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Trial record 53 of 279 for:    Best Disease

Using Automated Calls To Improve Compliance With Acute Coronary Syndrome Best Practice Guidelines

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ClinicalTrials.gov Identifier: NCT01151800
Recruitment Status : Completed
First Posted : June 28, 2010
Last Update Posted : June 28, 2010
Sponsor:
Collaborator:
The Change Foundation
Information provided by:
Ottawa Heart Institute Research Corporation

Brief Summary:

The purpose of this study is to determine whether interactive voice response (IVR) technology can be used to bring post discharge care for acute coronary syndrome (ACS) closer to best practice guidelines (BPGs).

The study hypothesis is that ACS patients who are contacted by IVR technology will be more likely to receive care as recommended in the BPGs than those followed by usual care.


Condition or disease Intervention/treatment Phase
Acute Coronary Syndrome Medication Adherence Other: Using IVR to maintain ACS patients on best practice guidelines Not Applicable

Detailed Description:
Acute coronary syndrome (ACS) is a significant public-health problem in Canada and worldwide with 20,000 Canadians dying of myocardial infarction and 42,000 dying of coronary artery disease in 1999. Large clinical trials have provided evidence for the development of standardized best practice guidelines (BPG) and compliance with these guidelines have significantly improved survival. Despite the development and dissemination of BPG, their application in patients with ACS is suboptimal. This randomized control trial will use 2 groups: IVR and usual care. Patients in the IVR group will receive 5 automated calls at 1,3,6,9 and 12 months consisting of predetermined questions related to medication management, smoking cessation, diet, exercise and education as recommended by the ACC/AHA BPG for ACS. Responses are captured in a database allowing for interventions to maintain patients on BPG as needed.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1608 participants
Allocation: Randomized
Primary Purpose: Treatment
Official Title: Using Interactive Voice Response To Improve Disease Management and Compliance With Acute Coronary Syndrome Best Practice Guidelines
Study Start Date : January 2006
Actual Primary Completion Date : May 2010
Actual Study Completion Date : May 2010

Arm Intervention/treatment
Experimental: IVR group Other: Using IVR to maintain ACS patients on best practice guidelines
No Intervention: Usual care



Primary Outcome Measures :
  1. Compliance with BPGs [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction [ Time Frame: 1 year ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients discharged from the UOHI with ACS (acute myocardial infarction, STEMI or NSTEMI)
  • Patients who have a land line telephone service at home
  • Patients who speak English or French

Exclusion Criteria:

  • Patients discharged to a care facility or transferred to another health care institution

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01151800


Locations
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Canada, Ontario
University of Ottawa Heart Institute
Ottawa, Ontario, Canada, K1Y 4W7
Sponsors and Collaborators
Ottawa Heart Institute Research Corporation
The Change Foundation

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Responsible Party: Heather Sherrard, VP Clinical Services, University of Ottawa Heart Institute
ClinicalTrials.gov Identifier: NCT01151800     History of Changes
Other Study ID Numbers: UOHI 2006-128
First Posted: June 28, 2010    Key Record Dates
Last Update Posted: June 28, 2010
Last Verified: June 2010

Keywords provided by Ottawa Heart Institute Research Corporation:
ACS
Interactive Voice Response Technology
Best Practice Guidelines
Health Care Utilization
Outcome Assessment

Additional relevant MeSH terms:
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Syndrome
Acute Coronary Syndrome
Disease
Pathologic Processes
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
Vascular Diseases