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Trial registered on ANZCTR


Registration number
ACTRN12619000059167
Ethics application status
Approved
Date submitted
11/01/2019
Date registered
17/01/2019
Date last updated
17/01/2019
Date data sharing statement initially provided
17/01/2019
Type of registration
Prospectively registered

Titles & IDs
Public title
A mobile based multidisciplinary virtual clinic for patients with Acute Coronary Syndrome
Scientific title
A Randomized Controlled Trial to investigate uptake and adherence of patients with Acute Coronary Syndrome to a mobile based multidisciplinary virtual clinic: MoTER-ACS project
Secondary ID [1] 296188 0
Nil
Universal Trial Number (UTN)
Trial acronym
MoTER-ACS
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Acute coronary syndrome 309821 0
Cardiovascular disease 311027 0
Cardiac disease 311029 0
Coronary heart disease 311030 0
Condition category
Condition code
Cardiovascular 309670 309670 0 0
Coronary heart disease

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
MoTER-ACS intervention include educational information related to Acute coronary syndrome (ACS), monitoring physical and biological parameters (body weight, blood pressure and pain) and support from healthcare providers. The educational information covers topics including heart attack signs and symptoms, heart attack recovery, healthy eating and body, heart and mind. These information either developed by the CSIRO research team or linked to the related pages of the Heart Foundation Website. We sought authorization from the Heart Foundation.
The intervention will be delivered by a nurse practitioner who acts as mentor and participants will be recruited from the Prince Charles hospital located in Brisbane. The mode of intervention delivery in this study is through smartphone application and its web-portal.
Participants in the intervention group will have access to the MoTER-ACS application for the period of three months. Participants are asked to measure their blood pressure and body weight every day using medical devices. They also record their possible pain and heart related symptoms. Participants can access to the relaxation audio tracks embedded in the MoTER-ACS app. This audio has developed by the Australian Cancer Council and CSIRO purchased a licence to use the audio in MoTER-ACS app. It is expected that each participant spend 30 minutes daily using the app.
The mentor will provide her support through weekly phone calls or face time during the intervention. The length of the phone call depends on patients needs and the mentor's opinion.
The primary outcome of this study is to assess participants' uptake and adherence to smartphone based intervention
Intervention code [1] 313317 0
Rehabilitation
Intervention code [2] 313318 0
Behaviour
Intervention code [3] 313319 0
Lifestyle
Comparator / control treatment
Routine hospital follow-up. Usual care for patients with ACS at hospital outpatient clinic includes 30-45 minutes Nurse Practitioner consultation including physical assessments, medication and blood test review and health education.
Control group
Active

Outcomes
Primary outcome [1] 318641 0
The primary outcome is patients' uptake to the smartphone based intervention.
Patient’s uptake is scored based on the pattern developed for patients’ uptake to clinical interventions. The score of uptake is identified using a table from the book " Riekert, K. A. (2006). Promoting Treatment Adherence: A Practical Handbook for Health Care Providers Integrating Regimen Adherence Assessment into Clinical Practice.: Sage Publication."
Timepoint [1] 318641 0
3 months post baseline assessment
Primary outcome [2] 318693 0
The primary outcome is patients' adherence to the smartphone based intervention. Patient’s adherence is scored based on the pattern developed for patients’ adherence to clinical interventions.The score of adherence is identified using a table from the book "Riekert, K. A. (2006). Promoting Treatment Adherence: A Practical Handbook for Health Care Providers Integrating Regimen Adherence Assessment into Clinical Practice.: Sage Publication."

Timepoint [2] 318693 0
3 months post baseline assessment
Secondary outcome [1] 365561 0
Quality of life measured by European Quality of Life-5 Dimensions (EQ-5D).
Timepoint [1] 365561 0
3 months post baseline assessment
Secondary outcome [2] 365562 0
medication adherence measured by 8-item Morisky Medication Adherence Scale_ (MMAS-8).
Timepoint [2] 365562 0
3 months post baseline assessment
Secondary outcome [3] 365563 0
self-efficacy measured by self-efficacy for managing chronic disease 6 item scale.
Timepoint [3] 365563 0
3 months post baseline assessment
Secondary outcome [4] 365564 0
Blood pressure measured by patient and send through Bluetooth enabled blood pressure monitoring devices.
Timepoint [4] 365564 0
3 months post baseline assessment
Secondary outcome [5] 365676 0
Body weight measured by patient and send through Bluetooth enabled weight scales.
Timepoint [5] 365676 0
3 months post baseline assessment
Secondary outcome [6] 365677 0
Depression, anxiety and stress will be measured with DASS21.
Timepoint [6] 365677 0
3 months post baseline assessment

Eligibility
Key inclusion criteria
Patients diagnosed with Acute coronary syndrome, able to read and write in English, and interested in Information Technology (IT) and smart phone based interventions.
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Potential participants are excluded if they were unable to participate in virtual clinic due to medical care needs, unable to operate a Smartphone for purposes of the trial (e.g. vision, hearing, cognitive or dexterity impairment), had no experience with mobile/smartphones, or were involved in another trial.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table from a statistic book
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?


The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Not Applicable
Type of endpoint(s)
Statistical methods / analysis
Descriptive analysis :Chi-square, Fishers exact tests and t-tests
Main analysis: ANCOVA

Recruitment
Recruitment status
Not yet recruiting
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD
Recruitment hospital [1] 12863 0
The Prince Charles Hospital - Chermside
Recruitment postcode(s) [1] 25339 0
4032 - Chermside

Funding & Sponsors
Funding source category [1] 300778 0
Charities/Societies/Foundations
Name [1] 300778 0
The Prince Charles Hospital Foundation
Address [1] 300778 0
The Prince Charles Hospital Foundation
P GPO Box 3175 Brisbane Qld 4001
Country [1] 300778 0
Australia
Funding source category [2] 301609 0
Government body
Name [2] 301609 0
The Australian E-Health Research Center, CSIRO
Address [2] 301609 0
Level 5 - UQ Health Sciences Building 901/16, Royal Brisbane and Women's Hospital, Herston, QLD 4029
Country [2] 301609 0
Australia
Primary sponsor type
Government body
Name
The Australian E-Health Research Center, CSIRO
Address
Level 5 - UQ Health Sciences Building 901/16, Royal Brisbane and Women's Hospital, Herston, QLD 4029
Country
Australia
Secondary sponsor category [1] 300322 0
Charities/Societies/Foundations
Name [1] 300322 0
The Prince Charles Hospital Foundation
Address [1] 300322 0
The Prince Charles Hospital Foundation, P GPO Box 3175 Brisbane Qld 4001
Country [1] 300322 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 301560 0
The Prince Charles Hospital Human Research Ethics Committee.
Ethics committee address [1] 301560 0
Building 14, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032
Ethics committee country [1] 301560 0
Australia
Date submitted for ethics approval [1] 301560 0
28/01/2016
Approval date [1] 301560 0
28/01/2016
Ethics approval number [1] 301560 0
HREC/15/QPCH/281

Summary
Brief summary
The aim of this research is to develop a mobile based multidisciplinary virtual clinic based on the existing platform (MoTER) and to investigate the impact of such a clinic on health outcomes and clinical management of patients with Acute Coronary Syndrome (ACS).
The primary hypothesis is that participants in the MoTER-ACS arm will have satisfying uptake and adherence to the intervention.

Patients in the MoTER-ACS arm will have access to the mobile based intervention
program which consists of educational materials, self-management interventions and healthcare providers' feedback for the period of three months.
Trial website
N/A
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 87390 0
Prof Malcolm West
Address 87390 0
The Prince Charles Hospital I Northside Clinical Unit , The University of Queensland, Faculty of Medicine, Rode Road, Chermside, QLD 4032
Country 87390 0
Australia
Phone 87390 0
+61 7 3139 4381
Fax 87390 0
Email 87390 0
malcolm.west@uq.edu.au
Contact person for public queries
Name 87391 0
Mrs Nazli Bashi
Address 87391 0
The Australian E-Health Research Center
Level 5, UQ Health Sciences Building 901/16
Royal Brisbane and Women's Hospital, Herston, QLD 4029
Country 87391 0
Australia
Phone 87391 0
+61732533611
Fax 87391 0
Email 87391 0
nazli.bashi@csiro.au
Contact person for scientific queries
Name 87392 0
Mrs Nazli Bashi
Address 87392 0
The Australian E-Health Research Center
Level 5, UQ Health Sciences Building 901/16
Royal Brisbane and Women's Hospital, Herston, QLD 4029
Country 87392 0
Australia
Phone 87392 0
+61732533611
Fax 87392 0
Email 87392 0
nazli.bashi@csiro.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
What supporting documents are/will be available?
Ethical approval
How or where can supporting documents be obtained?
Type [1] 1029 0
Ethical approval
Citation [1] 1029 0
Link [1] 1029 0
Email [1] 1029 0
Other [1] 1029 0
Summary results
No Results