COMMUNITY INTERVENTION TO REDUCE MI DELAY

社区干预减少 MI 延误

• 批准号: 2430766
• 负责人: DARWIN R. LABARTHE
• 金额: $ 54.4万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-08-15 至 1998-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2430766
• 关键词: behavioral /social science research tag; cardiovascular disorder education; cardiovascular disorder prevention; community health services; cooperative study; data collection; disease /disorder proneness /risk; fibrinolytic agents; health behavior; health care service utilization; heart disorder chemotherapy; human mortality; human subject; human therapy evaluation; intraluminal angioplasty; mass information media; myocardial infarction; prognosis; sign /symptom

The proposed four-year, randomized, controlled, multicenter intervention study is designed to reduce delay time associated with recognition and response to symptoms of acute myocardial infarction (AMI). In this application for a Field Site, we propose to carry out the study in two pairs of cities: 1) Laredo, Texas and Brownsville, Texas; and 2) Tyler, Texas and Lake Charles, Louisiana. Data collection will include 1) telephone surveys of samples of the four cities at baseline and follow-up to assess knowledge, attitudes, and behavioral intentions regarding AMI symptom recognition and response; 2) mid-intervention telephone surveys in the two intervention cities (one from each pair) to assess awareness of the intervention channels and materials and selected attitudes regarding AM symptom recognition and response; 3) in-hospital interviews of patients being evaluated for AMI symptoms regarding symptom onset, recognition, and response; and 4) medical record abstraction for interviewed participants regarding final diagnosis, medical history, hospital course (eg., treatments and complications) and vital status at the time of discharge. The two-year multichannel intervention program will include both "small" (eg., brochures) and "large" (eg., television news pieces) media components. Data analysis will include examination of the effect of the intervention on 1) delay time, 2) utilization of emergency medical services and emergency departments, 3) utilization of thrombolytic therapy and immediate angioplasty as therapy for AMI, 4) in-hospital case- fatality, and 5) knowledge, attitudes, and behavioral intentions regarding AMI symptom recognition and response. If successful, this intervention program should serve as a model for dissemination across the U.S. to reduce AMI delay time.

拟定的4年、随机、对照、多中心干预 这项研究旨在减少与识别相关的延迟时间， 对急性心肌梗死（AMI）症状的反应。在这 由于我们已申请一个实地研究地点，我们建议分两个阶段进行研究 成对的城市：1）德克萨斯州的拉雷多和德克萨斯州的布朗斯维尔;以及2）泰勒， 德克萨斯州和路易斯安那州的查尔斯湖。数据收集将包括1） 在基线和后续阶段对四个城市的样本进行电话调查 评估关于AMI的知识、态度和行为意向 症状识别和反应; 2）中期干预电话调查， 两个干预城市（每对一个），以评估对 干预渠道和材料以及对以下问题的态度 AM症状识别和反应; 3）住院患者访谈 正在评估AMI症状，包括症状发作、识别和 回答;和4）访谈参与者的医疗记录摘要 关于最终诊断、病史、住院过程（例如， 治疗和并发症）和出院时的生命状态。 为期两年的多渠道干预计划将包括“小” (eg.,小册子）和“大”（例如，电视新闻片）媒体 件.数据分析将包括检查 对1）延误时间，2）急诊医疗利用率干预 服务和急诊科，3）溶栓治疗的使用 急性心肌梗死的急诊血管成形术; 4）住院病例- 死亡，以及5）知识，态度和行为意图， AMI症状识别和反应。如果成功的话， 该计划应作为在美国传播的典范， 减少AMI延迟时间。