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 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

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

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

Data Collection Sociodemographic variables Health history variables Symptom context variables

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

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

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