Tailoring Post Discharge - Remote Education and Access for Cardiac Health

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSt. Boniface Hospital

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 volunteers

Qualifiers

None

Disqualifiers

Technology barriers

Lack of digital device, internet access or data

Discomfort with using technology

Communication or language barriers preventing participation

Trial design

Design model

Parallel

Treatments tested in this trial

  • Remote Home Monitoring - Education

    Other intervention

    A virtual platform will be used to provide education to ACS patients post discharge.

  • Remote Home Monitoring - Education and Support

    Other intervention

    A virtual platform will be used to provide education and support to ACS patients post discharge.

Treatment groups

300 Participants
are divided into 3 treatment groups
Group A: Standard Care (SA)No intervention 0 interventions
Group B: Education Only (EA)Experimental treatment 1 intervention
Group C: Full InterventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Unexpected Healthcare Visits

30-day unexpected healthcare visits (including emergency department, urgent care, walk in clinic or nursing station)

Time frame
30 days post hospital discharge

Secondary outcomes

1

Composite of Events

Composite of death, MI, repeat revascularization, readmission, stroke, vascular complication, new HF or needing admission

Time frame
30 days post hospital discharge
2

Individual Components of Composite Events

Individual components of death, MI, repeat revascularization, readmission, stroke, vascular complication, new HF or needing admission

Time frame
30 days post hospital discharge
3

Individual Components of Composite Unexpected Healthcare Visits

Individual components of unexpected healthcare visits including emergency department, urgent care, walk in clinic or nursing station

Time frame
30 days post hospital discharge
4

PAM-13 - Patient Activation Measure

This survey will measure patient knowledge, skills, and confidence in self- managing their health

Time frame
Baseline (day of hospital discharge), 14 days post hospital discharge, and 30 days post hospital discharge

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: