Smart Phone Application in the Secondary Clinical Prevention Management for Chinese Patients (SPASCPM)
19 mei 2022 bijgewerkt door: 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.
Studie Overzicht
Toestand
Beëindigd
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
86
Fase
- Niet toepasbaar
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar tot 65 jaar (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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).
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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.
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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.
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Ander: Control group
Participants allocated to the control group will receive a booklet with general advice on secondary prevention of coronary artery disease.
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A guideline booklet with general advice on secondary prevention of coronary artery disease.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in quality of life
Tijdsspanne: Baseline and 1 and 6 months
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Seatt1e Angina Questionnaire
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Baseline and 1 and 6 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in medication compliance
Tijdsspanne: 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
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Baseline and 1 and 6 months
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Change in systolic blood
Tijdsspanne: Baseline and 1 and 6 months
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systolic blood pressure is measured via pressuremercury sphygmomanometer and recored in the unit of mmHg.
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Baseline and 1 and 6 months
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Change in diastolic blood pressure
Tijdsspanne: Baseline and 1 and 6 months
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Diastolic blood pressure is measured via pressuremercury sphygmomanometer and recored in the unit of mmHg.
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Baseline and 1 and 6 months
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Changes in serum total cholesterol
Tijdsspanne: Baseline and 1 and 6 months
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Serum total cholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
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Baseline and 1 and 6 months
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Changes in serum triglyceride
Tijdsspanne: Baseline and 1 and 6 months
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Serum triglyceride is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
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Baseline and 1 and 6 months
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Changes in serum high-density lipoproteincholesterol
Tijdsspanne: Baseline and 1 and 6 months
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Serum high-density lipoproteincholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
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Baseline and 1 and 6 months
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Changes in serum low-density lipoproteincholesterol
Tijdsspanne: Baseline and 1 and 6 months
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Serum low-density lipoproteincholesterol is measured by automatic biochemistry analyzer and recorded in the unit of mmol/L.
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Baseline and 1 and 6 months
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Onderzoekers
- Hoofdonderzoeker: Jingwen Hu, Master, First Affiliated Hospital Xi'an Jiaotong University
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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].
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
20 september 2016
Primaire voltooiing (Werkelijk)
1 april 2017
Studie voltooiing (Werkelijk)
1 mei 2017
Studieregistratiedata
Eerst ingediend
13 juli 2016
Eerst ingediend dat voldeed aan de QC-criteria
27 juli 2016
Eerst geplaatst (Schatting)
28 juli 2016
Updates van studierecords
Laatste update geplaatst (Werkelijk)
25 mei 2022
Laatste update ingediend die voldeed aan QC-criteria
19 mei 2022
Laatst geverifieerd
1 april 2016
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- XAJTUFH2016
- 2016JM8116 (Ander subsidie-/financieringsnummer: Science and Technology Department of Shaanxi Province, China)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
ONBESLIST
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