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Trial registered on ANZCTR
Registration number
ACTRN12614000788673
Ethics application status
Approved
Date submitted
25/12/2013
Date registered
24/07/2014
Date last updated
24/07/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomized controlled trial evaluating self-care among three groups of patients with heart failure educated by health educators, by volunteers and a control group
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Scientific title
Comparing the efficacy of a new educational strategy involving community health volunteers on self-care in patients with chronic heart failure compared with health workers in western Iran
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Secondary ID [1]
283819
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Nil
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Secondary ID [2]
283856
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heart Failure
290795
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Public Health
290834
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Condition category
Condition code
Cardiovascular
291162
291162
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0
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Other cardiovascular diseases
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Public Health
291199
291199
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention included two stages, first training nine female volunteers by a skilled general practitioner in a few workshops.
The duration and number of workshops are depended on situation and necessity realized in the first session by obtaining feedback from participants. The materials obtained from heart failure text books and related sites such as (http://www.heartfoundation.org.au/)translated into a simple language under supervision a cardiologist, was used and provided slides of PowerPoint and pamphlets taught in workshops. Second step was performing educational program for two groups of patients with CHF randomly been allocated into group A or B. The group A was trained face to face at their homes by trained community health volunteers (CHVs) and second group divided into 3 subgroups were trained by two skilled formal health professionals (FHP)at hospital. Trainings were a single session for both groups have been considered. The training duration for each patient in group A (educated by CHVs) was about 2 hours, but the patients in the second group(FHP) taken a 3.5 hours education with half an hour break in mid time. Two months latter they were interviewed again to assess their self-care activities and behaviors.
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Intervention code [1]
288506
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Other interventions
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Intervention code [2]
288507
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Lifestyle
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Comparator / control treatment
comparing two educational strategies and a control group, patients with regular health care who are normally given a very brief medical information or even no information more than the dosage of medicines and suggesting to avoid salt consumption .Unfortunately, there is not a practical program for educating all patients with CHF as a part of regular care currently, however those patients with CHF who have gone under surgery of coronary artery bypass during a rehabilitation program are educated by nurses and general practitioner.
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Control group
Active
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Outcomes
Primary outcome [1]
291152
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self-care scales (self-care maintenance, self-care management and self-care confidence) are the outcome that are measured using pSCHFI.The pSCHFI is comprised of three scales with 22 questions containing 10 questions for self-maintenance, 6 for self-management and 6 for self-confidence. Each scale is standardized to a possible score of zero to 100(using likert scale)
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Assessment method [1]
291152
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Timepoint [1]
291152
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outcome was assessed at 60 days from baseline
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Secondary outcome [1]
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nil
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Assessment method [1]
306208
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Timepoint [1]
306208
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nil
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Eligibility
Key inclusion criteria
over 18 year
diagnosed by heart failure
signing consent form
lack of mental disorder
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Minimum age
18
Years
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Maximum age
95
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
less than 18 or more than 95
cognition problems
disagreement
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Study design
Purpose of the study
Educational / counselling / training
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
According to the information received from another study of a similar design, it was expected the mean of self-care increase about 22 unit (d=22). Hence to have a power of 90% we needed at least 67 participants for each group.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/06/2012
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Actual
1/09/2012
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Date of last participant enrolment
Anticipated
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Actual
15/09/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
201
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5698
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Iran, Islamic Republic Of
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State/province [1]
5698
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Kermanshah
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Funding & Sponsors
Funding source category [1]
288478
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University
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Name [1]
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Kermanshah University of Medical Sciences
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Address [1]
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Kermanshah University of Medical Sciences, Bolvar Shahid Beheshti, Kermanshah, Iran
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Country [1]
288478
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Iran, Islamic Republic Of
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Primary sponsor type
University
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Name
Kermanshah University of Medical Sciences
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Address
Kermanshah University of Medical Sciences, Bolvar Shahid Beheshti, Kermanshah, Iran
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
287178
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University
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Name [1]
287178
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the university of sydney
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Address [1]
287178
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The University of Sydney NSW 2006
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Country [1]
287178
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290341
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the Human Research Ethics Committee (HREC)
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Ethics committee address [1]
290341
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Level6, Jane Foss Russell Building-G02 The University of Sydney NSW 2006 Australia
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Ethics committee country [1]
290341
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Australia
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Date submitted for ethics approval [1]
290341
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05/12/2011
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Approval date [1]
290341
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15/03/2012
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Ethics approval number [1]
290341
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14451
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Summary
Brief summary
This is an ongoing randomized control trial in which 231 patients with chronic heart failure (CHF) randomly allocated into three groups- two intervention groups and a control group, and approved by ethics committees in Iran and Australia. Two educational approaches; a face to face training by trained volunteers at home and a classic training by skilled health workers at hospital have been established. Data through interviewing before and two months after intervention have been collected using self-care of chronic heart failure index translated and validated into Persian (pSCHFI), as the primary outcome of the current study plus an investigator developed questionnaire. Data will be analysised to compare self-care in three groups, and also determine expected associations between different variables.
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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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Dr soraya siabani
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Address
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Victor Coppleson Building - D02 Menzies Center for Health Policy
Medical School The University of Sydney NSW 2006
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Country
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Australia
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Phone
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+61 2 9036 7000
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Fax
45186
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+61 2 9351 5204
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Email
45186
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[email protected]
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Contact person for public queries
Name
45187
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soraya siabani
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Address
45187
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Victor Coppleson Building - D02 Menzies Center for Health Policy
Medical School The University of Sydney NSW 2006
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Country
45187
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Australia
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Phone
45187
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+61478262727
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Fax
45187
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+61 2 9351 5204
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Email
45187
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[email protected]
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Contact person for scientific queries
Name
45188
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soraya siabani
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Address
45188
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Victor Coppleson Building - D02 Menzies Center for Health Policy
Medical School The University of Sydney NSW 2006
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Country
45188
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Australia
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Phone
45188
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+61478262727
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Fax
45188
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Email
45188
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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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