Acute Coronary Syndrome, Medication Adherence
Conditions
Keywords
Acute Coronary Syndrome, Interactive Voice Response Technology, Best Practice Guidelines, Compliance, Health Care Utilization
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.
Detailed description
Acute coronary syndrome (ACS) is a significant public-health problem in Canada and worldwide with 20,000 Canadians dying of myocardial infarction and 42,000 dying of coronary artery disease in 1999. Large clinical trials have provided evidence for the development of standardized best practice guidelines (BPG) and compliance with these guidelines have significantly improved survival. Despite the development and dissemination of BPG, their application in patients with ACS is suboptimal. This randomized control trial will use 2 groups: IVR and usual care. Patients in the IVR group will receive 5 automated calls at 1,3,6,9 and 12 months consisting of predetermined questions related to medication management, smoking cessation, diet, exercise and education as recommended by the ACC/AHA BPG for ACS. Responses are captured in a database allowing for interventions to maintain patients on BPG as needed.
Interventions
OTHERIVR group
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.
Sponsors
Ottawa Heart Institute Research Corporation
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* Patients discharged to a care facility or transferred to another health care institution * Patients who cannot provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compliance with BPGs | 1 Year |
Secondary
| Measure | Time frame |
|---|---|
| Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction | 1 Year |
Countries
Canada
Outcome results
None listed