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

Acute Coronary Syndrome Clinical Trial

Official title:

Using Interactive Voice Response To Improve Disease Management and Compliance With Acute Coronary Syndrome Best Practice Guidelines

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01151800
• Other study ID #: UOHI 2006-128
• Status: Completed
• Phase: N/A
• First received: June 25, 2010
• Last updated: June 25, 2010
• Start date: January 2006
• Est. completion date: May 2010

Study information

• Verified date: June 2010
• Source: Ottawa Heart Institute Research Corporation
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Health Canada
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1608
• Est. completion date: May 2010
• Est. primary completion date: May 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Allocation: Randomized, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Acute Coronary Syndrome
• Medication Adherence
• Syndrome

Intervention

Other:
• Using IVR to maintain ACS patients on best practice guidelines

Locations

Country	Name	City	State
Canada	University of Ottawa Heart Institute	Ottawa	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
Ottawa Heart Institute Research Corporation	The Change Foundation

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Compliance with BPGs		1 year	Yes
Secondary	Utilization of health care resources: emergency visits, unscheduled physician visits and hospitalization and patient satisfaction		1 year	No