Monica Parry1, Ann Kristin Bjørnnes2, J Charles Victor3, Ana Patricia Ayala4, Erica Lenton4, Hance Clarke5, Paula Harvey6, Chitra Lalloo7, Judith McFetridge-Durdle8, Michael H McGillion9, Jennifer Price10, Jennifer Stinson11, Judy Watt-Watson12. 1. Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Electronic address: monica.parry@utoronto.ca. 2. Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada; Institute of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences, Oslo, Norway. 3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. 4. Gerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada. 5. Pain Research Unit, University Health Network, Toronto, Ontario, Canada. 6. Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada. 7. The Hospital for Sick Children, The Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada. 8. College of Nursing, Florida State University, Tallahassee, Florida, USA. 9. School of Nursing, McMaster University, Hamilton, Ontario, Canada. 10. Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada. 11. Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada; The Hospital for Sick Children, The Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada. 12. Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Abstract
BACKGROUND: Cardiac pain is considered the primary indicator of coronary artery disease (CAD). Existing reviews lack appropriate numbers of women or sex-based subgroup analyses, or both; thus, the benefits of self-management (women with cardiac pain actively participating in their own care and treatment) remain uncertain. METHODS: Using methods described by the Evidence for Policy and Practice Information and Co-ordinating Centre at the Institute of Education, 7 databases were systematically searched to examine and synthesize the evidence on self-management interventions for women with cardiac pain and cardiac pain equivalents, such as fatigue, dyspnea, and exhaustion. RESULTS: Our search yielded 22,402 article titles and abstracts. Of these, 57 randomized controlled trials were included in a final narrative synthesis, comprising data from 13,047 participants, including 5299 (41%) women. Self-management interventions targeting cardiac pain in women compared with a control population reduced (1) cardiac pain frequency and cardiac pain proportion (obstructive and nonobstructive CAD), (2) fatigue at 12 months, and (3) dyspnea at 2 months. There was no evidence of group differences in postprocedural (percutaneous coronary intervention or cardiac surgery) pain. Results indicated that self-management interventions for cardiac pain were more effective if they included a greater proportion of women (standardized mean difference [SMD], -0.01; standard error, 0.003; P = 0.02), goal setting (SMD, -0.26; 95% confidence interval [CI], -0.49 to -0.03), and collaboration/support from health care providers (SMD, -0.57; 95% CI, -1.00 to -0.14). CONCLUSIONS: The results of this review suggest that self-management interventions reduce cardiac pain and cardiac pain equivalents.
BACKGROUND:Cardiac pain is considered the primary indicator of coronary artery disease (CAD). Existing reviews lack appropriate numbers of women or sex-based subgroup analyses, or both; thus, the benefits of self-management (women with cardiac pain actively participating in their own care and treatment) remain uncertain. METHODS: Using methods described by the Evidence for Policy and Practice Information and Co-ordinating Centre at the Institute of Education, 7 databases were systematically searched to examine and synthesize the evidence on self-management interventions for women with cardiac pain and cardiac pain equivalents, such as fatigue, dyspnea, and exhaustion. RESULTS: Our search yielded 22,402 article titles and abstracts. Of these, 57 randomized controlled trials were included in a final narrative synthesis, comprising data from 13,047 participants, including 5299 (41%) women. Self-management interventions targeting cardiac pain in women compared with a control population reduced (1) cardiac pain frequency and cardiac pain proportion (obstructive and nonobstructive CAD), (2) fatigue at 12 months, and (3) dyspnea at 2 months. There was no evidence of group differences in postprocedural (percutaneous coronary intervention or cardiac surgery) pain. Results indicated that self-management interventions for cardiac pain were more effective if they included a greater proportion of women (standardized mean difference [SMD], -0.01; standard error, 0.003; P = 0.02), goal setting (SMD, -0.26; 95% confidence interval [CI], -0.49 to -0.03), and collaboration/support from health care providers (SMD, -0.57; 95% CI, -1.00 to -0.14). CONCLUSIONS: The results of this review suggest that self-management interventions reduce cardiac pain and cardiac pain equivalents.
Authors: Jerry Suls; Jazmin N Mogavero; Louise Falzon; Linda S Pescatello; Emily A Hennessy; Karina W Davidson Journal: Health Psychol Rev Date: 2019-11-29
Authors: Monica Parry; Ann Kristin Bjørnnes; Margaret Harrington; Michelle Duong; Salma El Ali; Arland O'Hara; Hance Clarke; Lynn Cooper; Donna Hart; Paula Harvey; Chitra Lalloo; Judith McFetridge-Durdle; Michael H McGillion; Colleen Norris; Louise Pilote; Jennifer Price; Jennifer Stinson; Judy Watt-Watson Journal: CJC Open Date: 2021-10-20
Authors: Monica Parry; Abida Dhukai; Hance Clarke; Ann Kristin Bjørnnes; Joseph A Cafazzo; Lynn Cooper; Paula Harvey; Joel Katz; Chitra Lalloo; Marit Leegaard; France Légaré; Mike Lovas; Judith McFetridge-Durdle; Michael McGillion; Colleen Norris; Laura Parente; Rose Patterson; Louise Pilote; Leah Pink; Jennifer Price; Jennifer Stinson; Akib Uddin; J Charles Victor; Judy Watt-Watson; Carol Auld; Christine Faubert; Deborah Park; Marianne Park; Beatrice Rickard; Vincenza Spiteri DeBonis Journal: BMJ Open Date: 2020-03-09 Impact factor: 2.692