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Presentaion to the Columbia University Institutional Review Board February 17, 2000

Information Technology-Based Patient Education for Decreasing Prehospital Delay of Patients Presenting with Acute Myocardial Infarct: The MI-HEART Project. Presentaion to the Columbia University Institutional Review Board February 17, 2000. The MI-HEART Project.

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Presentaion to the Columbia University Institutional Review Board February 17, 2000

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  1. Information Technology-Based Patient Education for Decreasing Prehospital Delay ofPatients Presenting with Acute Myocardial Infarct:The MI-HEART Project Presentaion to the Columbia University Institutional Review Board February 17, 2000

  2. The MI-HEART Project • Purpose: Examine ways in which information technology can be used to decrease “pain-to-needle time” • Solution: Educate patients to recognize the symptoms of MI and respond appropriately • Approach: Information technology-based education • Ubiquitous • Patient-specific

  3. Human Subjects Recruit Questionnaire Randomize Computer- Generic Computer- Customized Printed Questionnaire

  4. Patient Recruitment • Approach physicians with high-risk patients • General internal medicine • Cardiology clinic • Cardiologists • Diabetes center • Distribute recruitment brochure • Patients enroll the Web • Eligible patients given ID/password • Patients complete on-line questionnaire

  5. Data Collection • Sociodemographic variables • Health history variables • Symptom context variables

  6. Customized Educational Materials • NHAAP materials • Patient questionnaire • Clinical information system • Queried at enrollment time • Additional information requested as needed • Not maintained • Not available to researchers • Strict adherence with institutional security policy

  7. Impact Measures • Self-efficacy • Outcome expectations • Expectation of symptoms • Somatic and emotional awareness • Perceived threat

  8. Status • Study design: completed • Architecture design: completed • Questionnaire: nearly completed • Educational materials: in progress

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