- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01566214
Vet-Harts Pilot Intervention for Veterans With Coronary Heart Disease (VHPI)
12 juni 2018 uppdaterad av: VA Office of Research and Development
Representational Telehealth Nursing Intervention for Veterans With CHD
The purpose of this research study is to survey patients to learn about their beliefs and behaviors related to the management of heart disease and to discuss options for making healthy lifestyle changes.
From the information the investigators get from patients, the investigators hope to develop better methods for taking care of patients who have heart disease.
Studieöversikt
Detaljerad beskrivning
Coronary heart disease (CHD) is a significant health threat among veterans.
Compared to their civilian counterparts, veterans experience greater disability, reinfarction, and mortality following myocardial infarction (MI) and other acute coronary syndromes (ACS).
High rates of hypertension, diabetes, and cardiac risk behaviors (e.g., smoking) and low socioeconomic status (SES) further increase veterans' CHD-related morbidity and mortality.
The proposed pilot project will establish the feasibility of a telehealth nursing intervention for veterans with CHD who are recovering from MI/ACS.
The Veterans Heart Attack Representations Telehealth (Vet-HART) intervention is designed to promote adaptive conceptual change in veterans' beliefs (common sense models or representations) about CHD etiology and self-management and facilitate health behavior changes (e.g., smoking cessation, medication adherence, diet management, and increased physical activity).
The long-term goal of this research program is to improve veterans' quality of life (QoL) and reduce their CHD-related morbidity/mortality.
The proposed project is the requisite next step in attaining that goal.
Studietyp
Interventionell
Inskrivning (Faktisk)
12
Fas
- Fas 2
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Iowa
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Iowa City, Iowa, Förenta staterna, 52246-2208
- Iowa City VA Health Care System, Iowa City, IA
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Admission to an inpatient medicine unit for MI, ACS, and coronary angiography
- Age
Exclusion Criteria:
- Altered mental status
- Language barriers
- Dementia or Cognitive Impairment
- Diagnostic Study
- Resident in long-term care facility prior to the present admission
- Planned discharge to a skilled or intermediate care facility or hospice
- Lack of access to a functioning phone
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: Motivational Interview
For those subjects randomly assigned to the treatment group, information from their MIHART assessment interview and medical record review will be used to select intervention scripts optimally tailored to each subjects' unique configuration of beliefs and risk factors and they will be re-contacted by telephone at 2-weeks post-hospital discharge to deliver the Vet-HART intervention.
The intervention will be administered by a trained research assistant via telephone, working from a semi-structured script tailored to each subject's representations and risk factors, the call will last about 15-30 minutes.
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For those subjects randomly assigned to the treatment group, information from their MIHART assessment interview and medical record review will be used to select intervention scripts optimally tailored to each subjects' unique configuration of beliefs and risk factors and they will be re-contacted by telephone at 2-weeks post-hospital discharge to deliver the Vet-HART intervention.
The intervention will be administered by a trained research assistant via telephone, working from a semi-structured script tailored to each subject's representations and risk factors, the call will last about 15-30 minutes.
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Inget ingripande: Usual Care
For those randomly assigned to the usual care group, they will receive standard-of-care by their regular primary care provider.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
SF-36v Physical Function Scale
Tidsram: Change from baseline to 3-months post hospital discharge
|
Physical Functioning Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
|
Change from baseline to 3-months post hospital discharge
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SF-36v Role Limitations Due to Physical Health Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Role Limitations Due to Physical Health Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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SF-36v Role Limitations Due to Emotional Problems Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Role Limitations Due to Emotional Problems Scale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
|
SF-36v Energy-Fatigue Scale
Tidsram: Change from baseline to 3-months post hospital discharge
|
Energy-Fatigue Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
|
Change from baseline to 3-months post hospital discharge
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SF-36v Emotional Well-Being Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Emotional Well-Being Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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SF-36v Social Functioning Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Social Functioning Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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SF-36v Pain Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Pain Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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SF-36v General Health Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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General Health Subscale from the SF-36v.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Seattle Angina Questionnaire Physical Limitations Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Physical Limitations Subscale from the Seattle Angina Questionnaire.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Seattle Angina Questionnaire Angina Stability Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Angina Stability Subscale from the Seattle Angina Questionnaire.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Seattle Angina Questionnaire Angina Frequency Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Angina Frequency Subscale from the Seattle Angina Questionnaire.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Seattle Angina Questionnaire Treatment Satisfaction Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Treatment Satisfaction Subscale from the Seattle Angina Questionnaire.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Seattle Angina Questionnaire Disease Perception Scale
Tidsram: Change from baseline to 3-months post hospital discharge
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Disease Perception Subscale from the Seattle Angina Questionnaire.
Possible scores range from 0 to 100, with higher scores indicating a better level of functioning.
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Change from baseline to 3-months post hospital discharge
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Samarbetspartners
Utredare
- Huvudutredare: Mark W Vander Weg, PhD MS BA, Iowa City VA Health Care System, Iowa City, IA
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
30 april 2012
Primärt slutförande (Faktisk)
30 juni 2012
Avslutad studie (Faktisk)
31 oktober 2012
Studieregistreringsdatum
Först inskickad
19 mars 2012
Först inskickad som uppfyllde QC-kriterierna
26 mars 2012
Första postat (Uppskatta)
29 mars 2012
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
24 december 2018
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
12 juni 2018
Senast verifierad
1 juni 2018
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- PPO 09-283
- 200910778 (Annan identifierare: University of Iowa)
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
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