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Acute Coronary Syndrome and Care-Seeking Delay: A Web Based Behavioral Study

The recruitment status of this study is unknown because the information has not been verified recently.
Verified July 2011 by Yale University.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Yale University
ClinicalTrials.gov Identifier:
NCT01407146
First received: July 28, 2011
Last updated: July 29, 2011
Last verified: July 2011
  Purpose

The primary aim of this study is to increase our understanding of care-seeking behavior surrounding heart attacks or acute coronary syndromes [ACS]. This study uses an internet based survey to ask individuals how they obtained medical care in the midst of a heart attack. At present, care-seeking delay among individuals stricken with a heart attack prevents them from obtaining the full therapeutic benefit of hospital based medical care in a timely manner to reduce the long term health consequences of a heart attack. By using a self-tailoring survey instrument the study attempts to take into consideration the complex social processes by which the individual and their family make decisions to seek medical care for symptoms of a heart attack. The study is designed to obtain a national sample of ACS care-seeking behavior in the United States.


Condition
Acute Myocardial Infarction
Heart Attack
Acute Coronary Syndrome
Unstable Angina

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Retrospective
Official Title: Acute Coronary Syndrome and Care-Seeking Delay: A Web Based Behavioral Study

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Decision points and situations and circumstances critical to producing patterns of care-seeking that are efficient and expeditious or are protracted and delayed. [ Time Frame: Study participants will be asked to complete a survey of their heart attack care-seeking experiences. The survey will take from 30 minutes to 1 hour to complete depending on their care-seeking activities. ] [ Designated as safety issue: No ]
    By applying an integrated self-regulatory care-seeking model [ISCM] to ACS care-seeking, we can delineate decision points and circumstances that are critical to producing patterns of care-seeking that are expeditious or delayed. The ISCM model assumes that coping behaviors emerge over time and are initially guided by demographic and structural factors. As the self-regulatory processes emerge, the influence of these factors diminishes and emergent ACS evaluations, advice from others and health care providers, emerging symptoms and emotions, come to determine the duration of ACS care-seeking.


Estimated Enrollment: 2314
Study Start Date: July 2011
Estimated Study Completion Date: April 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

This study is designed to gather detailed information on the care-seeking behavior of ACS patients from a sample of sufficient size to allow testing of study hypotheses and provide points of intervention in the ACS care-seeking process. To obtain these data the study will employ a self-administered, self-tailoring web based survey instrument and a sampling design incorporating sampling quotas calculated from NHANES 1999-2000 and 2001-2002 studies to represent the population of the United States with AMI by age, gender, and race, and 2] over sampling of selected groups to meet calculated sampling quotas.

Criteria

Inclusion Criteria: Acute myocardial infarction, acute coronary syndrome, unstable angina, men & women, all races & ethnicities

-

Exclusion Criteria: age < 21 years

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01407146

Locations
United States, Connecticut
Yale University School of Nursing Recruiting
New Haven, Connecticut, United States, 06536
Contact: Angelo A Alonzo, PhD       heart.study@yale.edu   
Principal Investigator: Angelo A Alonzo, PhD         
Sponsors and Collaborators
Yale University
Investigators
Principal Investigator: Angelo A Alonzo, PhD Yale University School of Nursing
  More Information

Additional Information:
No publications provided

Responsible Party: Angelo A. Alonzo, Yale University School of Nursing
ClinicalTrials.gov Identifier: NCT01407146     History of Changes
Other Study ID Numbers: 5R01HL085328-04
Study First Received: July 28, 2011
Last Updated: July 29, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
acute myocardial infarction
care-seeking behavior
acute coronary syndrome
care-seeking delay
cardiac delay
prehospital delay
acute myocardial infarction & PTSD
help seeking behaviors
seeking treatment
cardiac patients
decision time

Additional relevant MeSH terms:
Acute Coronary Syndrome
Angina, Unstable
Infarction
Myocardial Infarction
Syndrome
Angina Pectoris
Cardiovascular Diseases
Chest Pain
Disease
Heart Diseases
Ischemia
Myocardial Ischemia
Necrosis
Pain
Pathologic Processes
Signs and Symptoms
Vascular Diseases

ClinicalTrials.gov processed this record on November 25, 2014