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Trial registered on ANZCTR
Registration number
ACTRN12608000183381
Ethics application status
Approved
Date submitted
4/04/2008
Date registered
10/04/2008
Date last updated
10/04/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of patient incentives to improve prevention of ischemic heart disease in general practice
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Scientific title
The effectiveness of patient incentives to increase attendance for cardiovascular risk assessment in general practice
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cardiovascular disease
2994
0
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Condition category
Condition code
Cardiovascular
3144
3144
0
0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patient incentives for attendance for cardiovascular risk assessment
Patients will be sent a leter of invitation and given six months to attend their general practitioner.
The incentive is a $25 gift voucher.
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Intervention code [1]
2735
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Prevention
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Intervention code [2]
2736
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Behaviour
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Intervention code [3]
2756
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Treatment: Surgery
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Comparator / control treatment
no incentive for attendance for cardiovascular risk assessment
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Control group
Active
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Outcomes
Primary outcome [1]
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Attendance for cardiovascular risk assessment to the patient's GP
An attendance slip is generated when the risk assessment is performed by the GP. The slip is collected by research staff during regular visits to particpating practices.
The risk assessment is confirmed when the medical record of consenting patients are audited 3-9 months after patients attend for their risk asessment.
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Assessment method [1]
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Timepoint [1]
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The outcome is assessed when it occurs. Patients are allowed 6 months in which to attend their GP for a risk assessment. The visit is confirmed by a medical record audit that occurs within 3-9 months of the visit.
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Secondary outcome [1]
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New Zealand absolute cardiovascular risk calculator
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Assessment method [1]
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Timepoint [1]
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At the cardiovascular risk assessment.
The data will be obtained by the researcher at the time of the medical note audit 3-9 months after GP risk assessment.
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Secondary outcome [2]
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Absolute cardiovascular risk of patients in the intervention and control groups
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Assessment method [2]
6812
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Timepoint [2]
6812
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At the time of the risk assessment
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Eligibility
Key inclusion criteria
Attendance at the general practice in the last 12 months
Literate in English
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Minimum age
40
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Previous diagnosis of heart disease
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Concealed allocation
Practice databases were searched to identify patients aged 40-75 years without diagnosed heart disease. GPs reviewed the patient list to exclude those with serious illness, language barriers, or any other reason at the discretion of the GP. The list was further limited to include only one patient per household, by alternately selecting a male or female patient from a shared address. Within each practice eligible patients were allocated a number between 1 and 150 using a random number table.
An independant researcher at a central location determined that patients with numbers 1-60 were assigned to the intervention arm. Patients with numbers 61-150 were assigned to the control arm. Assignment was weighted to the control arm (3:2) because a lower participation rate was expected in this arm.
Patients were sent a letter of invitation to participate in the trial, and to attend their GP for cardiovascular risk assessment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number table created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/08/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
641
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5023
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Recruitment postcode(s) [2]
642
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5086
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Funding & Sponsors
Funding source category [1]
3260
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Charities/Societies/Foundations
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Name [1]
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Royal Australian College of General Practitioners
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Address [1]
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College House, 1 Palmerston Crescent
South Melbourne VIC 3205
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Country [1]
3260
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Australia
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Primary sponsor type
University
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Name
The University of Adelaide
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Address
North Terrace
Adelaide
SA 5005
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Country
Australia
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Secondary sponsor category [1]
2914
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None
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Name [1]
2914
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Address [1]
2914
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Country [1]
2914
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Adelaide Human Research Ethics Committee
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Ethics committee address [1]
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The University of Adelaide North Tce Adelaide SA 5005
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5242
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Approval date [1]
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20/02/2006
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Ethics approval number [1]
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H-020-2006
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Summary
Brief summary
The purpose of this pilot trial is to explore the effectiveness of a patient incentive for attendance for cardiovascular risk assessment in general practice. Our hypothesis is that a patient incentive will be effective in encouraging attendance for cardiovascular risk assessment in general practice. Strategies to increase attendance for risk assessment are a first step toward improved prevention of heart disease in general practice.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Nigel Stocks
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Address
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Discipline of General Practice
Level 3 Eleanor Harrald Building
Frome Road
The University of Adelaide
SA 5005
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Country
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Australia
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Phone
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08 8303 3460
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Fax
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08 8303 3511
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nigel Stocks
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Address
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Discipline of General Practice
Level 3 Eleanor Harrald Building
Frome Road
The University of Adelaide
SA 5005
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Country
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Australia
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Phone
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08 8303 3460
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Fax
2574
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08 8303 3511
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Email
2574
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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