Using IVR to Maintain ACS Patients on Best Practice Guidelines

NCT01260207 | Terminated Phase 3

• 1 other identifier: R-07-391
• Study Type: interventional
• Target: 654
• Locations: 1 country
• Sites: 1

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.

Conditions

Acute Coronary Syndrome; Medication Adherence

Keywords

Acute Coronary Syndrome; Interactive Voice Response Technology; Best Practice Guidelines; Compliance; Health Care Utilization

Outcome Measures

Primary Outcomes (1)

• Compliance with BPGs

  1 Year

Secondary Outcomes (1)

• Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction

  1 Year

Study Arms (2)

IVR group

EXPERIMENTAL

Patients in this arm will receive IVR follow-up telephone calls at 1,3,6,9 and 12 months post-discharge consisting of predetermined questions related to medication management, smoking cessation, diet, exercise and education as recommended by the ACC/AHA BPG for ACS. Upon completion of the IVR follow-up, all patients will be called by a member of the clinical research staff and asked to complete a follow-up survey.

Other: IVR group

Usual care

NO INTERVENTION

Patients in this arm will not receive IVR follow-up. One year after discharge, all patients will be called by a member of the clinical research staff and asked to complete a follow-up survey.

Interventions

IVR group OTHER

Patients in this arm will receive IVR follow-up telephone calls at 1,3,6,9 and 12 months post-discharge consisting of predetermined questions related to medication management, smoking cessation, diet, exercise and education as recommended by the ACC/AHA BPG for ACS. Upon completion of the IVR follow-up, all patients will be called by a member of the clinical research staff and asked to complete a follow-up survey.

Also known as: Assignment to Interactive Voice Response

IVR group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• Patients discharged to a care facility or transferred to another health care institution
• Patients who cannot provide informed consent

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead
• Ottawa Heart Institute Research Corporation: collaborator

Study Sites (1)

London Health Sciences Centre

London, Ontario, N6A 5A5, Canada

Location

MeSH Terms

Conditions

Acute Coronary Syndrome; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Neville G. Suskin, MBChB, MSc

  University of Western Ontario and London Health Sciences Centre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 13, 2010
• First Posted: December 15, 2010
• Study Start: January 1, 2010
• Primary Completion: December 15, 2014
• Study Completion: December 15, 2014
• Last Updated: August 28, 2017

Record last verified: 2017-03

Locations

CA (1)