Ignite Creation Date:
2024-05-06 @ 1:08 PM
Last Modification Date:
2024-10-26 @ 1:10 PM
Study NCT ID:
NCT03949608
Status:
COMPLETED
Last Update Posted:
2020-09-25
First Post:
2019-04-25
Brief Title:
Randomized Single Center Study About the Impact of an E-learning Dedicated to Myocardial Infarction Patient
Sponsor:
University of Lausanne Hospitals
Organization:
University of Lausanne Hospitals
Study Overview
Official Title:
Randomized Single Center Study About the Impact of an E-learning Dedicated to Myocardial Infarction Patient
Status:
COMPLETED
Status Verified Date:
2020-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Acute coronary syndrome ACS is still one of the major cause of morbi-mortality in Europe After an ACS patients should be treated with secondary prevention medication to reduce the risk of recurrence However it is known that patients do not take all their medicines as expected which leads to readmission at the hospital To enhance drug adherence the investigators sought to develop an interactive e-learning tool for these patients This e-learning includes information about the disease the acute care and the subsequent medications being prescribed The tool is now ready to use and the investigators want to assess if it has the impact to enhance self-care management of ACS patients
Detailed Description:
Cardiovascular disease is a major cause of morbi-mortality in industrialized countries Risk of recurrence after appropriate treatment is particularly frequent in patients with inadequate observance Secondary prevention is therefore essential to reduce the morbi-mortality of high-risk cardiovascular patients Risk factor control and lifestyle interventions are important for these high-risk patients to reduce the overall incidence of cardiac disease To treat these risk factors and for secondary prevention after a cardiovascular event some medications have been shown to be efficient and European guidelines have been written to enhance evidence-based medicine prescriptions for STEMI and NSTEMI Despite this concerns have been postulated about patients self-adherence to these treatments A study has shown a long-term adherence to medications of 71 for Aspirin 46 for β-blockers and 44 for Lipid-lowering therapy for Coronary Artery Disease CAD patients Non-adherence has been associated with increased morbi-mortality in this population
Therefore a variety of interventions was identified to enhance patient adherence to medication in the cardiovascular field These strategies included
Informational intervention mailed information
Sending reminder postcards illustrated daily medication schedule distribution
Counseling on the importance of adherence to their cardiovascular medication and review of each medication during the hospital stay
Clinical pharmacist intervention with medication reconciliation medication education facilitation of the delivery of discharge medications and post-discharge telephone call within 48-72h These interventions showed an impact on long-term medication adherence and health literacy which could lead to an improvement of the morbi-mortality of cardiovascular risk patients
In a previous study conducted at the University hospital of Lausanne the investigators showed a very high prescription rate of guidelines-recommended medications for patients involved in the CHUV STEMI ST-Elevation Myocardial Infarction network Therefore the next step to reduce the morbi-mortality of high-risk cardiovascular patients is to enhance patient adherence to the cardiovascular drug regimen Patient education is known as an effective process to enhance drug adherence Unfortunately patient education is difficult to implement because of it costs and for the time needed to educate the patient The investigators aim at testing a new approach using an e-learning tool for patient education purpose The e-learning will be interactive and easy to use It will inform the patient about his heart disease acute coronary syndrome and about his medications in a short time
Therefore a variety of interventions was identified to enhance patient adherence to medication in the cardiovascular field These strategies included
Informational intervention mailed information
Sending reminder postcards illustrated daily medication schedule distribution
Counseling on the importance of adherence to their cardiovascular medication and review of each medication during the hospital stay
Clinical pharmacist intervention with medication reconciliation medication education facilitation of the delivery of discharge medications and post-discharge telephone call within 48-72h These interventions showed an impact on long-term medication adherence and health literacy which could lead to an improvement of the morbi-mortality of cardiovascular risk patients
In a previous study conducted at the University hospital of Lausanne the investigators showed a very high prescription rate of guidelines-recommended medications for patients involved in the CHUV STEMI ST-Elevation Myocardial Infarction network Therefore the next step to reduce the morbi-mortality of high-risk cardiovascular patients is to enhance patient adherence to the cardiovascular drug regimen Patient education is known as an effective process to enhance drug adherence Unfortunately patient education is difficult to implement because of it costs and for the time needed to educate the patient The investigators aim at testing a new approach using an e-learning tool for patient education purpose The e-learning will be interactive and easy to use It will inform the patient about his heart disease acute coronary syndrome and about his medications in a short time
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None