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

Farquharson, Barbara; Johnston, Marie; Smith, Karen; Williams, Brian; Treweek, Shaun; Dombrowski, Stephan U; Dougall, Nadine; Abhyankar, Purva; Grindle, Mark

Authors

Barbara Farquharson

Marie Johnston

Karen Smith

Brian Williams

Shaun Treweek

Stephan U Dombrowski

Purva Abhyankar

Mark Grindle



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.

Citation

Farquharson, B., Johnston, M., Smith, K., Williams, B., Treweek, S., Dombrowski, S. U., …Grindle, M. (2017). Reducing patient delay in Acute Coronary Syndrome (RAPiD): research protocol for a web-based randomized controlled trial examining the effect of a behaviour change intervention. Journal of Advanced Nursing, 73(5), 1220-1234. https://doi.org/10.1111/jan.13191

Journal Article Type Other
Acceptance Date Oct 4, 2016
Online Publication Date Nov 18, 2016
Publication Date 2017-05
Deposit Date Oct 31, 2016
Publicly Available Date Mar 29, 2024
Journal Journal of Advanced Nursing
Print ISSN 0309-2402
Electronic ISSN 1365-2648
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 73
Issue 5
Pages 1220-1234
DOI https://doi.org/10.1111/jan.13191
Keywords General Nursing
Public URL http://researchrepository.napier.ac.uk/Output/408923

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