- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01826929
Effectiveness New Health Care Organization Model in Primary Care for Chronic Cardiovascular Disease Patients Based (PROPRESE)
April 9, 2013 updated by: Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Effectiveness of a New Health Care Organization Model in Primary Care for Chronic Cardiovascular Disease Patients Based on a Multifactorial Intervention: The PROPRESE Randomized Controlled Trial.
The purpose of this study is to determine whether a multifactorial primary care intervention based on chronic models can improve the level of control and reduce the number of hospital admissions in patients with ischemic heart disease.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Domingo Orozco-Beltran
Study Locations
-
-
-
Castellon, Spain
- Recruiting
-
Sub-Investigator:
- Enrique Soler-Bahilo
-
Valencia, Spain
- Recruiting
-
Sub-Investigator:
- Jorge Navarro-Perez
-
-
Alicante
-
San Juan de Alicante, Alicante, Spain
- Recruiting
-
Contact:
- Domingo Orozco-Beltran
- Phone Number: 0034965919309
- Email: dorozcobeltran@gmail.com
-
Principal Investigator:
- Domingo Orozco-Beltran
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
30 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- patients with a diagnosis of IHD of any site (ICD-10 codes from 410 to 414 inclusive.
- signed written informed consent
Exclusion Criteria:
- lack of consent
- immobilized patients
- patients with serious health problems or with a low life expectancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Therapeutic education
Organized intervention strategy:Informed active patient, shared decision making, appointment planning, primary care doctor-nurse teamwork, actions based on scientific evidence.
|
|
No Intervention: Usual care model
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change from baseline Number of hospitalizations/cause at 12 months
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline Blood pressure
Time Frame: Baseline, 4 months, 8 months and 12 months.
|
It is measured at each visit in order to monitor the evolution.
However, the change is calculated as the latest time point minus the earliest time point.
|
Baseline, 4 months, 8 months and 12 months.
|
Change from baseline LDL cholesterol
Time Frame: Baseline, 4 months, 8 months and 12 months.
|
It is measured at each visit in order to monitor the evolution.
However, the change is calculated as the latest time point minus the earliest time point.
|
Baseline, 4 months, 8 months and 12 months.
|
Change from baseline Body Mass Index
Time Frame: Baseline, 4 months, 8 months and 12 months
|
It is measured at each visit in order to monitor the evolution.
However, the change is calculated as the latest time point minus the earliest time point.
|
Baseline, 4 months, 8 months and 12 months
|
Change from baseline Basal Blood Glucose
Time Frame: Baseline, 4 months, 8 months and 12 months
|
It is measured at each visit in order to monitor the evolution.
However, the change is calculated as the latest time point minus the earliest time point.
|
Baseline, 4 months, 8 months and 12 months
|
Change from baseline Healthy Life Habits (exercise, mediterranean diet)
Time Frame: Baseline, 4 months, 8 months and 12 months
|
It is measured at each visit in order to monitor the evolution.
However, the change is calculated as the latest time point minus the earliest time point.
|
Baseline, 4 months, 8 months and 12 months
|
Change from baseline Number of annual primary care visits
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002 Oct 16;288(15):1909-14. doi: 10.1001/jama.288.15.1909.
- Kotseva K, Wood D, De Backer G, De Bacquer D, Pyorala K, Keil U; EUROASPIRE Study Group. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet. 2009 Mar 14;373(9667):929-40. doi: 10.1016/S0140-6736(09)60330-5.
- Mira JJ, Orozco-Beltran D, Perez-Jover V, Martinez-Jimeno L, Gil-Guillen VF, Carratala-Munuera C, Sanchez-Molla M, Pertusa-Martinez S, Asencio-Aznar A. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Fam Pract. 2013 Feb;30(1):56-63. doi: 10.1093/fampra/cms046. Epub 2012 Aug 17.
- Lorig KR, Ritter PL, Dost A, Plant K, Laurent DD, McNeil I. The Expert Patients Programme online, a 1-year study of an Internet-based self-management programme for people with long-term conditions. Chronic Illn. 2008 Dec;4(4):247-56. doi: 10.1177/1742395308098886.
- Banegas JR, Rodriguez-Artalejo F, Graciani A, Villar F, Herruzo R. Mortality attributable to cardiovascular risk factors in Spain. Eur J Clin Nutr. 2003 Sep;57 Suppl 1:S18-21. doi: 10.1038/sj.ejcn.1601804.
- Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R, Dallongeville J, De Backer G, Ebrahim S, Gjelsvik B, Herrmann-Lingen C, Hoes A, Humphries S, Knapton M, Perk J, Priori SG, Pyorala K, Reiner Z, Ruilope L, Sans-Menendez S, Scholte op Reimer W, Weissberg P, Wood D, Yarnell J, Zamorano JL, Walma E, Fitzgerald T, Cooney MT, Dudina A; European Society of Cardiology (ESC) Committee for Practice Guidelines (CPG). European guidelines on cardiovascular disease prevention in clinical practice: executive summary: Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (Constituted by representatives of nine societies and by invited experts). Eur Heart J. 2007 Oct;28(19):2375-414. doi: 10.1093/eurheartj/ehm316. Epub 2007 Aug 28. No abstract available.
- Lobos JM, Royo-Bordonada MA, Brotons C, Alvarez-Sala L, Armario P, Maiques A, Mauricio D, Sans S, Villar F, Lizcano A, Gil-Nunez A, de Alvaro F, Conthe P, Luengo E, Del Rio A, Cortes O, de Santiago A, Varga MA, Martinez M, Lizarbe V; Comite Espanol Interdisciplinario para la Prevencion Cardiovascular. [European Guidelines on Cardiovascular Disease Prevention in Clinical Practice. CEIPC 2008 Spanish adaptation]. Rev Clin Esp. 2009 Jun;209(6):279-302. Spanish.
- Selby JV, Schmittdiel JA, Fireman B, Jaffe M, Ransom LJ, Dyer W, Uratsu CS, Reed ME, Kerr EA, Hsu J. Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial. BMC Health Serv Res. 2012 Jul 2;12:183. doi: 10.1186/1472-6963-12-183.
- Brotons C, Permanyer G, Pacheco V, Moral I, Ribera A, Cascant P, Pinar J; PREMISE study group. Prophylactic treatment after myocardial infarction in primary care: how far can we go? Fam Pract. 2003 Feb;20(1):32-5. doi: 10.1093/fampra/20.1.32.
- Davino-Ramaya C, Krause LK, Robbins CW, Harris JS, Koster M, Chan W, Tom GI. Transparency matters: Kaiser Permanente's National Guideline Program methodological processes. Perm J. 2012 Winter;16(1):55-62. doi: 10.7812/TPP/11-134.
- Munoz MA, Vila J, Cabanero M, Rebato C, Subirana I, Sala J, Marrugat J; ICAR (Intervencion en la Comunidad de Alto Riesgo cardiovascular) investigators. Efficacy of an intensive prevention program in coronary patients in primary care, a randomised clinical trial. Int J Cardiol. 2007 Jun 12;118(3):312-20. doi: 10.1016/j.ijcard.2006.07.015. Epub 2007 Jan 29.
- Munoz MA, Rohlfs I, Masuet S, Rebato C, Cabanero M, Marrugat J; ICAR Study Group. Analysis of inequalities in secondary prevention of coronary heart disease in a universal coverage health care system. Eur J Public Health. 2006 Aug;16(4):361-7. doi: 10.1093/eurpub/cki202. Epub 2005 Oct 17.
- Orozco-Beltran D, Brotons C, Moral I, Soriano N, Del Valle MA, Rodriguez AI, Pepio JM, Pastor A; investigadores del estudio PREseAP. [Factors affecting the control of blood pressure and lipid levels in patients with cardiovascular disease: the PREseAP Study]. Rev Esp Cardiol. 2008 Mar;61(3):317-21. Spanish.
- Brotons C, Soriano N, Moral I, Rodrigo MP, Kloppe P, Rodriguez AI, Gonzalez ML, Arino D, Orozco D, Buitrago F, Pepio JM, Borras I; PREseAP study research team. Randomized clinical trial to assess the efficacy of a comprehensive programme of secondary prevention of cardiovascular disease in general practice: the PREseAP study. Rev Esp Cardiol. 2011 Jan;64(1):13-20. doi: 10.1016/j.recesp.2010.07.005. Epub 2010 Dec 30. Erratum In: Rev Esp Cardiol. 2011 Jun;64(6):544.
- Murphy AW, Cupples ME, Smith SM, Byrne M, Byrne MC, Newell J; SPHERE study team. Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial. BMJ. 2009 Oct 29;339:b4220. doi: 10.1136/bmj.b4220.
- Ortiz Tobarra MT, Orozco Beltran D, Gil Guillen V, Terol Molto C. [Frequency of attendance and degree of control of type-2 diabetic patients]. Aten Primaria. 2008 Mar;40(3):139-44. doi: 10.1157/13116629. Spanish.
- Marquez-Contreras E, de la Figuera-Von Wichmann M, Franch-Nadal J, Llisterri-Caro JL, Gil-Guillen V, Martin-de Pablos JL, Casado-Martinez JJ, Martell-Claros N. Do Patients With High Vascular Risk Take Antihypertensive Medication Correctly? Cumple-MEMS Study. Rev Esp Cardiol (Engl Ed). 2012 Jun;65(6):544-50. doi: 10.1016/j.recesp.2012.01.018. Epub 2012 Apr 19.
- Gil-Guillen V, Orozco-Beltran D, Marquez-Contreras E, Durazo-Arvizu R, Cooper R, Pita-Fernandez S, Gonzalez-Segura D, Carratala-Munuera C, Martin de Pablo JL, Pallares V, Pertusa-Martinez S, Fernandez A, Redon J. Is there a predictive profile for clinical inertia in hypertensive patients? An observational, cross-sectional, multicentre study. Drugs Aging. 2011 Dec 1;28(12):981-92. doi: 10.2165/11596640-000000000-00000.
- Gil-Guillen V, Orozco-Beltran D, Perez RP, Alfonso JL, Redon J, Pertusa-Martinez S, Navarro J, Cea-Calvo L, Quirce-Andres F, Merino-Sanchez J, Carratala C, Martin-Moreno JM. Clinical inertia in diagnosis and treatment of hypertension in primary care: quantification and associated factors. Blood Press. 2010 Feb;19(1):3-10. doi: 10.3109/08037050903350762.
- Clark CE, Smith LF, Taylor RS, Campbell JL. Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med. 2011 Mar;28(3):250-61. doi: 10.1111/j.1464-5491.2010.03204.x.
- Orozco-Beltran D, Ruescas-Escolano E, Navarro-Palazon AI, Cordero A, Gaubert-Tortosa M, Navarro-Perez J, Carratala-Munuera C, Pertusa-Martinez S, Soler-Bahilo E, Brotons-Munto F, Bort-Cubero J, Nunez-Martinez MA, Bertomeu-Martinez V, Gil-Guillen VF; PROPRESE research team. Effectiveness of a new health care organization model in primary care for chronic cardiovascular disease patients based on a multifactorial intervention: the PROPRESE randomized controlled trial. BMC Health Serv Res. 2013 Aug 2;13:293. doi: 10.1186/1472-6963-13-293.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2013
Primary Completion (Anticipated)
January 1, 2014
Study Registration Dates
First Submitted
March 25, 2013
First Submitted That Met QC Criteria
April 4, 2013
First Posted (Estimate)
April 9, 2013
Study Record Updates
Last Update Posted (Estimate)
April 10, 2013
Last Update Submitted That Met QC Criteria
April 9, 2013
Last Verified
April 1, 2013
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- USI-10-66
- SM I 14/2010 (Other Grant/Funding Number: Valencia Regional Ministry of Health)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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