The Perfect-CR Implementation Study

Sponsor
Skane University Hospital
Study ID
NCT05889416
Status
Enrolling By Invitation

Conditions

  • Myocardial Infarction
  • Risk Reduction

Eligibility Criteria

Sex
ALL
Age
18 Years - 79 Years
Healthy Volunteers
Not accepted

Interventions

  • Audit and feedback through a quality registry — OTHER
    Centres answer CR process and structure variables through the SWEDEHEART registry every six months for three years. Feedback will be accessible online and through annual reports, enabling comparisons with own prior and other centres´ results.
  • Implementation support — OTHER
    On-site support to implement guidelines on secondary prevention applying practice facilitation - a multifaceted approach carried out by CR experts who enable personnel at intervention centres to address and overcome challenges in implementing guidelines.

Study Details

The goal of this open-label cluster-randomized effectiveness-implementation hybrid trial is to study whether a) audit and feedback of cardiac rehabilitation service delivery within a national quality registry and b) structured implementation support can improve center-level adherence to guidelines and short and long-term patient-level outcomes.

Key Dates

First listed
Jun 5, 2023
Start date
Oct 1, 2023
Status verified
Nov 2024
Primary completion
Dec 31, 2026
Completion
Dec 31, 2030

Study Design

Enrollment
75 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Usual care
    Implementation of national guidelines on secondary prevention according to local plan and preferences
  • Active Comparator: Audit and feedback
    Audit and feedback on implementation of national guidelines on secondary prevention through the national quality registry SWEDEHEART
  • Active Comparator: Implementation support
    Audit and feedback through the national quality registry SWEDEHEART and structured implementation support for implementation of national guidelines on secondary prevention

Primary Outcome Measure

Adherence score [ Time Frame: 3 years ]

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