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Web-Enhanced Guideline Implementation for Post MI CBOC Patients (VA MI Plus)

This study has been completed.
Information provided by (Responsible Party):
VA Office of Research and Development Identifier:
First received: August 2, 2005
Last updated: June 24, 2015
Last verified: June 2015
Results First Received: January 27, 2015  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Single Blind (Subject);   Primary Purpose: Health Services Research
Conditions: Myocardial Infarction
Intervention: Behavioral: VA MI Plus Interactive

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Among 66 eligible medical centers, the investigators recruited 48 affiliated with 219 clinics, including 957 providers in 26 states, the VIrgin Islands, and Puerto Rico; of these, 168 clinics were randomized (ie, had >1 provider enroll)

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Clinics were randomized when first eligible provider at that clinic logged on to the Web site.

Reporting Groups
Intervention Group The intervention included a multicomponent Web site and pushed e-mail cues with educational content.
Control Group Providers in control clinics were sent a link to an existing VA Web site that contained links to a wide range of clinical guidelines for various medical conditions.

Participant Flow:   Overall Study
    Intervention Group     Control Group  
STARTED     385 [1]   462 [1]
COMPLETED     205 [2]   196 [3]
NOT COMPLETED     180     266  
[1] Number of providers from 84 clinics
[2] Total providers at participating clinic locations were given the option to 'enroll'.
[3] Total providers at clinic locations were given the option to 'enroll'.

  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
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Reporting Groups
Intervention Arm/Group Providers from eligible clinics that were allocated to the intervention arm.
Control Arm/Group Providers from eligible clinics that were allocated to the control arm.
Total Total of all reporting groups

Baseline Measures
    Intervention Arm/Group     Control Arm/Group     Total  
Number of Participants  
[units: participants]
  385     462     847  
Age [1]      
<=18 years     0     0     0  
Between 18 and 65 years     0     0     0  
>=65 years     0     0     0  
Gender, Customized [2]      
Gender     0     0     0  
[1] Age data not collected
[2] Gender data not collected

  Outcome Measures

1.  Primary:   Primary Outcome Was the Performance of Each Provider on Each of Seven Clinical Indicators   [ Time Frame: 1/1/02 - 12/31/08 ]

  Serious Adverse Events

  Other Adverse Events

  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.

Results Point of Contact:  
Name/Title: Dr. Thomas Houston II
Organization: VA Bedford CHOIR
phone: 781-687-2884

Publications of Results:

Responsible Party: VA Office of Research and Development Identifier: NCT00126750     History of Changes
Other Study ID Numbers: SDR 03-090
Study First Received: August 2, 2005
Results First Received: January 27, 2015
Last Updated: June 24, 2015
Health Authority: United States: Federal Government