Collaborative Cardiac Care Project (C3P)
Status
Conditions
Treatments
Details and patient eligibility
About
Data from VA-funded studies and the broader literature indicate that chronic stable angina (CSA) is prevalent, under recognized, under treated and associated with reduced quality of life. There are substantial opportunities for improving care of patients with this debilitating and potentially fatal problem. Because primary care providers manage most patients with CSA, efforts to improve care must necessarily involve the primary care delivery system. C3P is composed of a set of interventions employing a Collaborative Care Team model, which has been shown to be effective in managing other chronic illnesses in the primary care setting.
Full description
Objectives of the proposed project are to: 1) ascertain whether a collaborative approach to managing CSA in primary care results in better symptom control and quality of life than routine care; 2) assess whether the practice of providers assigned to the intervention group is more consistent with national clinical practice guidelines than that of control providers; 3) assess satisfaction of both patients and providers with this approach to management; and 4) assess marginal cost-effectiveness.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
Providers:
- Staff (MD, PA, NP) or resident (R1, R2)
- at least 1 participating patient
Patients
- assigned to participating provider
- diagnosis consistent with IHD
- 2 visits in past year
- frequent angina symptoms (SAQ freq. score less than 70)
Exclusion criteria
Providers:
- No participating patients
Patients:
- cognitive impairment (inability to complete questionnaires and phone interviews)
- non-participating provider
- life expectancy of less than 24 months
Trial design
Primary purpose
Allocation
Interventional model
Masking
287 participants in 1 patient group
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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