Heart Matters: The Effectiveness of Heart Health Education in Regions at Highest-risk.

Primary objectives:

To determine if targeted heart health education will:

• Increase ambulance use in ACS patients (main primary outcome);
• Decrease patient and prehospital delay times in ACS patients;
• Increase awareness of personal cardiovascular risk and associated factors in adult community members; and
• Increase cardiovascular knowledge and confidence to act to heart attack warning signs in adult community members.

Secondary objectives

• To determine if targeted heart health education:
• Reduces the incidence of out-of-hospital cardiac arrest;
• Improves survival in OHCA patients;
• Improves survival in ACS patients;
• Improves survival and ACS patients;
• Increases presentations to ED for ACS and unspecified chest pain; and
• Increases the rates of calls to ambulance for chest pain and non-chest pain.
• Increases the rate of Heart Health Checks.

Intervention: To meet the objectives of the study, we will employ HM coordinators for each of the eight high-risk LGAs to organise and deliver our HM education program using HM materials and Partner resources.

Design: The stepped-wedge design is a uni-directional cross-over design - where the randomisation element is when the cluster crosses-over to the intervention following a control period.

Over the 16-month study period, the eight LGAs will move into the intervention phase at two month intervals. As four LGAs are in close proximity, these LGAs will switch from control to intervention periods at the same time to avoid possible contamination.

Inclusion criteria

Adult residents of the eight local government areas -

Exclusion criteria

Adults not residing in the eight local government areas.

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