Collaborative Cardiac Care Project

Not Applicable

Completed

• Conditions: Myocardial Ischemia; Coronary Disease; Angina Pectoris
• Interventions: Procedure: Collaborative care model; Procedure: Group interventions; Procedure: Facilitated consultation

• Registration Number: NCT00105664
• Lead Sponsor: US Department of Veterans Affairs

Brief Summary

Data from VA-funded studies and the broader literature indicate that chronic stable angina (CSA) is prevalent, under recognized, under treated and associated with reduced quality of life. There are substantial opportunities for improving care of patients with this debilitating and potentially fatal problem. Because primary care providers manage most patients with CSA, efforts to improve care must necessarily involve the primary care delivery system. C3P is composed of a set of interventions employing a Collaborative Care Team model, which has been shown to be effective in managing other chronic illnesses in the primary care setting.

Detailed Description

Objectives of the proposed project are to: 1) ascertain whether a collaborative approach to managing CSA in primary care results in better symptom control and quality of life than routine care; 2) assess whether the practice of providers assigned to the intervention group is more consistent with national clinical practice guidelines than that of control providers; 3) assess satisfaction of both patients and providers with this approach to management; and 4) assess marginal cost-effectiveness.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2004-10
• Study First Submitted: 2005-03-16
• Study First Submitted QC: 2005-03-16
• Study First Posted: 2005-03-17
• Study Completion: 2007-07
• Status Verified: 2007-10
• Last Update Submitted: 2015-04-06
• Last Update Posted: 2015-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 287

Inclusion Criteria

Providers:

• Staff (MD, PA, NP) or resident (R1, R2)
• at least 1 participating patient

Patients

• assigned to participating provider
• diagnosis consistent with IHD
• 2 visits in past year
• frequent angina symptoms (SAQ freq. score less than 70)

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Exclusion Criteria

Providers:

• No participating patients

Patients:

• cognitive impairment (inability to complete questionnaires and phone interviews)
• non-participating provider
• life expectancy of less than 24 months

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arm 1	Collaborative care model	-
Arm 1	Group interventions	-
Arm 1	Facilitated consultation	-

Primary Outcome Measures

Name	Time	Method
Symptom control, quality of life and satisfaction at one year; improved practitioner compliance with national clinical practice guidelines over the one-year intervention period

Secondary Outcome Measures

Name	Time	Method
Marginal cost effectiveness during one-year study period

Trial Locations

Locations (4)

VA Eastern Colorado Health Care System, Denver, CO; 🇺🇸 Denver, Colorado, United States

VA Palo Alto Health Care System, Palo Alto, CA; 🇺🇸 Palo Alto, California, United States

VA Portland Health Care System, Portland, OR; 🇺🇸 Portland, Oregon, United States

VA Puget Sound Health Care System Seattle Division, Seattle, WA; 🇺🇸 Seattle, Washington, United States