Wiser Choices in Acute Myocardial Infarction
This study has been completed.
Sponsor:
Mayo Clinic
Information provided by (Responsible Party):
Henry H. Ting, Mayo Clinic
ClinicalTrials.gov Identifier:
NCT00888537
First received: April 24, 2009
Last updated: February 8, 2012
Last verified: February 2012
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Purpose
Patients who are hospitalized because of a heart attack are prescribed a number of medicines to help the heart heal. The investigators will examine different ways in which clinicians share information about those treatment options with patients and the impact that this can have on patients' choices and health.
| Condition | Intervention |
|---|---|
|
Acute Myocardial Infarction |
Other: AMI Choice Decision aid Other: Usual Care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Wiser Choices in Acute Myocardial Infarction |
Resource links provided by NLM:
Further study details as provided by Mayo Clinic:
Primary Outcome Measures:
- Increases adherence to cardiac medications with proven benefits [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Reduces patients' decisional conflict (increase patient decisional quality) [ Time Frame: During hospital stay ] [ Designated as safety issue: No ]
- Decreases rehospitalization rates and death [ Time Frame: 5 weeks and 6 months ] [ Designated as safety issue: No ]
- Increase patient knowledge of medication to help the heart heal [ Time Frame: During hospital stay ] [ Designated as safety issue: No ]
| Enrollment: | 107 |
| Study Start Date: | March 2009 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Decision Aid
Patients in this arm will discuss medications to help the heart heal after a heart attack with the clinician and the help of a decision aid.
|
Other: AMI Choice Decision aid
The decision aid describes the risk of dying in the first six months following a heart attack without and with taking a bundle of medications to help the heart heal.
|
|
Active Comparator: Usual Care
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
|
Other: Usual Care
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
|
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Between the ages of 18 and 90
- Hospitalized at Saint Marys Hospital
- A primary diagnosis of AMI,
- Have heart rate, blood pressure, troponin and creatinine measurements,
- There is an intention to offer treatment medications
- Are able and willing to provide informed consent
Exclusion Criteria:
- Have not had a myocardial infarction
- Have significant cognitive, visual impairment,
- Non-English speaker
- Have a DNI/DNR status
- Will be discharged to a nursing home
- AMI is not the presumptive diagnosis
Contacts and Locations More Information
No publications provided
| Responsible Party: | Henry H. Ting, MD, Mayo Clinic |
| ClinicalTrials.gov Identifier: | NCT00888537 History of Changes |
| Other Study ID Numbers: | 09-000748 |
| Study First Received: | April 24, 2009 |
| Last Updated: | February 8, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Mayo Clinic:
|
Decision aid Heart attack myocardial infarction |
Additional relevant MeSH terms:
|
Infarction Myocardial Infarction Ischemia Pathologic Processes Necrosis |
Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013