Supporting Treatment decisions to Optimise stroke Prevention in AF- the Stop-Stroke in AF tria (STOP-STROKE in AF trial).

Effect of academic detailing plus expert decisional support compared with academic detailing on general practitioners use of anticoagulation for the management of stroke risk in atrial fibrillation.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12611000076976

Acronym

STOP-STROKE IN AF

Enrollment

179

Registered

2011-01-20

Start date

2010-03-05

Completion date

2011-11-02

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to improve GPs' management of atrial fibrillation to prevent stroke.

Interventions

One academic detailing session (30 minutes to 60 minutes in duration, tailored to GP needs) delivered by a medically trained peer to general practitioners via a phone session followed by expert feedback on the management of patients with atrial fibrillation. During the academic detailing session, GPs' identify patients with AF for which they wish to receive expert feedback. The medically trained peer proceeds through a standardised proforma collecting de-identified information about the presence of comorbidities, stroke risk factors, current anti-thrombotic treatments and records GPs' concerns/questions about the patient's management. The de-identified proforma is returned to the research staff who forward a one-page summary to experts in stroke medicine (specifically Neurologists and Cardiologists) who reply to GP's queries. The completed one-page summary is then returned to the GPs.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Prevention

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

25 Years to 100 Years

Healthy volunteers

Yes

Inclusion criteria

GPs must be in active practice during the study period. GPs must nominate at least one patient with AF to refer for expert feedback on their management of stroke prevention.

Exclusion criteria

GPs working as locums or who are on extended leave (eg maternity or sick leave) or who work exclusively in a sub-specialty area not involving elderly patients or patients managed for general health issues (eg travel medicine). GPs failing to nominate a patient with AF during baseline academic detailing session.

Outcome results