Individual research recommendation details

Recommendation ID

CG126/5

Question

Patient self-management plans:- What is the clinical and cost effectiveness of a self-management plan for people with stable angina?

Any explanatory notes
(if applicable)

Why this is important:- Stable angina is a chronic condition. Evidence suggests that addressing
people’s beliefs and behaviours in relation to angina may improve quality of life, and reduce morbidity and use of resources. Self-management plans could include: educating people with stable angina about the role of psychological factors in pain and pain control; and teaching people self-management skills to modify cognitions, behaviours and affective responses in order to control chest pain. These skills may include pacing of physical activities, modifying stress using cognitive reframing and problem-solving techniques, and relaxation training or mindfulness techniques. The proposed study is a randomised controlled trial in primary care that would assess the clinical and cost effectiveness of self-management plans. This research would inform future updates of key recommendations in the guideline. Furthermore the research would be relevant to a national priority area (National service framework for coronary heart disease [NSF CHD] chapter 4: stable angina and chapter 7: cardiac rehabilitation) as well as the Coalition White Paper 2010 (Equity and excellence: liberating the NHS) that emphasise the importance of increasing people’s choice and control in managing their condition.

Source guidance details

Comes from guidance

Stable angina: management

Number

CG126

Date issued

July 2011

Other details