Using IVR to Maintain ACS Patients on Best Practice Guidelines (IVR-ACS BPG)
Recruitment status was Recruiting
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.
Acute Coronary Syndrome Medication Adherence
Other: IVR group
Other: Usual care
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Using Interactive Voice Response to Improve Disease Management and Compliance With Acute Coronary Syndrome Best Practice Guidelines|
- Compliance with BPGs [ Time Frame: 1 Year ] [ Designated as safety issue: Yes ]
- Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction [ Time Frame: 1 Year ] [ Designated as safety issue: No ]
|Study Start Date:||January 2010|
|Estimated Study Completion Date:||June 2012|
|Estimated Primary Completion Date:||January 2012 (Final data collection date for primary outcome measure)|
|Experimental: IVR group||
Other: IVR 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.
|No Intervention: Usual care||
Other: Usual care
Patients in this arm will not receive IVR follow-up. One year after discharge, all patients will be called by a member of the clinical research staff and asked to complete a follow-up survey.
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.
|Contact: Rosanna Turner, BA||519-685-8500 ext firstname.lastname@example.org|
|Contact: Grace-Ann Koops-Huygen, BSN||519-685-8500 ext 75986||GraceAnn.KoopsHuygen@lhsc.on.ca|
|London Health Sciences Centre||Recruiting|
|London, Ontario, Canada, N6A 5A5|
|Contact: Rosanna Turner, BA 519-685-8500 ext 36570 email@example.com|
|Contact: Grace-Ann Koops-Huygen, BSN 519-685-8500 ext 75986 GraceAnn.KoopsHuygen@lhsc.on.ca|
|Principal Investigator: Neville G. Suskin, MBChB, MSc|
|Sub-Investigator: Karen Unsworth, BPE, MSc|
|Sub-Investigator: Peter Prior, BSc, MA, PhD|
|Principal Investigator:||Neville G. Suskin, MBChB, MSc||University of Western Ontario and London Health Sciences Centre|