Completed

NCT Number: NCT00105664

Collaborative Cardiac Care Project

Data from VA-funded studies and the broader literature indicate that chronic stable angina (CSA) is prevalent, under recognized, under treated and associated with reduced quality of life. There are substantial opportunities for improving care of patients with this debilitating and potentially fatal problem. Because primary care providers manage most patients with CSA, efforts to improve care must necessarily involve the primary care delivery system. C3P is composed of a set of interventions employing a Collaborative Care Team model, which has been shown to be effective in managing other chronic illnesses in the primary care setting.

Completed

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Key information

Conditions

Myocardial Ischemia Angina Pectoris Cardiovascular Diseases Chest Pain Coronary Disease Heart Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VA Palo Alto Health Care System, Palo Alto, CA, Palo Alto, California, United States

About this study

Objectives of the proposed project are to: 1) ascertain whether a collaborative approach to managing CSA in primary care results in better symptom control and quality of life than routine care; 2) assess whether the practice of providers assigned to the intervention group is more consistent with national clinical practice guidelines than that of control providers; 3) assess satisfaction of both patients and providers with this approach to management; and 4) assess marginal cost-effectiveness.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Providers:

Staff (MD, PA, NP) or resident (R1, R2)
at least 1 participating patient

Patients

assigned to participating provider
diagnosis consistent with IHD
2 visits in past year
frequent angina symptoms (SAQ freq. score less than 70)

Exclusion criteria

Providers:

No participating patients

Patients:

cognitive impairment (inability to complete questionnaires and phone interviews)
non-participating provider
life expectancy of less than 24 months

Treatment and study plan

Collaborative care model

Procedure

Group interventions

Procedure

Facilitated consultation

Procedure

Primary outcomes

Symptom control, quality of life and satisfaction at one year; improved practitioner compliance with national clinical practice guidelines over the one-year intervention period

Secondary outcomes

Marginal cost effectiveness during one-year study period

Sponsors and collaborators

Lead sponsor

US Department of Veterans Affairs

Fed

Registry information

Official study title

Collaborative Cardiac Care Project (C3P)

Acronym: C3P

Important dates

Study start: 2004
Study completion: 2007
First posted: Mar 17, 2005
Registry last updated: Apr 7, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed