The Use of Text Messaging to Improve the Hospital-community Transition and Prevent Readmission in Patients With Cardiovascular Disease (Txt2Prevent)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 2
- 主要终点
- Self-management as measured by the Health Education Impact Questionnaire by Osborne et al.
研究概览
简要总结
Participants will be recruited during their hospitalization for either heart attack or unstable angina and will be randomly assigned to either a text message program (Txt2Prevent) or usual care. They will be texted for the first 60-days after discharge. Texts will include topics regarding self-management and discharge protocols such as reminders to make an appointment with their general practitioner or to refill medication prescriptions. After 60 days, the two groups will be compared for hospital readmission rates, quality of life, medication adherence, and self-management.
详细描述
Cardiovascular disease is one of the leading causes for hospitalization and death in Canada. Being discharged is often a challenging and overwhelming time. Sometimes patients are readmitted to the hospital shortly in the months following their discharge. Some of these readmissions are due to information transfer being poor or insufficient.
Previous studies have looked at whether text messaging can be a simple, cost-effective way to help patients. Therefore, we wish to investigate the effectiveness of using text messaging to help heart patients after they are discharged from the hospital.
The goal of this study is to determine the impact of a pilot text-messaging intervention program (Txt2Prevent) that supports coronary syndrome (heart attack and unstable angina) patients for 60 days after their hospital discharge. The program will include information about follow-up care, medication use, and healthy lifestyle behaviours. The texts will be sent at relevant times during the patients' recovery.
The primary objective is compare self-management between the usual care patients versus the Txt2prevent patients. We hypothesize that the Txt2Prevent group will have better self-management than the usual care group.
The secondary objective is compare medication adherence, and health-related quality of life as well as readmission and mortality rates between the two patient groups. We hypothesize that the Txt2Prevent group will have better outcomes for these variables.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •are an acute coronary syndrome patient on the non-surgical ward who will be discharged home
- •own a phone with text-messaging capabilities and have the ability to access new text messages
- •have the ability to provide informed consent
- •have the ability to read and understand English
排除标准
- •have a pre-scheduled surgical procedure within the duration of the study
- •if it is expected that they will not survive the duration of the study due to non-cardiovascular reasons
- •are currently enrolled in another research project regarding CVDs that would interfere with the study outcomes.
结局指标
主要结局
Self-management as measured by the Health Education Impact Questionnaire by Osborne et al.
时间窗: Pre- and post-study period (0 and 60 days)
次要结局
- Hospital readmissions(Assessed at the end of the study (day 60))
- Medication Adherence as measured by the Morisky Medication Adherence Scale by Morisky et al.(Post-study period (60 days))
- Mortality(Assessed at the end of the study (day 60))
- Health-related quality of life as measured by the EuroQoL 5D-5L by the EuroQoL group(Pre- and post-study period (0 and 60 days))
研究者
Scott Lear
Professor
Simon Fraser University