; PANIC DISORDER; EMERGENCY; CARE; SATISFACTION; DEPRESSION
Academic Units: The University of Sheffield > Faculty of Social Sciences (Sheffield) > Information School (Sheffield)
The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield)
Depositing User: Miss Anthea Tucker
Date Deposited: 02 Apr 2009 14:29
Last Modified: 08 Feb 2013 16:58
Published Version: http://dx.doi.org/10.1136/bmj.b541
Status: Published
Publisher: BMJ Publishing Group
Refereed: Yes
Identification Number: 10.1136/bmj.b541
URI: http://eprints.whiterose.ac.uk/id/eprint/8475

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