About this trial
Heart attacks are one of the top causes of death in Canada, with over 2,100 cases treated each year in Manitoba. Even though hospital care has improved, the period after going home is still risky. Many patients feel anxious and unsure about their recovery, and without enough support, they often end up back in the emergency department (ED). This is an even bigger challenge for people in rural areas, where getting follow-up care can be much harder. Filling these gaps is important to help patients get better and to reduce stress on the healthcare system.
In a previous study, the investigators found that extra support made a big difference: only 8% of participants using a digital health tool returned to the ED within 30 days, compared to 22% of participants without it. Now, the investigators want to expand this study across Manitoba to see if digital health tools can help more people recover safely at home. The investigators will compare two types of follow-up care: education only versus education with extra support (like symptom tracking and virtual appointments). The investigators will look at how this affects hospital visits, mental well-being, and healthcare costs. The goal is to create a better support system for people after a heart attack, leading to healthier recoveries, less strain on hospitals, and better care for Manitobans - no matter where they live.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Technology barriers
Lack of digital device, internet access or data
Discomfort with using technology
Communication or language barriers preventing participation
Trial design
Parallel
Treatments tested in this trial
Remote Home Monitoring - Education
Other interventionA virtual platform will be used to provide education to ACS patients post discharge.
Remote Home Monitoring - Education and Support
Other interventionA virtual platform will be used to provide education and support to ACS patients post discharge.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Unexpected Healthcare Visits
30-day unexpected healthcare visits (including emergency department, urgent care, walk in clinic or nursing station)
Secondary outcomes
Composite of Events
Composite of death, MI, repeat revascularization, readmission, stroke, vascular complication, new HF or needing admission
Individual Components of Composite Events
Individual components of death, MI, repeat revascularization, readmission, stroke, vascular complication, new HF or needing admission
Individual Components of Composite Unexpected Healthcare Visits
Individual components of unexpected healthcare visits including emergency department, urgent care, walk in clinic or nursing station
PAM-13 - Patient Activation Measure
This survey will measure patient knowledge, skills, and confidence in self- managing their health
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: