Effect of Tertiary A-level Hospital Remote Intervention on MACCE, Adherence to Drugs and Risk Factors Control in Patients With Stable Coronary Artery Disease Compared With Traditional Community Hospital Follow-up
Condition: Stable Chronic Angina; Ischemic Heart Disease; Acute Coronary Syndrome
MeSH terms: Coronary Artery Disease; Myocardial Ischemia; Coronary Disease; Heart Diseases; Acute Coronary Syndrome; Angina, Stable
Study type: Observational

Summary: 
      The study was a multicenter, two-arm, parallel, open label, prospective study intended for to
      compare effect of offline community hospital intervention on adherence to drugs and risk
      factors control in patients with stable coronary artery disease compared with tertiary
      A-level hospital WeChat-based intervention.
    

Detailed description: 
      Objective: This study is intended for to compare effect of offline community hospital
      intervention on adherence to drugs and risk factors control in patients with stable coronary
      artery disease compared with tertiary A-level hospital WeChat-based intervention.

      Study design: The study was a multicenter, two-arm, parallel, open label, prospective study
      that evaluated a WeChat-based intervention offered by tertiary A-level hospital with 1 year
      of follow-up.

      Study intervention: All patients received lifestyle intervention and drug adjustment at 1
      month, 3 months, 6 months and 1 year follow-up. In the control group, the subsequent visit
      was through an offline outpatient clinic at 4 different community hospitals. Participants in
      this group received standard outpatient cardiology follow-up with formal cardiac
      rehabilitation and secondary prevention. While in the intervention group, the subsequent
      visit was through WeChat-based online consultations.

      Outcome measures: The primary outcome was MACCE. Secondary outcome included blood pressure,
      heart rates, smoking cessation, drinking cessation, body mass index, and medications
      adherence.

      Statistical analysis: Values of analyzed endpoints between intervention group and control
      group will be compared according to the analysis plan. We'll follow a prespecified analysis
      plan and subgroup analysis will be conducted accordingly.
    

Intervention name(s): Intervention; Control
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The subsequent visit was through WeChat-based online consultations. Follow-up, assessments and feedback were done at each visit. After follow-up, medication adherence and risk factor modification status were assessed, then individualized feedback, encouragement and recommendations were provided.; The subsequent visit was through an offline outpatient clinic at 4 different community hospitals. Participants in this group received standard outpatient cardiology follow-up with formal cardiac rehabilitation and secondary prevention
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        Participants are screened from several community hospitals and tertiary-A hospitals in
        Beijing