Informational Postcards to Improve Remote Monitoring Among Veterans With Pacemakers and Implantable Cardioverter-Defibrillators
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 6,351
- 试验地点
- 2
- 主要终点
- Remote monitoring transmission
研究概览
简要总结
We tested the effect of informational postcards on improving remote monitoring adherence among Veterans with pacemakers and implantable cardioverter-defibrillators in a stepped-wedge randomized controlled trial.
详细描述
Objective
To test the effect of informational postcards on remote monitoring adherence among Veterans with pacemakers and implantable cardioverter-defibrillators (ICDs).
Design/Patients: Stepped-wedge randomized controlled trial among Veterans with pacemakers and ICDs.
Intervention: In wave 1, Veterans who had sent at least 1 transmission within the past 2 years but had become non-adherent were randomly assigned to receive a postcard or no postcard. Those receiving postcards were randomized to 1 of 2 messages: 1) a "warning" postcard describing risks of non-adherence or 2) an "encouraging" postcard describing benefits of adherence. In wave 2, Veterans who had either not received a postcard in wave 1 or had since become non-adherent were mailed a postcard (again, randomized to 1 of 2 messages). Patients who did not send a remote monitoring transmission within 1 month were mailed a second, identical postcard.
Main Measures: Proportion of patients who sent a transmission within 70 days.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Veteran patients with wireless RM-capable pacemakers and ICDs followed by the VA National Cardiac Device Surveillance Program (VANCDSP)
- •Sent at least 1 remote transmission within the past 2 years but had become non-adherent (defined as missing their last scheduled transmission by at least 10 days)
排除标准
- •Veteran patients without a wireless RM-capable device
- •Had not sent a remote transmission in the past 2 years
结局指标
主要结局
Remote monitoring transmission
时间窗: 70 days
Proportion of patients who sent a transmission within 70 days
次要结局
- Transmission after first postcard(70 days)
研究者
Sanket Dhruva, MD, MHS
Staff Physician
San Francisco VA Health Care System