The development and feasibility of an intervention to reassure patients about test results in rapid access chest pain clinic

ISRCTN ISRCTN60618114
DOI https://doi.org/10.1186/ISRCTN60618114
Secondary identifying numbers 9810
Submission date
27/05/2011
Registration date
27/05/2011
Last edited
06/10/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Prof Gill Furze
Scientific

Coventry University
Room 309, Richard Crossman Building
Priory Street
Coventry
CV1 5FB
United Kingdom

Study information

Study designRandomised, interventional, observational qualitative trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleThe development and feasibility of an intervention to reassure patients about test results in a rapid access chest pain clinic
Study hypothesisThe study has two parts:
1. In the first part (the development phase), an intervention will be developed with input from experts, patients and clinic staff. The intervention will be a brief (10 - 15 mins) face-to-face discussion delivered by a nurse to patients attending rapid access chest pain clinic (RACPC) that will explain to the patients the tests they are going to undergo in RACPC, the possible test results they may get, and what the possible treatments may be for the different test results. This discussion will take place before the patients undergo their test in RACPC and the aim of the intervention is to increase patientsÂ’ reassurance with their test results and ensuing treatment. A focus group of ten previous RACPC patients will be setup to gain their views on the draft intervention. The final draft intervention will be tested in ten patients in RACPC before being finalised.

2. (The pilot trial phase) we will undertake a pilot randomised controlled trial (RCT) with 120 patients in RACPC. The two-arm study will compare the intervention (face-to-face discussion developed in the first part of the study) PLUS usual care (a written leaflet giving the same information - tests that may be undertaken in RACPC, results and potential ensuing treatments) VERSUS usual care alone. The pilot RCT will inform the design of a future multicentre trial.
Ethics approval(s)First MREC approval date 15/12/2010, ref: 10/H1014/82
ConditionCardiovascular disease
Intervention1. Nurse-facilitated intervention: a brief (10 - 15 mins) face-to-face discussion delivered by a nurse to patients attending rapid access chest pain clinic (RACPC) that will explain to the patients the tests they are going to undergo in RACPC, the possible test results they may get, and what the possible treatments may be.
2. Follow up length: 6 month(s)
3. Study entry: single randomisation only

In the first stage of the study, ten participants will be recruited for the focus group and ten participants will be recruited for testing each draft of the intervention. For the pilot RCT, we propose to recruit 120 participants (60 per group).
Intervention typeOther
Primary outcome measure1. Patient reported reassurance
2. Timepoint(s): 1 month and six months
Secondary outcome measuresNo secondary outcome measures
Overall study start date30/03/2011
Overall study end date30/06/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPlanned Sample Size: 140; UK Sample Size: 140;
Participant inclusion criteriaApplies to the developmental phase and the pilot study:
1. All patients attending RACPC for assessment of new-onset, non-urgent chest pain
2. Able to read written English
3. Able to comprehend spoken English
4. Aged 18 years and over
5. Able and willing to give informed consent
6. Target gender: male & female
7. Lower age limit 18 years
Participant exclusion criteriaPilot study only:
1. Previously diagnosed cardiac pathology
2. No symptoms of chest pain
3. Undertaking the stress test as part of a pre-surgical medical examination
4. Pregnant
5. Currently involved in a research study
6. Severe documented psychiatric disorder (psychosis/bipolar disorder)
7. Life threatening co-morbidities
Recruitment start date30/03/2011
Recruitment end date30/06/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Coventry University
Coventry
CV1 5FB
United Kingdom

Sponsor information

University of York (UK)
University/education

Department of Health Sciences
York Trials Unit
Area 4
Sebohm Rowntree Building
Heslington
York
YO10 5DD
England
United Kingdom

Website http://www.york.ac.uk/
ROR logo "ROR" https://ror.org/04m01e293

Funders

Funder type

Government

NIHR Research for Patient Benefit Programme (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 04/10/2014 Yes No