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Table 1 Summary of the included studies

From: Reducing the time-lag between onset of chest pain and seeking professional medical help: a theory-based review

Authors/date

Study design

Population

Outcomes

Quality grade

Albarran et al., 2007

Interview

12 women with coronary heart disease (CHD)

Description of symptoms

**

Banks & Dracup K, 2007

Questionnaire and interview

61 patients with acute myocardial infarction (AMI), half male/female

Response to Symptoms Questionnaire, hours between symptoms and hospital admission

**

Buckley et al., 2007

RCT

200 people with history of CHD, mixed gender

Modified Response Questionnaire

****

Bunde & Martin R, 2006

Questionnaire and interview

433 post-AMI patients, 71% male

Neuroticism questionnaire, depression questionnaire, reported behaviour

**

Dracup et al., 2009

RCT

3522 patients with CHD

Time to presentation, Acute Cardiac Symptoms (ACS) Response Index

****

Dracup et al., 2008

Questionnaire

3522 patients with CHD

ACS Response Index Knowledge Scale

**

Fukuoka Y, 2007

Interview

1059 patients with AMI, 745 male

Description of symptom attribution

**

Fox-Wasylyshyn et al., 2010

Questionnaire and interview

135 recently diagnosed AMI patients

Symptom Congruence Scale, Coping with Heart Attack Symptoms Scale, report of delay, views regarding attribution of symptoms

**

Fox-Wasylyshyn, 2007

Secondary analysis of patient data

109 patients with previous AMI and 26 with no history of AMI

Likert scales with items relating to coping strategies

**

Galdas et al., 2007

Interview

56 males diagnosis of AMI

Views, perceptions of behaviour and common understandings

**

Gallagher et al., 2010

Interview

10 women post AMI

Reported experiences

**

Harralson, 2007

Interview and questionnaires

65 female patients with CHD

Reported barriers to delay, self-rating of health and support, depression inventory

**

Hwang et al., 2006

Secondary analysis of questionnaire data

239 patients with AMI

Myocardial Infarction Symptoms Profile, Representation of Heart Attack Symptoms questionnaire, delay time

**

Henriksson et al., 2007

Focus group

13 AMI patients and 14 relatives mixed gender

Recollection of thoughts and behaviours

**

Herning et al., 2010

Interview

14 female patients with STEMI

Recollection of thoughts and behaviours

**

Higginson, 2008

Interview

25 post-MI women

Recollection of thought processes and coping strategies

**

Kaur et al., 2006

Interview

27 AMI patients, 59% male

Recollection of thoughts and behaviours

**

Khan et al., 2007

Questionnaire and interview

720 AMI patients, 22% female

Delay time, clinical history, pain severity, knowledge of heart attack symptoms

***

Khraim & Carey, 2009

Systematic review

Patients with AMI

Predictors of delay

**

Lovlien et al., 2006

Questionnaire

82 AMI patients, 44 male

Lifestyle, medical history, symptoms, factors influencing delay

**

Løvlien et al., 2007

Questionnaire

533 patients with AMI, 384 male

Reported response, delay time, self-medication

***

McKinley et al., 2009

RCT

3522 people with CHD

ACS Response Index

****

Morgans et al., 2008

Questionnaire

600 emergency department attendees

Coping Responses Inventory, Multidimensional Health Locus of Control, delay time

**

Noureddine et al., 2006

Questionnaire and medical record review

204 acute coronary syndrome (ACS) patients, 72% male

Response to Symptoms Questionnaire, delay time

**

Noureddine, 2009

Secondary analysis of questionnaire data

210 patients with ACS, 70% male

Response to Symptoms Questionnaire

**

Perkins-Porras et al., 2009

Interview and medical note analysis

228 ACS patients, 178 male

History, risk factors, attribution of symptoms, time of admission, symptom onset

**

Riegel et al., 2008

RCT

1777 patients at risk of ACS

Emergency admission, history, pain ACS beliefs

****

Ruston & Clayton, 2007

Interview

44 female patients following cardiac event

Interpretation of symptoms and action taken

**

Sullivan et al., 2009

Questionnaire

796 patients with suspected ischemic heart disease, 77% male

Relationships Scales Questionnaire, intentions about seeking care, Seattle Angina Questionnaire, Perceived risk of MI, depression scale, Beck Anxiety Inventory

***

Thuresson M, 2007

Questionnaire and examination of medical records

1939 ACS patients, 75% male

Interpretation and response to symptoms, patient actions, the decision-making process, delay

***

Tullmann et al., 2007

RCT

115 Over 65 year old AMI patients, 52% female

Response Questionnaire, Control Attitude Scale, Brief Symptom Inventory Anxiety Subscale

***

Turris, 2008

Interview

16 females who sought emergency department care

Experiences of care

**

Turris, 2009

Interview

16 females seeking emergency department care

Reported decision-making strategies and knowledge

**

Turris et al., 2008

Observation and interview

100 hours of observation, interviews with 16 females attending emergency departments, interviews with 3 nurses

Reported interpretation of symptoms and decision-making

**

Vavouranakis et al., 2010

Observation, interview, questionnaire

348 patients with MI, higher ratio males

Delay time, factors for delay

**

Zegrean et al., 2009

Secondary analysis of interview and questionnaire data

135 AMI patients, 72% male

Decision delay, Response to Symptoms Questionnaire, coping strategies

**