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Health Education Research, Vol. 15, No. 3, 317-326, June 2000
© 2000 Oxford University Press

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

Hendrika Meischke, Mickey Eisenberg1, Sharon Schaeffer2 and Daniel K. Henwood2

Department of Health Services and
1 Department of Medicine, University of Washington, Seattle, WA 98195-6123, and
2 King County Emergency Medical Services Division, Seattle, WA 98104-4039, USA

The purpose of this study was to test the effectiveness of a `Heart Attack Survival Kit', disseminated via two different delivery methods, designed to increase seniors' intentions to call 911 and take an aspirin in response to a cardiac emergency. Twelve-hundred seniors were randomly assigned to (1) receiving a Kit via a home visit by an Emergency Medical Technician (EMT), (2) receiving a Kit via direct mail or (3) a control group. All participants were telephoned and asked how they would respond to a cardiac emergency. Results showed that respondents in the intervention group (EMT and direct mail group combined) reported a greater frequency of the recommended coping response to AMI (39%) than respondents in the control group (10%) (P < 0.000). Within intervention groups, 47% in the EMT group and 30% in the direct mail group (P < 0.000) reported intentions to take the appropriate response to AMI. The results suggest that a Heart Attack Survival Kit, especially when delivered door-to-door by EMTs, can be an effective way of educating seniors about cardiac emergencies.


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[Abstract] [PDF]


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