Reducing patient delay in Acute Coronary Syndrome (RAPiD): research protocol for a web-based randomised controlled trial examining the effect of a behaviour change intervention

Barbara Farquharson (Lead / Corresponding author), Marie Johnston, Karen Smith, Brian Williams, Shaun Treweek, Stephan U. Dombrowski, Nadine Dougall, Purva Abhyankar

Research output: Contribution to journalArticle

1 Citation (Scopus)
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Abstract

AIMS: To evaluate the efficacy of a behaviour change technique-based intervention and compare two possible modes of delivery (text+visual and text-only) with usual care.

BACKGROUND: Patient delay prevents many people from achieving optimal benefit of time-dependent treatments for Acute Coronary Syndrome. Reducing delay would reduce mortality and morbidity, but interventions to change behaviour have had mixed results. Systematic inclusion of behaviour change techniques or a visual mode of delivery might improve the efficacy of interventions.

DESIGN: A 3-arm web-based, parallel randomised controlled trial of a theory-based intervention.

METHODS: The intervention comprises 12 behaviour change techniques systematically identified following systematic review and a consensus exercise undertaken with behaviour change experts. We aim to recruit n=177 participants who have experienced Acute Coronary Syndrome in the previous 6 months from a National Health Service Hospital. Consenting participants will be randomly allocated in equal numbers to one of three study groups: i) usual care ii) usual care plus text-only behaviour change technique-based intervention or iii) usual care plus text+visual behaviour change technique-based intervention. The primary outcome will be the change in intention to phone an ambulance immediately with symptoms of Acute Coronary Syndrome ≥15 minutes duration, assessed using two randomised series of 8 scenarios representing varied symptoms before and after delivery of the interventions or control condition (usual care). Funding granted January 2014.

DISCUSSION: Positive results changing intentions would lead to a randomised controlled trial of the behaviour change intervention in clinical practice, assessing patient delay in the event of actual symptoms. This article is protected by copyright. All rights reserved.

Original languageEnglish
Pages (from-to)1220-1234
Number of pages15
JournalJournal of Advanced Nursing
Volume73
Issue number5
Early online date25 Oct 2016
DOIs
Publication statusPublished - May 2017

Fingerprint

Acute Coronary Syndrome
Randomized Controlled Trials
Research
Ambulances
National Health Programs
Consensus
Exercise
Morbidity
Mortality

Keywords

  • Acute Coronary Syndrome
  • ACS
  • Delay
  • Patient delay
  • Behaviour
  • Behaviour change
  • BCT
  • Cardiac
  • Nursing
  • Intervention

Cite this

Farquharson, Barbara ; Johnston, Marie ; Smith, Karen ; Williams, Brian ; Treweek, Shaun ; Dombrowski, Stephan U. ; Dougall, Nadine ; Abhyankar, Purva. / Reducing patient delay in Acute Coronary Syndrome (RAPiD) : research protocol for a web-based randomised controlled trial examining the effect of a behaviour change intervention. In: Journal of Advanced Nursing. 2017 ; Vol. 73, No. 5. pp. 1220-1234.
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abstract = "AIMS: To evaluate the efficacy of a behaviour change technique-based intervention and compare two possible modes of delivery (text+visual and text-only) with usual care.BACKGROUND: Patient delay prevents many people from achieving optimal benefit of time-dependent treatments for Acute Coronary Syndrome. Reducing delay would reduce mortality and morbidity, but interventions to change behaviour have had mixed results. Systematic inclusion of behaviour change techniques or a visual mode of delivery might improve the efficacy of interventions.DESIGN: A 3-arm web-based, parallel randomised controlled trial of a theory-based intervention.METHODS: The intervention comprises 12 behaviour change techniques systematically identified following systematic review and a consensus exercise undertaken with behaviour change experts. We aim to recruit n=177 participants who have experienced Acute Coronary Syndrome in the previous 6 months from a National Health Service Hospital. Consenting participants will be randomly allocated in equal numbers to one of three study groups: i) usual care ii) usual care plus text-only behaviour change technique-based intervention or iii) usual care plus text+visual behaviour change technique-based intervention. The primary outcome will be the change in intention to phone an ambulance immediately with symptoms of Acute Coronary Syndrome ≥15 minutes duration, assessed using two randomised series of 8 scenarios representing varied symptoms before and after delivery of the interventions or control condition (usual care). Funding granted January 2014.DISCUSSION: Positive results changing intentions would lead to a randomised controlled trial of the behaviour change intervention in clinical practice, assessing patient delay in the event of actual symptoms. This article is protected by copyright. All rights reserved.",
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Reducing patient delay in Acute Coronary Syndrome (RAPiD) : research protocol for a web-based randomised controlled trial examining the effect of a behaviour change intervention. / Farquharson, Barbara (Lead / Corresponding author); Johnston, Marie; Smith, Karen; Williams, Brian; Treweek, Shaun; Dombrowski, Stephan U.; Dougall, Nadine; Abhyankar, Purva.

In: Journal of Advanced Nursing, Vol. 73, No. 5, 05.2017, p. 1220-1234.

Research output: Contribution to journalArticle

TY - JOUR

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AU - Farquharson, Barbara

AU - Johnston, Marie

AU - Smith, Karen

AU - Williams, Brian

AU - Treweek, Shaun

AU - Dombrowski, Stephan U.

AU - Dougall, Nadine

AU - Abhyankar, Purva

N1 - This work was supported by the Chief Scientist Office, Scotland: grant number CZH/4/1025. The funder approved the overall design of the study but will not have any role during its execution, analyses, interpretation of the data, or decision to submit results.

PY - 2017/5

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N2 - AIMS: To evaluate the efficacy of a behaviour change technique-based intervention and compare two possible modes of delivery (text+visual and text-only) with usual care.BACKGROUND: Patient delay prevents many people from achieving optimal benefit of time-dependent treatments for Acute Coronary Syndrome. Reducing delay would reduce mortality and morbidity, but interventions to change behaviour have had mixed results. Systematic inclusion of behaviour change techniques or a visual mode of delivery might improve the efficacy of interventions.DESIGN: A 3-arm web-based, parallel randomised controlled trial of a theory-based intervention.METHODS: The intervention comprises 12 behaviour change techniques systematically identified following systematic review and a consensus exercise undertaken with behaviour change experts. We aim to recruit n=177 participants who have experienced Acute Coronary Syndrome in the previous 6 months from a National Health Service Hospital. Consenting participants will be randomly allocated in equal numbers to one of three study groups: i) usual care ii) usual care plus text-only behaviour change technique-based intervention or iii) usual care plus text+visual behaviour change technique-based intervention. The primary outcome will be the change in intention to phone an ambulance immediately with symptoms of Acute Coronary Syndrome ≥15 minutes duration, assessed using two randomised series of 8 scenarios representing varied symptoms before and after delivery of the interventions or control condition (usual care). Funding granted January 2014.DISCUSSION: Positive results changing intentions would lead to a randomised controlled trial of the behaviour change intervention in clinical practice, assessing patient delay in the event of actual symptoms. This article is protected by copyright. All rights reserved.

AB - AIMS: To evaluate the efficacy of a behaviour change technique-based intervention and compare two possible modes of delivery (text+visual and text-only) with usual care.BACKGROUND: Patient delay prevents many people from achieving optimal benefit of time-dependent treatments for Acute Coronary Syndrome. Reducing delay would reduce mortality and morbidity, but interventions to change behaviour have had mixed results. Systematic inclusion of behaviour change techniques or a visual mode of delivery might improve the efficacy of interventions.DESIGN: A 3-arm web-based, parallel randomised controlled trial of a theory-based intervention.METHODS: The intervention comprises 12 behaviour change techniques systematically identified following systematic review and a consensus exercise undertaken with behaviour change experts. We aim to recruit n=177 participants who have experienced Acute Coronary Syndrome in the previous 6 months from a National Health Service Hospital. Consenting participants will be randomly allocated in equal numbers to one of three study groups: i) usual care ii) usual care plus text-only behaviour change technique-based intervention or iii) usual care plus text+visual behaviour change technique-based intervention. The primary outcome will be the change in intention to phone an ambulance immediately with symptoms of Acute Coronary Syndrome ≥15 minutes duration, assessed using two randomised series of 8 scenarios representing varied symptoms before and after delivery of the interventions or control condition (usual care). Funding granted January 2014.DISCUSSION: Positive results changing intentions would lead to a randomised controlled trial of the behaviour change intervention in clinical practice, assessing patient delay in the event of actual symptoms. This article is protected by copyright. All rights reserved.

KW - Acute Coronary Syndrome

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KW - BCT

KW - Cardiac

KW - Nursing

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