Acute Coronary Syndrome
Conditions
Keywords
post discharge intervention, adherence, compliance, community health worker
Brief summary
This is a randomized, open trial comparing post discharge interventions by community health workers (CHW) to standard care in acute coronary syndrome (ACS) patients. This trial will be conducted in 10 hospitals in India/different parts(both secondary and tertiary care). A total of 800 patients will be recruited, with equal allocation to SPREAD interventions and control groups (usual care)
Detailed description
Inclusion criteria: Consenting patients being discharged after an acute coronary event such as unstable angina, acute myocardial infarction, or after coronary intervention (CABG surgery or PCI). Exclusion criteria: Patients with other terminal/ debilitating illness, (e.g., advanced cancer, disabling stroke) those not expected to survive for the study duration, those with dementia and psychiatric illness or patients unlikely to comply with study requirements, including regular follow up. OUTCOME MEASURES: 1. Feasibility 2. Difference in adherence to specific medications for secondary prevention of CAD (Coronary Artery Diseases) compared to the control group, at one year.
Interventions
BEHAVIORALCHW based intervention post ACS
CHW is trained and supervised to provide interventions that could improved adherence to post ACS care
Sponsors
National Heart and Lung Institute
St. John's Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Consenting patients being discharged after an acute coronary event such as unstable angina, acute myocardial infarction, or after coronary intervention (CABG surgery or PCI).
Exclusion criteria
* Patients with other terminal/ debilitating illness, (e.g., advanced cancer, disabling stroke) those not expected to survive for the study duration, those with dementia and psychiatric illness or patients unlikely to comply with study requirements, including regular follow up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To obtain estimates of rates of adherence to pharmacotherapy and lifestyle modification interventions and the incidence of major cardiovascular events | 12 months | Evaluate the rates of adherence to pharmacotherapy and lifestyle modifications using the community health worker |
| To determine the feasibility of conducting a secondary prevention trial using CDCHWs on adherence to medications and lifestyle advice | 12 MONTHS | A pilot study to look at feasibiility of using a trained community health worker to deliver health messages to patients who have had a coronary event |
Countries
India
Outcome results
None listed