Secondary Prevention of coRonary Events After Discharge From Hospital (SPREAD)
Summary
This is a randomized, open trial comparing post discharge interventions by community health workers (CHW) to standard care in acute coronary syndrome (ACS) patients.
This trial will be conducted in 10 hospitals in India/different parts(both secondary and tertiary care). A total of 800 patients will be recruited, with equal allocation to SPREAD interventions and control groups (usual care)
Description
Inclusion criteria:
Consenting patients being discharged after an acute coronary event such as unstable angina, acute myocardial infarction, or after coronary intervention (CABG surgery or PCI).
Exclusion criteria:
Patients with other terminal/ debilitating illness, (e.g., advanced cancer, disabling stroke) those not expected to survive for the study duration, those with dementia and psychiatric illness or patients unlikely to comply with study requirements, including regular follow up.
OUTCOME MEASURES:
1. Feasibility
2. Difference in adherence to specific medications for secondary prevention of CAD (Coronary Artery Diseases) compared to the control group, at one year.
Study Design
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Conditions
Acute Coronary Syndrome
Intervention
Community Health Worker, VITA Tool, No intervention
Location
Krishna Institute of Medical Science Ltd
Secunderabad
Aandhra Pradesh
India
500003
Status
Active, not recruiting
Source
St. John's Research Institute
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT01207700
- ClinicalTrials.gov processed this data on June 13, 2013
Medical and Biotech [MESH] Definitions
Health Fairs
Community health education events focused on prevention of disease and promotion of health through audiovisual exhibits.
Community Health Aides
Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.
Community Health Nursing
General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population. This is not an official program of a Public Health Department.
Coronary Aneurysm
Abnormal balloon- or sac-like dilatation in the wall of CORONARY VESSELS. Most coronary aneurysms are due to CORONARY ATHEROSCLEROSIS, and the rest are due to inflammatory diseases, such as KAWASAKI DISEASE.
Community Health Planning
Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)
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