Community and Physician Perceptions of Chest Pain and Prevalence of Acute Coronary Syndrome Among HIV-infected and -Uninfected Patients in Moshi, Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 641
- 试验地点
- 2
- 主要终点
- Acceptability as Measured by the Acceptability of Intervention Measure (AIM)
研究概览
简要总结
The purpose of this study is to develop a quality improvement intervention to address barriers to evidence-based acute coronary syndrome (ACS) care in northern Tanzania. Patients who presented to Kilimanjaro Christian Medical Center (KCMC) will be asked to complete a survey about barriers and facilitators of health care. In addition the survey will be administered to all providers, policymakers, and administrators participating in in-depth interviews. Data from this survey will be used to develop a quality improvement intervention that will be piloted by KCMC staff. Six months after the pilot program is implemented providers, patients, and administrators will be interviewed for their perspectives on the program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years or older
- •symptoms related to acute coronary syndrome
- •myocardial infarction
- •clinically sober
- •able to communicate in Swahili or English
排除标准
- •medically unstable
- •have a deteriorating condiction
- •too critically ill to participate
结局指标
主要结局
Acceptability as Measured by the Acceptability of Intervention Measure (AIM)
时间窗: Initial ED visit (baseline)
The AIM tool is a 4-question survey that evaluates the acceptability of an intervention. Responses to each question are on a 5-point Likert Scale (Strongly Agree=5, Agree=4, Neutral=3, Disagree=2, Strongly Disagree=1). Responses of "Strongly Agree" (5) and "Agree" (4) are considered to indicate a more acceptable intervention. The responses to each question will be averaged together to give an acceptability score between 1 and 5 for each respondent. The primary outcome will be the overall mean acceptability score among respondents. A mean acceptability score \>= 4 will be considered to indicate acceptability.
次要结局
- Number of Participants Presenting With Chest Pain or Shortness of Breath Who Undergo ECG and Cardiac Biomarker Testing During Their ED Stay(Initial ED visit (baseline))
- Survival of Participants With Acute Coronary Syndrome (ACS) at 30 Days After Enrollment(30 days after enrollment)
- Number of Participants With Acute Coronary Syndrome (ACS) Taking Aspirin at Baseline(Initial ED visit (baseline))
- Number of Participants With Acute Coronary Syndrome (ACS) Taking Aspirin 30 Days After Enrollment(30 days after enrollment)