Tailoring post-discharge care for heart patients

Tailoring Post Discharge (TPD) - Bridging the Gap Through Education and Community Support

NA · St. Boniface Hospital · NCT05692921

This study is testing whether personalized support and education after leaving the hospital can help heart patients manage their care better, by comparing two different follow-up methods.

Quick facts

PhaseNA
Study typeInterventional
Enrollment200 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorSt. Boniface Hospital (other)
Locations1 site (Winnipeg, Manitoba)
Trial IDNCT05692921 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to enhance the post-discharge care of patients with Acute Coronary Syndrome (ACS) by understanding their educational needs and preferences for support. It employs a two-phase approach: first, gathering insights from patients about their care experiences and needs, and second, implementing a randomized trial comparing two interventions—Remote Home Monitoring (RHM) and Rapid Response Nursing (RRN). The goal is to improve patient self-management and outcomes after hospital discharge through tailored education and community support.

Who should consider this trial

Good fit: Ideal candidates for this study are adult patients who have presented with ACS and are considered low risk for early discharge.

Not a fit: Patients who are high risk for early discharge or live outside of Winnipeg may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly improve the self-management and recovery outcomes for patients discharged after an acute coronary event.

How similar studies have performed: While there is some existing literature on the educational needs of ACS patients, this study's specific approach to tailoring post-discharge care is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All adult patients who presented with ACS to St. Boniface Hospital
* Considered low risk based on cardiac risk, comorbidities, community and patient resources

Exclusion Criteria:

* Age less than 18 years.
* Unable or unwilling to provide consent
* Considered high risk for early discharge
* Lives outside of Winnipeg (for Phase 2 of the study, we will only be focusing on patients that live within Winnipeg)
* No internet or mobile data access

Where this trial is running

Winnipeg, Manitoba

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Acute Coronary Syndrome, Myocardial Infarction, Percutaneous Coronary Intervention, Education, Community Support, Remote Home Monitoring, Rapid Response Nurses, Low-risk assessment

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.