- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02847078
Smart Phone Application in the Secondary Clinical Prevention Management for Chinese Patients (SPASCPM)
19. maj 2022 opdateret af: First Affiliated Hospital Xi'an Jiaotong University
Effects of a Smart Phone Application in the Secondary Clinical Prevention Management for Chinese Patients After Coronary Intervention Treatment: a Randomized Controlled Trial
The purpose of the study is to investigate the effects of smart phone app on the secondary prevention for patients with coronary heart disease post percutaneous coronary intervention.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The secondary prevention for patients with coronary heart disease post percutaneous coronary intervention (PCI) proved associated with a significant reduction in mortality rates and improvement in quality of life.
For the limitation of socio-economic conditions, not all patients post PCI are in a position to receive continuous standardized secondary prevention management.
Therefore a smart phone app for secondary prevention management post PCI will be installed on patients' smart phones in order to investigate its effects on risk factors control, medication compliance, as well as quality of life and adverse cardiac events in the next six months post discharge.
Participants allocated to the control group will receive a booklet with general advice on secondary prevention of coronary heart disease.
Patients in app group and control group will be interviewed by telephone at the 2nd week and the 3rd month, and at the 1st month and 6th month they will return our hospital for face to face follow-up and to compliance and medication adjustment, assessment of life quality, risk factors control and medication adherence.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
86
Fase
- Ikke anvendelig
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 65 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- First diagnosis of coronary heart disease and received a PCI treatment.
- Age 18-65 years.
- Able and willing to provide written informed consent.
Exclusion Criteria:
- Speech communication barriers.
- Patients with a clear history of allergies to anti-platelet drugs.
- Patients with a clear history of allergies to anti-platelet ᵦ-blockers.
- Patients with a clear history of allergies to statin drugs.
- Patients with a clear history of allergies to antihypertensive drugs.
- Patients with a clear history of allergies to antidiabetic drugs.
- Patients with serious heart failure(better than NYHA class II).
- Patients with cerebral infarction or cerebral hemorrhage.
- Patients with liver dysfunction (AST and ALT> 2 times that of the reference value).
- Patients with kidney dysfunction (creatinine clearance rate< 60ml/min).
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Smart phone app
The app contains education materials for secondary prevention of coronary artery disease.
So patients can access them very easily.
The app pushes heath management recommendation information on the timeline after percutaneous coronary intervention, and also provides health care lecture to help patients to improve their secondary prevention.
And online or telephone consultation ways are integrated into the App to provide convenience for patients to communicate with health care professionals.
|
App for this study is provided with real time updating educational materials, reminder, and consultation for improving secondary prevention, and the related information is pushed to a patient in chronological order after his or her PCI operation.
|
|
Andet: Control group
Participants allocated to the control group will receive a booklet with general advice on secondary prevention of coronary artery disease.
|
A guideline booklet with general advice on secondary prevention of coronary artery disease.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in quality of life
Tidsramme: Baseline and 1 and 6 months
|
Seatt1e Angina Questionnaire
|
Baseline and 1 and 6 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in medication compliance
Tidsramme: Baseline and 1 and 6 months
|
Percent of prescribed antiplatelet drug,ᵦ-blocker,angiotensin converting enzyme inhibitor,angiotensin II receptor blocker and statins taken during the past 1 and 6 monthers
|
Baseline and 1 and 6 months
|
|
Change in systolic blood
Tidsramme: Baseline and 1 and 6 months
|
systolic blood pressure is measured via pressuremercury sphygmomanometer and recored in the unit of mmHg.
|
Baseline and 1 and 6 months
|
|
Change in diastolic blood pressure
Tidsramme: Baseline and 1 and 6 months
|
Diastolic blood pressure is measured via pressuremercury sphygmomanometer and recored in the unit of mmHg.
|
Baseline and 1 and 6 months
|
|
Changes in serum total cholesterol
Tidsramme: Baseline and 1 and 6 months
|
Serum total cholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
|
Baseline and 1 and 6 months
|
|
Changes in serum triglyceride
Tidsramme: Baseline and 1 and 6 months
|
Serum triglyceride is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
|
Baseline and 1 and 6 months
|
|
Changes in serum high-density lipoproteincholesterol
Tidsramme: Baseline and 1 and 6 months
|
Serum high-density lipoproteincholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
|
Baseline and 1 and 6 months
|
|
Changes in serum low-density lipoproteincholesterol
Tidsramme: Baseline and 1 and 6 months
|
Serum low-density lipoproteincholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
|
Baseline and 1 and 6 months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Jingwen Hu, Master, First Affiliated Hospital Xi'an Jiaotong University
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L; INTERHEART Study Investigators. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004 Sep 11-17;364(9438):937-52. doi: 10.1016/S0140-6736(04)17018-9.
- Goel K, Lennon RJ, Tilbury RT, Squires RW, Thomas RJ. Impact of cardiac rehabilitation on mortality and cardiovascular events after percutaneous coronary intervention in the community. Circulation. 2011 May 31;123(21):2344-52. doi: 10.1161/CIRCULATIONAHA.110.983536. Epub 2011 May 16.
- Bommer WJ. Coronary revascularization: then, now, future trends. Rev Cardiovasc Med. 2014;15(2):176-7. doi: 10.3909/ricm15-2CAACC. No abstract available.
- White CJ. The future of interventional cardiology. Catheter Cardiovasc Interv. 2013 Jan 1;81(1):4-5. doi: 10.1002/ccd.24734. No abstract available.
- Sim DS, Kim JH, Jeong MH. Differences in Clinical Outcomes Between Patients With ST-Elevation Versus Non-ST-Elevation Acute Myocardial Infarction in Korea. Korean Circ J. 2009 Aug;39(8):297-303. doi: 10.4070/kcj.2009.39.8.297. Epub 2009 Aug 27.
- Pocock S, Bueno H, Licour M, Medina J, Zhang L, Annemans L, Danchin N, Huo Y, Van de Werf F. Predictors of one-year mortality at hospital discharge after acute coronary syndromes: A new risk score from the EPICOR (long-tErm follow uP of antithrombotic management patterns In acute CORonary syndrome patients) study. Eur Heart J Acute Cardiovasc Care. 2015 Dec;4(6):509-17. doi: 10.1177/2048872614554198. Epub 2014 Oct 9.
- Heo J, Chun M, Lee KY, Oh YT, Noh OK, Park RW. Effects of a smartphone application on breast self-examination: a feasibility study. Healthc Inform Res. 2013 Dec;19(4):250-60. doi: 10.4258/hir.2013.19.4.250. Epub 2013 Dec 31.
- Svetkey LP, Batch BC, Lin PH, Intille SS, Corsino L, Tyson CC, Bosworth HB, Grambow SC, Voils C, Loria C, Gallis JA, Schwager J, Bennett GG. Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology. Obesity (Silver Spring). 2015 Nov;23(11):2133-41. doi: 10.1002/oby.21226. Erratum In: Obesity (Silver Spring). 2016 Feb;24(2):536. Bennett, G B [Corrected to Bennett, G G].
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
20. september 2016
Primær færdiggørelse (Faktiske)
1. april 2017
Studieafslutning (Faktiske)
1. maj 2017
Datoer for studieregistrering
Først indsendt
13. juli 2016
Først indsendt, der opfyldte QC-kriterier
27. juli 2016
Først opslået (Skøn)
28. juli 2016
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
25. maj 2022
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
19. maj 2022
Sidst verificeret
1. april 2016
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- XAJTUFH2016
- 2016JM8116 (Andet bevillings-/finansieringsnummer: Science and Technology Department of Shaanxi Province, China)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
UBESLUTET
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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