No registrations found.
ID
Source
Brief title
Health condition
The study is aimed at all patients who are screened at Dutch cardiac rehabilitation centres.
Sponsors and support
Intervention
Outcome measures
Primary outcome
Adherence, by care providers, to the Dutch Cardiac Rehabilitation Guidelines.
Secondary outcome
N/A
Background summary
Cardiac rehabilitation is a multidisciplinary therapy for cardiac patients that is provided after cardiac events and cardiac interventions. It is optimally effective in a patient-oriented approach where each rehabilitation programme is tailored to the patient's specific needs; this approach is therefore advocated by the Dutch Guidelines Cardiac Rehabilitation.
To support professionals in applying the guidelines in daily practice, an electronic decision support system (DSS) has been developed that is based on the guidelines.
The DSS identifies the appropriate goals and therapies of a cardiac rehabilitation programme, based on the patient's condition, history, and needs.
This study evaluates the effect of the DSS on guideline adherence by conducting a cluster randomised trial. The participating cardiac rehabilitation centres will either work with an intervention version of the DSS, having full functionality, or with a control version, which comprises patient records and information management services but provides no decision support. Both versions of the DSS record patient data, guideline-based recommendations, and rehabilitation goals and therapies that are actually pursued in each patient's programme. Duration of the trial is six months in each participating CR centre.
Study objective
Care providers are more likely to adhere to clinical practice guidelines when they receive guideline-based decision support by an electronic system.
Study design
N/A
Intervention
Randomisation takes place at cluster (centre) level. The participating cardiac rehabilitation centres will either work with an intervention version of the DSS, having full functionality with advice, or with a control version, which comprises patient records and information management services but provides no advice regarding clinical decisions.
The system is based on the Dutch Cardiac Rehabilitation Guidelines 2004.
Department of Medical Informatics,
P.O. Box 22660
N. Peek
Meibergdreef 9
Amsterdam 1100 DD
The Netherlands
+31 (0)20 5669111
n.b.peek@amc.uva.nl
Department of Medical Informatics,
P.O. Box 22660
N. Peek
Meibergdreef 9
Amsterdam 1100 DD
The Netherlands
+31 (0)20 5669111
n.b.peek@amc.uva.nl
Inclusion criteria
The decision support system (DSS) can be used at all Dutch cardiac rehabilitation (CR) centres. These centres treat patients after acute coronary syndromes, patients with angina pectoris, heart failure, and/or congenital heart disease, and patients who have undergone cardiac surgery, percutaneous transluminal coronary angioplasty, or heart transplant surgery, or have received an implantable cardioverter defibrillator.
Exclusion criteria
The system should be used on a routine basis in the participating CR centres, for all patients that are screened for CR; no patients are excluded.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL209 |
| NTR-old | NTR246 |
| Other | : N/A |
| ISRCTN | ISRCTN36656997 |