The Heart Priority Programme for Cardiac Patients at Risk of Dropout From Cardiac Rehabilitation

Summary

The goal of this study is to develop The Heart Priority programme, a supplement to standardised cardiac rehabilitation (CR) aimed at identifying and supporting cardiac patients at risk of dropout due to being in a vulnerable situation. Additionally, the study aims to test the programme through a feasibility study.

The programme comprises two main parts: 1) an evidence-based identification form to identify patients at risk of dropout from CR due to being in a vulnerable situation and 2) an add-on intervention targeted these patients.

The study will be guided by the Medical Research Council's framework for developing and evaluating complex interventions (MRC). The development follows an iterative three-stage process guided by the framework for co-producing and prototyping of healthcare interventions. Stage 1 is preparation by considering the knowledgebase. Building on this knowledge, stage 2 and 3 includes a co-production and prototyping process, aiming to develop, field test and adapt the programme, deemed ready for feasibility testing.

The feasibility study will be designed as a single-arm follow-up study conducted in two community health care centres in Denmark. Process data will be collected continuously over a six-months period and at the study's conclusion, focussing on three dimensions: implementation (reach and fidelity), acceptability, and mechanism of impact.

Conditions

• Acute Coronary Syndrome

Interventions

OTHER

The Heart Priority Programme

The programme is delivered by the Cardiac Rehabilitation (CR) team. It consist of two main parts: 1) an evidence-based identification form to identify patients at risk of dropout due to being in a vulnerable situation and 2) an add-on intervention to standard CR targeted these patients. The add-on intervention encompasses three core elements: 1) Assigning a contact person with specific responsibilities, 2) Systematically communicating patient information to colleagues in the CR team and 3) Systematic follow-up

Sponsors & Collaborators

• University of Aarhus

  collaborator OTHER

• Aarhus Municipality, Denmark

  collaborator OTHER

• Viborg Municipality, Denmark

  collaborator UNKNOWN

• Ringkøbing-Skjern municipality, Denmark

  collaborator UNKNOWN

• Defactum, Central Denmark Region

  lead OTHER_GOV

Principal Investigators

• Charlotte Ibsen, PhD · Defactum, Central Denmark Region

• Thomas Maribo, PhD · Defactum, Central Denmark Region and Aarhus University

Study Design

Allocation

NA

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-01-08

Primary Completion

2025-01-31

Completion

2025-01-31

Countries

• Denmark

Study Locations