BACKGROUND: There is evidence from large clinical trials that compliance with standardized best practice guidelines (BPGs) improves survival of acute coronary syndrome (ACS) patients. However, their application is often suboptimal. PURPOSE: In this study, the researchers evaluated whether the use of an interactive voice response (IVR) follow-up system improved ACS BPG compliance. METHOD: This was a single-centre randomized control trial (RCT) of 1,608 patients (IVR=803; usual care=805). The IVR group received five automated calls in 12 months. The primary composite outcome was increased medication compliance and decreased adverse events. RESULTS: A significant improvement of 60% in the IVR group for the primary composite outcome was found (RR 1.60, 95% CI: 1.29 to 2.00, p <0.001). There was significant improvement in medication compliance (p <0.001) and decrease in unplanned medical visits (p = 0.023). At one year, the majority of patients ( 85%) responded positively to using the system again. Follow-up by IVR produced positive outcomes in ACS patients.
RCT Entities:
BACKGROUND: There is evidence from large clinical trials that compliance with standardized best practice guidelines (BPGs) improves survival of acute coronary syndrome (ACS) patients. However, their application is often suboptimal. PURPOSE: In this study, the researchers evaluated whether the use of an interactive voice response (IVR) follow-up system improved ACS BPG compliance. METHOD: This was a single-centre randomized control trial (RCT) of 1,608 patients (IVR=803; usual care=805). The IVR group received five automated calls in 12 months. The primary composite outcome was increased medication compliance and decreased adverse events. RESULTS: A significant improvement of 60% in the IVR group for the primary composite outcome was found (RR 1.60, 95% CI: 1.29 to 2.00, p <0.001). There was significant improvement in medication compliance (p <0.001) and decrease in unplanned medical visits (p = 0.023). At one year, the majority of patients ( 85%) responded positively to using the system again. Follow-up by IVR produced positive outcomes in ACS patients.
Authors: Jayme L Wilder; Devin Nadar; Nitin Gujral; Benjamin Ortiz; Robert Stevens; Faye Holder-Niles; John Lee; Jonathan M Gaffin Journal: Appl Clin Inform Date: 2019-05-01 Impact factor: 2.342
Authors: Christine S Ritchie; Thomas K Houston; Joshua S Richman; Heather J Sobko; Eta S Berner; Benjamin B Taylor; Amanda H Salanitro; Julie L Locher Journal: Transl Behav Med Date: 2016-09 Impact factor: 3.046
Authors: Liliana Laranjo; Tim Shaw; Ritu Trivedi; Stuart Thomas; Emma Charlston; Harry Klimis; Aravinda Thiagalingam; Saurabh Kumar; Timothy C Tan; Tu N Nguyen; Simone Marschner; Clara Chow Journal: JMIR Res Protoc Date: 2022-04-13