Evidence map›Paper›PMID 37555197›Full record

ArticleResuscitation plus2023

A protocol for the Heart Matters stepped wedge cluster randomised trial: The effectiveness of heart attack education in regions at highest-risk.

Janet E Bray, Ziad Nehme, Judith C Finn, Jessica Kasza, Robyn A Clark, Dion Stub, Dominique A Cadilhac, Amanda K Buttery, Janelle Woods, Joosup Kim and 13 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04995900 (Heart Matters), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04995900 nacompletednot on this map

Heart Matters: A Stepped-wedge Cluster Randomized Controlled Trial of Heart Health Education Targeting Communities at High Risk of Acute Coronary Syndrome.

TypeinterventionalSponsorMonash UniversityRan2022 to 2023Enrolled2,240ConditionsAcute Coronary Syndrome, Myocardial Infarction, AcuteArmsCommunity education
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Janet E BrayMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Ziad NehmeMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Judith C FinnMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Jessica KaszaMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Robyn A ClarkCaring Futures Institute, Flinders University, Australia.
Dion StubMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Dominique A CadilhacStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Australia.
Amanda K ButteryNational Heart Foundation of Australia, Australia.
Janelle WoodsMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Joosup KimStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Australia.
Ben J SmithMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Karen SmithMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Susie CartledgeMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Alison BeauchampSchool of Rural Health, Monash University, Australia.
Natasha DodgeMonash School of Public Health and Preventive Medicine, Monash University, Australia.
Tony WalkerDepartment of Paramedicine, Monash University, Australia.
Elizabeth Flemming-JudgeConsumer Representative, Australia.
Clara ChowFaculty of Medicine and Health, Westmead Applied Research Centre, University of Sydney, Australia.
Mary StewartVictorian Department of Health, Australia.
Nicholas CoxWestern Health, Australia.
William van GaalNorthern Health, Australia.
Voltaire NadurataBendigo Health, Australia.
Peter CameronMonash School of Public Health and Preventive Medicine, Monash University, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To describe the Heart Matters (HM) trial which aims to evaluate the effectiveness of a community heart attack education intervention in high-risk areas in Victoria, Australia. These local government areas (LGAs) have high rates of acute coronary syndrome (ACS), out-of-hospital cardiac arrest (OHCA), cardiovascular risk factors, and low rates of emergency medical service (EMS) use for ACS. Methods: The trial follows a stepped-wedge cluster randomised design, with eight clusters (high-risk LGAs) randomly assigned to transition from control to intervention every four months. Two pairs of LGAs will transition simultaneously due to their proximity. The intervention consists of a heart attack education program delivered by trained HM Coordinators, with additional support from opportunistic media and a geo-targeted social media campaign. The primary outcome measure is the proportion of residents from the eight LGAs who present to emergency departments by EMS during an ACS event. Secondary outcomes include prehospital delay time, rates of OHCA and heart attack awareness. The primary and secondary outcomes will be analysed at the patient/participant level using mixed-effects logistic regression models. A detailed program evaluation is also being conducted. The trial was registered on August 9, 2021 (NCT04995900). Results: The intervention was implemented between February 2022 and March 2023, and outcome data will be collected from administrative databases, registries, and surveys. Primary trial data is expected to be locked for analysis by October 31st 2023, with a follow-up planned until March 31st 2024. Conclusion: The results from this trial will provide high-level evidence the effectiveness of a community education intervention targeting regions at highest-risk of ACS and low EMS use.

Indexed as

Acute coronary syndromeCardiovascular diseaseCommunity educationEmergency medical servicesHealth promotionMyocardial infarctionStep-wedged design

Identifiers

PMID37555197
PMCPMC10405322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.