Wiser Choices in Acute Myocardial Infarction
1 other identifier
interventional
107
1 country
1
Brief Summary
Patients who are hospitalized because of a heart attack are prescribed a number of medicines to help the heart heal. The investigators will examine different ways in which clinicians share information about those treatment options with patients and the impact that this can have on patients' choices and health.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2009
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2009
CompletedFirst Submitted
Initial submission to the registry
April 24, 2009
CompletedFirst Posted
Study publicly available on registry
April 27, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2011
CompletedMarch 21, 2016
March 1, 2016
2.3 years
April 24, 2009
March 18, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Increases adherence to cardiac medications with proven benefits
6 months
Reduces patients' decisional conflict (increase patient decisional quality)
During hospital stay
Decreases rehospitalization rates and death
5 weeks and 6 months
Increase patient knowledge of medication to help the heart heal
During hospital stay
Study Arms (2)
Decision Aid
EXPERIMENTALPatients in this arm will discuss medications to help the heart heal after a heart attack with the clinician and the help of the acute myocardial infarction (AMI) Choice Decision Aid.
Usual Care
ACTIVE COMPARATORPatients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
Interventions
The decision aid describes the risk of dying in the first six months following a heart attack without and with taking a bundle of medications to help the heart heal.
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
Eligibility Criteria
You may qualify if:
- Between the ages of 18 and 90
- Hospitalized at Saint Marys Hospital
- A primary diagnosis of AMI,
- Have heart rate, blood pressure, troponin and creatinine measurements,
- There is an intention to offer treatment medications
- Are able and willing to provide informed consent
You may not qualify if:
- Have not had a myocardial infarction
- Have significant cognitive, visual impairment,
- Non-English speaker
- Have a Do Not Intubate/Do Not Resuscitate (DNI/DNR) status
- Will be discharged to a nursing home
- AMI is not the presumptive diagnosis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (1)
Saint Marys Hospital, Mayo Clinic
Rochester, Minnesota, 55905, United States
Related Publications (2)
Branda ME, Kunneman M, Meza-Contreras AI, Shah ND, Hess EP, LeBlanc A, Linderbaum JA, Nelson DM, Mc Donah MR, Sanvick C, Van Houten HK, Coylewright M, Dick SR, Ting HH, Montori VM. Shared Decision-Making for Patients Hospitalized with Acute Myocardial Infarction: A Randomized Trial. Patient Prefer Adherence. 2022 Jun 1;16:1395-1404. doi: 10.2147/PPA.S363528. eCollection 2022.
PMID: 35673524DERIVEDWyatt KD, Branda ME, Inselman JW, Ting HH, Hess EP, Montori VM, LeBlanc A. Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. BMC Med Inform Decis Mak. 2014 Sep 2;14:81. doi: 10.1186/1472-6947-14-81.
PMID: 25179289DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Henry Ting, MD
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
April 24, 2009
First Posted
April 27, 2009
Study Start
March 1, 2009
Primary Completion
June 1, 2011
Study Completion
June 1, 2011
Last Updated
March 21, 2016
Record last verified: 2016-03