Evidence map›Paper›PMID 40996964›Full record

ArticlePloS one2025

Acceptability and feasibility of a multicomponent intervention to improve acute myocardial infarction care in Northern Tanzania: The MIMIC pilot trial.

Julian T Hertz, Francis M Sakita, Kelvin F Haukila, Pankrasi S Shayo, Frida M Shayo, Joyce Willy, Godfrey Lameck, Emmanuel Kisanga, Hayden B Bosworth, Janet P Bettger and 1 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Julian T HertzDepartment of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0002-7396-4789
Francis M SakitaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Kelvin F HaukilaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Pankrasi S ShayoKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Frida M ShayoKilimanjaro Christian Medical Centre, Moshi, Tanzania.ORCID https://orcid.org/0000-0002-0779-8209
Joyce WillyKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Godfrey LameckKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Emmanuel KisangaManyara Regional Hospital, Babati, Tanzania.
Hayden B BosworthDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Janet P BettgerDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.
Faraan O RahimDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.ORCID https://orcid.org/0000-0003-1305-0720

Funding

Developing an intervention to improve quality of myocardial infarction care in northern TanzaniaK23HL155500 · NHLBI · DUKE UNIVERSITY · PI HERTZ, JULIAN T · 2021 to 2025
$837k
NHLBI NIH HHS K23 HL155500
6 · The paper itself

Abstract

backgroundThe Multicomponent Intervention to Improve Acute Myocardial Infarction Care (MIMIC) was developed to increase the uptake of evidence-based care for acute myocardial infarction in Tanzania. MIMIC consists of five components: triage cards, pocket cards, an online training module, patient educational pamphlets, and clinical champions. Our aim was to determine the acceptability and feasibility of this intervention among emergency department (ED) providers in Tanzania.

methodsDuring a one-year pilot of the MIMIC intervention at the Kilimanjaro Christian Medical Centre in northern Tanzania, ED physicians and nurses were approached and invited to complete a survey eliciting their perspectives on MIMIC. The survey included the four-item Acceptability of Intervention Measurement (AIM) and four-item Feasibility of Intervention Measurement (FIM) tools. Mean AIM and FIM scores were generated by assigning scores of 1-5 for each response (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree), and dividing by four.

resultsSixty-four participants were enrolled, including 27 (42%) physicians and 37 (58%) nurses. The mean AIM score was 4.82 (sd = 0.31) out of a maximum possible score of 5. The mean FIM score was 4.61 (sd 0.47). Of participants, 63 (98%) reported using the pocket cards and 54 (84%) reported completing the training module, which took a mean of 16.5 (sd 13.3) minutes to complete. Of 36 nurses who worked in triage, all (100%) reported using the MIMIC triage cards.

conclusionThe MIMIC intervention is highly acceptable and feasible in a northern Tanzanian ED. Use of a co-design approach in the development of the MIMIC intervention likely increased the acceptability and feasibility of the intervention among staff. Additional study is needed to determine the effectiveness of this intervention on clinical care processes and patient outcomes.

Indexed as

Myocardial InfarctionAdultEmergency Service, HospitalFeasibility StudiesFemaleHumansMaleMiddle AgedPhysiciansPilot ProjectsSurveys and QuestionnairesTanzaniaTriage

Identifiers

PMID40996964
PMCPMC12463254

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.