Interventions supporting long term adherence and decreasing cardiovascular events after myocardial infarction (ISLAND): pragmatic randomised controlled trial.

ABSTRACT:

Objective

To test a scalable health system intervention to improve long term adherence to secondary prevention treatments among patients who have had a recent myocardial infarction.

Design

Three arm, pragmatic randomised controlled trial with blinded outcome assessment.

Setting

Nine cardiac centres in Ontario, Canada.

Participants

2632 patients with obstructive coronary artery disease after a myocardial infarction, identified from a centralised cardiac registry.

Interventions

Participants were randomised 1:1:1 to receive usual care, five mail-outs developed through a user centred design process, or mail-outs plus phone calls. The phone calls were delivered first by an interactive automated system to screen for non-adherence to treatment. Trained lay heal

SUBMITTER: Ivers NM 

PROVIDER: S-EPMC7284284 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature