Using Automated Calls To Improve Compliance With Acute Coronary Syndrome Best Practice Guidelines

This study has been completed.

Sponsor:

Collaborator:

The Change Foundation

Information provided by:

University of Ottawa Heart Institute

ClinicalTrials.gov Identifier:

NCT01151800

First received: June 25, 2010

Last updated: NA

Last verified: June 2010

History: No changes posted

Tracking Information
First Received Date ^ICMJE	June 25, 2010
Last Updated Date	June 25, 2010
Start Date ^ICMJE	January 2006
Primary Completion Date	May 2010 (final data collection date for primary outcome measure)
Current Primary Outcome Measures ^ICMJE (submitted: June 25, 2010)	Compliance with BPGs [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
Original Primary Outcome Measures ^ICMJE	Same as current
Change History	No Changes Posted
Current Secondary Outcome Measures ^ICMJE (submitted: June 25, 2010)	Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Original Secondary Outcome Measures ^ICMJE	Same as current
Current Other Outcome Measures ^ICMJE	Not Provided
Original Other Outcome Measures ^ICMJE	Not Provided

Descriptive Information
Brief Title ^ICMJE	Using Automated Calls To Improve Compliance With Acute Coronary Syndrome Best Practice Guidelines
Official Title ^ICMJE	Using Interactive Voice Response To Improve Disease Management and Compliance With Acute Coronary Syndrome Best Practice Guidelines
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.
Study Type ^ICMJE	Interventional
Study Phase	Not Provided
Study Design ^ICMJE	Allocation: Randomized Primary Purpose: Treatment
Condition ^ICMJE	Acute Coronary Syndrome Medication Adherence
Intervention ^ICMJE	Other: Using IVR to maintain ACS patients on best practice guidelines
Study Arm (s)	Experimental: IVR group Intervention: Other: Using IVR to maintain ACS patients on best practice guidelines No Intervention: Usual care
Publications *	Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.

Recruitment Information
Recruitment Status ^ICMJE	Completed
Enrollment ^ICMJE	1608
Completion Date	May 2010
Primary Completion Date	May 2010 (final data collection date for primary outcome measure)
Eligibility Criteria ^ICMJE	Inclusion Criteria: Patients discharged from the UOHI with ACS (acute myocardial infarction, STEMI or NSTEMI) Patients who have a land line telephone service at home Patients who speak English or French Exclusion Criteria: Patients discharged to a care facility or transferred to another health care institution
Gender	Both
Ages	18 Years and older
Accepts Healthy Volunteers	No
Contacts ^ICMJE	Contact information is only displayed when the study is recruiting subjects
Location Countries ^ICMJE	Canada

Administrative Information
NCT Number ^ICMJE	NCT01151800
Other Study ID Numbers ^ICMJE	UOHI 2006-128
Has Data Monitoring Committee	No
Responsible Party	Heather Sherrard, VP Clinical Services, University of Ottawa Heart Institute
Study Sponsor ^ICMJE	University of Ottawa Heart Institute
Collaborators ^ICMJE	The Change Foundation
Investigators ^ICMJE	Not Provided
Information Provided By	University of Ottawa Heart Institute
Verification Date	June 2010
^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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