Acute Coronary Syndrome and Care-Seeking Delay: A Web Based Behavioral Study

NCT01407146 | Completed

• 2 other identifiers: 07110032865R01HL085328-04
• Study Type: observational
• Target: 2,381
• Locations: 1 country
• Sites: 1

Brief Summary

The primary aim of this study is to increase our understanding of care-seeking behavior surrounding heart attacks or acute coronary syndromes \[ACS\]. This study uses an internet based survey to ask individuals how they obtained medical care in the midst of a heart attack. At present, care-seeking delay among individuals stricken with a heart attack prevents them from obtaining the full therapeutic benefit of hospital based medical care in a timely manner to reduce the long term health consequences of a heart attack. By using a self-tailoring survey instrument the study attempts to take into consideration the complex social processes by which the individual and their family make decisions to seek medical care for symptoms of a heart attack. The study is designed to obtain a national sample of ACS care-seeking behavior in the United States.

Conditions

Acute Myocardial Infarction; Heart Attack; Acute Coronary Syndrome; Unstable Angina

Keywords

acute myocardial infarction; care-seeking behavior; acute coronary syndrome; care-seeking delay; cardiac delay; prehospital delay; acute myocardial infarction & PTSD; help seeking behaviors; seeking treatment; cardiac patients; decision time

Outcome Measures

Primary Outcomes (1)

• Decision points and situations and circumstances critical to producing patterns of care-seeking that are efficient and expeditious or are protracted and delayed.

  By applying an integrated self-regulatory care-seeking model \[ISCM\] to ACS care-seeking, we can delineate decision points and circumstances that are critical to producing patterns of care-seeking that are expeditious or delayed. The ISCM model assumes that coping behaviors emerge over time and are initially guided by demographic and structural factors. As the self-regulatory processes emerge, the influence of these factors diminishes and emergent ACS evaluations, advice from others and health care providers, emerging symptoms and emotions, come to determine the duration of ACS care-seeking.

  Study participants will be asked to complete a survey of their heart attack care-seeking experiences. The survey will take from 30 minutes to 1 hour to complete depending on their care-seeking activities.

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

This study is designed to gather detailed information on the care-seeking behavior of ACS patients from a sample of sufficient size to allow testing of study hypotheses and provide points of intervention in the ACS care-seeking process. To obtain these data the study will employ a self-administered, self-tailoring web based survey instrument and a sampling design incorporating sampling quotas calculated from NHANES 1999-2000 and 2001-2002 studies to represent the population of the United States with AMI by age, gender, and race, and 2\] over sampling of selected groups to meet calculated sampling quotas.

Sponsors & Collaborators

• Yale University: lead
• Ohio State University: collaborator
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

Yale University School of Nursing

New Haven, Connecticut, 06536, United States

Location

MeSH Terms

Conditions

Myocardial Infarction; Acute Coronary Syndrome; Angina, Unstable; Stress Disorders, Post-Traumatic; Help-Seeking Behavior

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis; Angina Pectoris; Chest Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Social Behavior; Behavior

Study Officials

• Angelo A Alonzo, PhD

  Yale University School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 28, 2011
• First Posted: August 2, 2011
• Study Start: July 1, 2011
• Primary Completion: April 1, 2013
• Study Completion: April 1, 2013
• Last Updated: April 3, 2020

Record last verified: 2020-04

Locations

US (1)