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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >The enhancing recovery in coronary heart disease trial (ENRICHD): strategies and techniques for enhancing retention of patients with acute myocardial infarction and depression or social isolation.
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The enhancing recovery in coronary heart disease trial (ENRICHD): strategies and techniques for enhancing retention of patients with acute myocardial infarction and depression or social isolation.

机译：增强冠心病试验的恢复（ENRICHD）：增强急性心肌梗塞和抑郁症或社会隔离患者保留率的策略和技术。

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摘要

The report aims to review the literature and describe the methods used for retention of patients in a clinical study. The Enhanced Recovery in Coronary Heart Disease (ENRICHD) trial was a multicenter, randomized clinical trial designed to evaluate the effects of a psychosocial intervention on cardiovascular morbidity and mortality. A total of 2481 patients met the criteria for depression, low social support, or both after a myocardial infarction and needed to be followed. Follow-up evaluation consisted of telephone interviews 3, 9, 12, 24, 36, and 48 months after enrollment and clinic visits scheduled at 6, 18, 30, 42, and 54 months. Creative strategies used to achieve optimum retention of this complex patient population over a long follow-up period are presented. Strategies to enhance adherence throughout the course of the trial required adequate tracking of patients to ensure minimum dropout, follow-up evaluation optimized through multiple methods of contact to guarantee completeness of data collection; and development of procedures to address the needs of patients at risk for dropout. Patients in the group that completed the study participated for a mean of 28.3 months, and those lost to follow-up evaluation participated for a mean of 19 months. Retention was not substantially different by gender or minority status. The results of this project can assist investigators in planning studies that require patient follow-up evaluation, and can provide clinicians with specific strategies for maximizing retention-to-treatment recommendations. As a result of the retention strategies described in this report, 93.02% of the patients completed their study participation or died. This is a very high retention rate given the complexity of the study sample, protocol, and required duration of follow-up evaluation.
机译：该报告旨在回顾文献并描述在临床研究中用于保留患者的方法。冠心病增强康复（ENRICHD）试验是一项多中心随机临床试验，旨在评估社会心理干预对心血管疾病发病率和死亡率的影响。共有2481名患者在心肌梗塞后符合抑郁，低社会支持或两者兼有的标准，需要进行随访。随访评估包括入组后第3、9、12、24、36和48个月的电话访问，以及计划在6、18、30、42和54个月的门诊。提出了用于在较长的随访期内最佳保留此复杂患者群体的创新策略。在整个试验过程中提高依从性的策略要求对患者进行充分跟踪，以确保减少辍学，并通过多种联系方式优化跟踪评估，以确保数据收集的完整性;制定程序以解决面临辍学风险的患者的需求。完成研究的组中的患者平均参加了28.3个月，而失去随访评估的患者平均参加了19个月。保留时间在性别或少数族裔地位方面没有实质性差异。该项目的结果可以帮助研究人员规划需要患者随访评估的研究，并且可以为临床医生提供最大化保留治疗建议的具体策略。由于本报告中所述的保留策略，93.02％的患者完成了研究参与或死亡。考虑到研究样本，方案的复杂性以及后续评估的持续时间，这是一个非常高的保留率。

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