[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100606133":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":12,"centralContacts":33,"locations":43,"responsibleParty":64,"collaborators":12,"id":67,"slug":68,"hasResults":69,"nctId":70,"briefTitle":71,"officialTitle":72,"acronym":73,"eligibilityCriteria":74,"healthyVolunteers":69,"sex":75,"minAge":76,"maxAge":12,"enrollmentInfo":77,"targetDuration":12,"studyType":80,"phases":81,"briefSummary":83,"conditions":84,"keywords":87,"overallStatus":93,"whyStopped":12,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":103},{"fullName":5,"class":6},"St. Boniface Hospital","OTHER",[8,13,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Standard Care (SA)","NO_INTERVENTION","Patients will receive standard education in hospital. They will not be registered in the RHM application or receive education modules, health care interviews or virtual appointments.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Education Only (EA)","EXPERIMENTAL","Patients will be enrolled in the RHM application, allowing tracking of their access to the education modules. They will start with an introductory module, followed by one module per day for a total of 7 modules covering key topics related to ACS (Cardiac Rehabilitation, Heart Attack Risk Factors, Living with Heart Disease, Medications, Mental Health, Nutrition, Physical Activity). Participants that have atrial fibrillation will receive an additional education module on that topic, and participants with heart failure with receive an additional education module relating to that topic. Engagement for modules will be monitored, if any patient misses more than one module, they will be contacted for a reminder and troubleshooting. Participants will have access to the RHM education modules for 30 days post hospital discharge.",[18],"Other: Remote Home Monitoring - Education",{"label":20,"type":15,"description":21,"interventionNames":22},"Full Intervention","Patients will be enrolled in the RHM application. Patients will receive all interventions in the EA, and in addition, they will receive support through the RHM application. Patients will complete health care surveys three times a week, covering topics such as symptoms, vital signs, medication side effects, functional status, and whether they have questions or concerns. Patients will have three scheduled virtual appointments with a cardiologist on 1 day, 1 week, 2 weeks after discharge. If a patient misses a survey, they will be prompted. Patients will also have access to unscheduled health care interviews, virtual appointments, and a hotline for additional questions or concerns. Participants will have access to the RHM education modules and program support for 30 days post hospital discharge.",[23],"Other: Remote Home Monitoring - Education and Support",[25,29],{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":12},"Remote Home Monitoring - Education","A virtual platform will be used to provide education to ACS patients post discharge.",[14],{"type":6,"name":30,"description":31,"armGroupLabels":32,"otherNames":12},"Remote Home Monitoring - Education and Support","A virtual platform will be used to provide education and support to ACS patients post discharge.",[20],[34,39],{"name":35,"role":36,"phone":37,"phoneExt":12,"email":38},"Shuangbo Liu, MD","CONTACT","204-258-1266","sliu@sbgh.mb.ca",{"name":40,"role":36,"phone":41,"phoneExt":12,"email":42},"Andrea de Haan, BA (Hons)","204-258-1001","adehaan@sbgh.mb.ca",[44],{"facility":45,"status":12,"city":46,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"St Boniface Hospital","Winnipeg","Manitoba","R2H 2A6","Canada","CA",{"type":52,"coordinates":53},"Point",[54,55],-97.14704,49.8844,{"lat":55,"lon":54},[58,59,61],{"name":35,"role":36,"phone":37,"phoneExt":12,"email":38},{"name":35,"role":60,"phone":12,"phoneExt":12,"email":12},"PRINCIPAL_INVESTIGATOR",{"name":62,"role":63,"phone":12,"phoneExt":12,"email":12},"Thang Nguyen, MD","SUB_INVESTIGATOR",{"type":60,"investigatorFullName":65,"investigatorTitle":66,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"Shuangbo Liu","Interventional Cardiologist","100606133","tailoring-post-discharge---remote-education-and-access-for-cardiac-health-100606133",false,"NCT07171580","Tailoring Post Discharge - Remote Education and Access for Cardiac Health","TPD-REACH: Tailoring Post Discharge - Remote Education and Access for Cardiac Health","TPD-REACH","Inclusion Criteria:\n\n\\>18 years old, type 1 myocardial infarction27, resident of Manitoba\n\nExclusion Criteria:\n\nPatients unable to consent or fully participate in the study due to:\n\n1. Technology barriers\n\n   1. Lack of digital device, internet access or data\n   2. Discomfort with using technology\n2. Communication or language barriers preventing participation\n3. Cognitive or mental health limiting informed consent or participation\n\n   1. Dementia or cognitive impairment\n   2. Active or severe psychosis or other significant mental health conditions c. Active substance abuse\n4. High-risk ACS where patients require more frequent or in person visits a. Cardiac:\n\n   i. Coronary\n   * Unrevascularizedleftmainormultivessellargeepicardialcoronary artery disease (\\>2.5mm)\n   * Coronary artery bypass surgery (CABG) during index hospitalization ii. Arrhythmias\n   * Cardiac arrest during index event\u002Fhospitalization (ventricular tachycardia (VT)\u002Fventricular fibrillation (VF), pulseless electrical activity (PEA)) iii. Cardiomyopathy\n   * Left ventricular ejection fraction (LVEF) \\\u003C35% (most recent EF assessment)\n   * Cardiogenic shock requiring pressors\u002Finotropes for more than 24 hours\n   * Requiring intubation\u002Fpositive pressure ventilation\u002Fhi-flow oxygen for more than 24 hours\n   * Switchedfromintravenous(IV)tooral(PO)loopdiureticwithinlast 48 hours\n   * Change in PO loop diuretic dose within last 48 homes (home re- start of 80mg or less is allowed)\n   * B-type natriuretic peptide (BNP) did not reduce by 30% iv. Cardiac Care Unit (CCU)\u002FIntensive Care Unit (ICU) o Any CCU\u002FICU stay for more than 24 hours b. Medical: i. any condition with prognosis less than 1 year or a high LACE (Length of stay, Acuity of admission, Comorbidities, Emergency department use) score (\\>15)28 ii. any medical comorbidity requiring in-person assessment within 2 weeks TPD-REACH PROTOCOL v3 29Aug2025 8 of 17 TPD-REACH: Remote Education and Access for Cardiac Health iii. transition to an alternative living arrangement\u002Fcompromised independent living iv. need medication adjustment or investigation within 2 weeks c. Social: i. severe financial strain ii. no fixed address or housing instability iii. severe food insecurity iv. significant hearing or vision impairment v. poor health literacy While we aim to promote health equity, patients facing these challenges need more support than this project can offer and should be connected to appropriate services before discharge.\n5. Non-atherosclerotic causes of ACS (spontaneous coronary artery dissection, stress- induced cardiomyopathy, myocarditis) as the education and treatment is different\n6. Any additional factor preventing full participation in the study","ALL","18 Years",{"count":78,"type":79},300,"ESTIMATED","INTERVENTIONAL",[82],"NA","Heart attacks are one of the top causes of death in Canada, with over 2,100 cases treated each year in Manitoba. Even though hospital care has improved, the period after going home is still risky. Many patients feel anxious and unsure about their recovery, and without enough support, they often end up back in the emergency department (ED). This is an even bigger challenge for people in rural areas, where getting follow-up care can be much harder. Filling these gaps is important to help patients get better and to reduce stress on the healthcare system.\n\nIn a previous study, the investigators found that extra support made a big difference: only 8% of participants using a digital health tool returned to the ED within 30 days, compared to 22% of participants without it. Now, the investigators want to expand this study across Manitoba to see if digital health tools can help more people recover safely at home. The investigators will compare two types of follow-up care: education only versus education with extra support (like symptom tracking and virtual appointments). The investigators will look at how this affects hospital visits, mental well-being, and healthcare costs. The goal is to create a better support system for people after a heart attack, leading to healthier recoveries, less strain on hospitals, and better care for Manitobans - no matter where they live.",[85,86],"Acute Coronary Syndrome","Myocardial Infarction (MI)",[88,89,90,91,92],"Percutaneous Coronary Intervention","Education","Support","Digital Health Tool","Remote Home Monitoring","NOT_YET_RECRUITING","2025-09-08",{"date":96,"type":97},"2025-09-12","ACTUAL",{"date":99,"type":79},"2025-12-01",{"date":101,"type":79},"2027-04-30",{"name":5,"class":6},1]