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dc.contributor.authorGoff, David C.
dc.contributor.authorMitchell, Paul
dc.contributor.authorFinnegan, John
dc.contributor.authorPandey, Dilip
dc.contributor.authorBittner, Vera
dc.contributor.authorFeldman, Henry A.
dc.contributor.authorMeischke, Hendrika
dc.contributor.authorGoldberg, Robert J.
dc.contributor.authorLuepker, Russell V.
dc.contributor.authorRaczynski, James M.
dc.contributor.authorCooper, Lawton
dc.contributor.authorMann, Clay
dc.date2022-08-11T08:10:39.000
dc.date.accessioned2022-08-23T17:15:27Z
dc.date.available2022-08-23T17:15:27Z
dc.date.issued2004-01-16
dc.date.submitted2010-05-27
dc.identifier.citationPrev Med. 2004 Jan;38(1):85-93.
dc.identifier.issn0091-7435 (Linking)
dc.identifier.pmid14672645
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47173
dc.description.abstractBACKGROUND: Effective treatment for patients with acute myocardial infarction is limited by patient delay in seeking care. Inadequate knowledge of heart attack symptoms may prolong delay. An intervention designed to reduce delay was tested in the Rapid Early Action for Coronary Treatment (REACT) Community Trial. In this report, the impact on knowledge of heart attack symptoms is presented. METHODS: Twenty communities were randomized to intervention or comparison status in a matched-pair design. Intervention strategies included community organization, public education, professional education, and patient education. The main outcome measures were based on information regarding knowledge of symptoms collected in a series of four random-digit-dialed telephone surveys. RESULTS: Knowledge of REACT-targeted symptoms increased in intervention communities. No change was observed in comparison communities. The net effect was an increase of 0.44 REACT-targeted symptoms per individual (P<0.001). The intervention effect was greater in ethnic minorities, persons with lower household incomes, and those with family or spouse history of heart attack (P<0.05). CONCLUSIONS: The REACT intervention was modestly successful in increasing the general public's knowledge of the complex constellation of heart attack symptoms. The intervention program was somewhat more effective in reaching disadvantaged subgroups, including ethnic minorities and persons with lower income. Despite these successes, the post-intervention level of knowledge was suboptimal.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=14672645&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/j.ypmed.2003.09.037
dc.subjectAdolescent
dc.subjectAdult
dc.subject*Awareness
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMyocardial Infarction
dc.subjectTime Factors
dc.subjectBiostatistics
dc.subjectCardiovascular Diseases
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleKnowledge of heart attack symptoms in 20 US communities. Results from the Rapid Early Action for Coronary Treatment Community Trial
dc.typeJournal Article
dc.source.journaltitlePreventive medicine
dc.source.volume38
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/320
dc.identifier.contextkey1333073
html.description.abstract<p>BACKGROUND: Effective treatment for patients with acute myocardial infarction is limited by patient delay in seeking care. Inadequate knowledge of heart attack symptoms may prolong delay. An intervention designed to reduce delay was tested in the Rapid Early Action for Coronary Treatment (REACT) Community Trial. In this report, the impact on knowledge of heart attack symptoms is presented.</p> <p>METHODS: Twenty communities were randomized to intervention or comparison status in a matched-pair design. Intervention strategies included community organization, public education, professional education, and patient education. The main outcome measures were based on information regarding knowledge of symptoms collected in a series of four random-digit-dialed telephone surveys.</p> <p>RESULTS: Knowledge of REACT-targeted symptoms increased in intervention communities. No change was observed in comparison communities. The net effect was an increase of 0.44 REACT-targeted symptoms per individual (P<0.001). The intervention effect was greater in ethnic minorities, persons with lower household incomes, and those with family or spouse history of heart attack (P<0.05).</p> <p>CONCLUSIONS: The REACT intervention was modestly successful in increasing the general public's knowledge of the complex constellation of heart attack symptoms. The intervention program was somewhat more effective in reaching disadvantaged subgroups, including ethnic minorities and persons with lower income. Despite these successes, the post-intervention level of knowledge was suboptimal.</p>
dc.identifier.submissionpathqhs_pp/320
dc.contributor.departmentDepartment of Medicine, Division of Cardiovascular Medicine
dc.source.pages85-93


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