Optimising Secondary Prevention and Quality of Life in Early Cardiac Rehabilitation
NCT ID: NCT04781699
Last Updated: 2021-11-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
498 participants
OBSERVATIONAL
2021-03-19
2022-09-01
Brief Summary
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Detailed Description
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Stage 1: A bespoke survey has been designed to examine the perceptions of patients and health care professionals. The survey will include questions around, CR referral, uptake and adherence rates. Factors that hinder and improve attendance to CR will be explored. Surveys will be distributed amongst CR patients across six centres in the United Kingdom: Sheffield, London, North of England, Scotland, Wales, and Northern Ireland. The aim is to collect survey responses from 498 patients.
Stage 2: Qualitative interviews will be carried out with both patients and professionals. Topics will include factors that improve or hinder attendance and completion of CR. In addition, factors in CR which assist with improving quality of life will be explored. This will provide a more in-depth understanding of challenges to attendance identified in study 1. Up to 10 patients from each site will be interviewed, plus up to 20 health care professionals across all sites.
Stage 3: Up to 30 participants recruited across regions will be invited to take part in a two-day workshop. The two-day co-design workshop will involve patients, clinicians, CR providers, and researchers. The aim is to develop recommendations and approaches to improving attendance and completion of CR. This will include improvements to existing CR.
Study Conduct, Participant identification, inclusion, and exclusion
Each of the six sites currently delivers comprehensive early CR and provides access to patients and providers with lived experience of the core components and behaviour changes associated with CR adherence. A local principal investigator who is responsible for the leadership of a research study has been identified at each site to oversee conduct of the study protocol and facilitate participant recruitment. Participants will represent a range of demographic backgrounds including ethnicity, socioeconomic group, cardiac diagnosis and length of engagement with CR. Recruitment to interviews will stop when no new themes are being identified from the interviews (data saturation).
Healthcare professionals meeting our inclusion criteria will be approached directly, by the principal investigator at each study site. People interested in the study will be given an information sheet, and a minimum of 24 hours to consider study information before recruitment. Patients will be identified and invited to take part in the qualitative study by their healthcare professional upon referral to a CR programme.
Patients providing verbal consent will then be contacted by a member of the research team. These patients will also be invited to take part in the qualitative interviews investigating long-term adherence to CR (after six months). In the event that too few of the patients are available for the interview after six months, further patients will be retrospectively identified through the patient records kept by the CR team.
Participant consent and withdrawal
Written informed consent will be sought from participants at all stages of the study including the initial survey, subsequent interviews and/or co-design event. It will be clear at all times throughout the research that participation is voluntary and withdrawal at any stage without challenge will be supported. Information relating to participant consent will make explicit than any data collected prior to the participants' withdrawal may be retained for analysis.
Survey
Surveys will be completed online or sent via post to all identified eligible patients. If a patient decides to complete the survey online, an accessible email link will be sent via a web link using a licensed copy of Qualtrics survey software. Participants will be asked to read the study information and sign/digitally tick consent before proceeding to the survey questions.
Interviews and co-design event
Eligible participants who are interested in our study will be provided with written information sheets and offered the opportunity to ask questions by phone, email or where possible, face-to-face with the local principal investigator and/or a member of the core research team at Sheffield Hallam University. Participants will be given a minimum of 24 hours to consider the study information, after which time they will be contacted to arrange attendance.
Ethical considerations
Risks to participants are estimated to be low; although it is possible there may be some emotional effect of discussing issues and experiences related to cardiovascular disease, treatment, and its potential impact on quality of life. Participants will be made aware of the nature of the topics to be discussed during the informed consent process so that they know what to expect. Participants will be made aware that they can withdraw from the study at any time, or avoid any topics that cause discomfort. The co-design workshop will be facilitated in a way that fosters sharing, non-judgment, and equality amongst group members. It is important to manage expectations that group discussions during workshops are for research purposes, and not directly intended as patient support groups. Links and contact details will be provided for patients who express a need for further support, both verbally and via participant information sheets.
Conditions
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Keywords
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Study Design
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COHORT
OTHER
Eligibility Criteria
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Inclusion Criteria
* Aged over 18 years (i.e., all adults).
* No evidence of cognitive impairment which will limit the ability to follow basic instructions.
* Those who have a key responsibility for delivering or managing CR at one of the six local sites, including - healthcare professionals and/or CR providers.
Exclusion Criteria
* Aged under 18 years (i.e., all adults).
* Evidence of cognitive impairment which will limit the ability to follow basic instructions (Participants unable to give informed consent).
* Trainee or administrative staff members.
* Staff members with less than four months of experience working in CR.
18 Years
ALL
Yes
Sponsors
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AstraZeneca
INDUSTRY
Sheffield Teaching Hospitals NHS Foundation Trust
OTHER
Royal Brompton & Harefield NHS Foundation Trust
OTHER
Northumbria Healthcare NHS Foundation Trust
OTHER
NHS Ayrshire and Arran
OTHER
Belfast Health and Social Care Trust
OTHER
Aneurin Bevan University Health Board
OTHER
Sheffield Hallam University
OTHER
Responsible Party
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Simon Nichols
Senior Research Fellow
Locations
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Northumbria Healthcare NHS Foundation Trust
Newcastle upon Tyne, Blyth, United Kingdom
Aneurin Bevan University Health Board
Ystrad Mynach, Gwent, United Kingdom
Royal Brompton Hospital
London, Harefield Middlesex, United Kingdom
Sheffield Teaching Hospitals
Sheffield, South Yorkshire, United Kingdom
Belfast Health and Social Care Trust
Belfast, , United Kingdom
NHS Ayrshire and Arran
Kilmarnock, , United Kingdom
Countries
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Central Contacts
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Facility Contacts
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Gillian Sheppherd
Role: primary
Brian Begg, BSc
Role: primary
Heather Probert, BSc (Hons)
Role: primary
Marie Partner, MSc
Role: primary
Maria Mooney, MSc
Role: primary
Aynsley Cowie, PhD
Role: primary
Other Identifiers
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ER22491844
Identifier Type: -
Identifier Source: org_study_id