The `Heart Attack Survival Kit' project: an intervention designed to increase seniors' intentions to respond appropriately to symptoms of acute myocardial infarction

H. Meischke
2000 Health Education Research  
about one-third of them will die (American Heart Association, 1996). The two most critical actions a patient can take when faced with AMI symptoms The purpose of this study was to test the effectiveness of a 'Heart Attack Survival Kit', dissemare: (1) seeking prompt medical care, preferably by calling 911, so therapy can begin soon after inated via two different delivery methods, designed to increase seniors' intentions to call onset of AMI and (2) taking an aspirin at onset of a heart attack.
more » ... hese recommendations have been 911 and take an aspirin in response to a cardiac emergency. Twelve-hundred seniors were ranendorsed by the National Heart, Lung and Blood Institute as well as the American Heart Association domly assigned to (1) receiving a Kit via a home visit by an Emergency Medical Technician (National Institute of Health, 1997; Hennekens et al., 1998). However, many AMI patients do not (EMT), (2) receiving a Kit via direct mail or (3) a control group. All participants were telephoned follow these life-saving actions. This paper reports on the results of an intervention designed to and asked how they would respond to a cardiac emergency. Results showed that respondents in increase intentions among seniors 65 years and older to respond promptly and appropriately to the intervention group (EMT and direct mail group combined) reported a greater frequency symptoms of AMI. of the recommended coping response to AMI Seeking prompt medical care for (39%) than respondents in the control group symptoms of AMI (10%) (P Ͻ 0.000). Within intervention groups, 47% in the EMT group and 30% in the direct Thrombolytic therapy can alter the course of AMI, reducing morbidity and mortality (Yusuf et al., mail group (P Ͻ 0.000) reported intentions to take the appropriate response to AMI. The 1985; Marder and Sherry, 1988 ). However, its efficacy decreases with increasing time between results suggest that a Heart Attack Survival Kit, especially when delivered door-to-door by symptom onset and treatment (Second International Study of Infarct Survival Collaborative Group, EMTs, can be an effective way of educating seniors about cardiac emergencies. 1988). Patient delay accounts for most of the delay in receiving thrombolytic therapy (Dracup et al., all patients admitted to the hospital for possible AMI do not call 911 (Ho, 1991).
doi:10.1093/her/15.3.317 pmid:10977379 fatcat:ihth3dam5rehdb46rifxpnwi4q