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- Title
Using interactive voice response to improve disease management and compliance with acute coronary syndrome best practice guidelines: A randomized controlled trial.
- Authors
Sherrard, Heather; Duchesne, Lloyd; Wells, George; Kearns, Sharon Ann; Struthers, Christine
- Abstract
Background: here 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: his was a single-centre randomized control trial (RCT) of 1,608 patients (IVR=803; usual care=805). he IVR group received five automated calls in 12 months. he 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 (RR1.60, 95% CI: 1.29 to 2.00, p <0.001). here 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.
- Publication
Canadian Journal of Cardiovascular Nursing, 2015, Vol 25, Issue 1, p10
- ISSN
0843-6096
- Publication type
Academic Journal