Collaborative Cardiac Care Project (C3P)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00105664
First received: March 16, 2005
Last updated: April 15, 2014
Last verified: April 2014

March 16, 2005
April 15, 2014
October 2004
Not Provided
Symptom control, quality of life and satisfaction at one year; improved practitioner compliance with national clinical practice guidelines over the one-year intervention period [ Designated as safety issue: No ]
Patient-reported changes in scores on the angina frequency, physical limitation, and quality of life scales of the SAQ
Complete list of historical versions of study NCT00105664 on ClinicalTrials.gov Archive Site
Marginal cost effectiveness during one-year study period [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Collaborative Cardiac Care Project
Collaborative Cardiac Care Project (C3P)

Data from VA-funded studies and the broader literature indicate that chronic stable angina (CSA) is prevalent, under recognized, under treated and associated with reduced quality of life. There are substantial opportunities for improving care of patients with this debilitating and potentially fatal problem. Because primary care providers manage most patients with CSA, efforts to improve care must necessarily involve the primary care delivery system. C3P is composed of a set of interventions employing a Collaborative Care Team model, which has been shown to be effective in managing other chronic illnesses in the primary care setting.

Objectives of the proposed project are to: 1) ascertain whether a collaborative approach to managing CSA in primary care results in better symptom control and quality of life than routine care; 2) assess whether the practice of providers assigned to the intervention group is more consistent with national clinical practice guidelines than that of control providers; 3) assess satisfaction of both patients and providers with this approach to management; and 4) assess marginal cost-effectiveness.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Myocardial Ischemia
  • Angina Pectoris
  • Coronary Disease
  • Procedure: Collaborative care model
  • Procedure: Group interventions
  • Procedure: Facilitated consultation
Arm 1
Interventions:
  • Procedure: Collaborative care model
  • Procedure: Group interventions
  • Procedure: Facilitated consultation

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
287
July 2007
Not Provided

Inclusion Criteria:

Providers:

  • Staff (MD, PA, NP) or resident (R1, R2)
  • at least 1 participating patient

Patients

  • assigned to participating provider
  • diagnosis consistent with IHD
  • 2 visits in past year
  • frequent angina symptoms (SAQ freq. score less than 70)

Exclusion Criteria:

Providers:

- No participating patients

Patients:

  • cognitive impairment (inability to complete questionnaires and phone interviews)
  • non-participating provider
  • life expectancy of less than 24 months
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00105664
IHI 02-062
Yes
Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Stephan D. Fihn, MD MPH VA Puget Sound Health Care System, Seattle
Department of Veterans Affairs
April 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP