Tailored Communication to Reduce Cardiovascular Risk

Northwestern University

Status: Completed

Conditions: Hypertension; Coronary Artery Disease; Hypercholesterolemia; Dyslipidemia

Treatments: Behavioral: Direct-to-patient tailored cardiovascular risk message system

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01286311

Reducing CV Risk

K08HS015647 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

The primary goal of the trial is to test the feasibility and efficacy of a cardiovascular disease quality improvement system that couples EMR-based patient identification with individually tailored patient messages. The study will test the hypothesis that that a tailored patient-directed approach to cardiovascular risk reduction integrated into patients' primary care delivery site will improve control of elevated low-density lipoprotein cholesterol and other card iac risk factors more than routine care alone for patients at intermediate or high risk for cardiovascular disease.

Enrollment: 464 patients

Sex: All

Ages: 40 to 79 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 40 to 79 years
• medication list does not include an active lipid lowering medication
• the patient does not have a diagnosis in the past medical history, active problem list or past visit encounter of coronary heart disease, heart failure, stroke, diabetes mellitus, or peripheral arterial disease
• the patient has an enrolled study physician recorded as his/her primary care physician
• the patient has an LDL cholesterol that meets one or more of the criteria listed below.

LDL cholesterol >= 130 mg/dl and estimated Framingham Risk Score 10-20% LDL cholesterol >= 100 mg/dl and estimated Framingham Risk Score >20% LDL cholesterol >= 160 mg/dl and estimated Framingham Risk Score 5% to <10%.

Exclusion criteria

• Age <40 or >79 years
• medication list includes an active lipid lowering medication
• the patient hase a diagnosis in the past medical history, active problem list or past visit encounter of coronary heart disease, heart failure, stroke, diabetes mellitus, or peripheral arterial disease
• the patient does not have an enrolled study physician recorded as his/her primary care physician
• the patient does not have an LDL cholesterol that meets one or more of the criteria listed below.

LDL cholesterol >= 130 mg/dl and estimated Framingham Risk Score 10-20% LDL cholesterol >= 100 mg/dl and estimated Framingham Risk Score >20% LDL cholesterol >= 160 mg/dl and estimated Framingham Risk Score 5% to <10%.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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464 participants in 2 patient groups

Direct-to-patient tailored cardiovascular risk message system

Experimental group

Description:

Eligible patients cared for by physicians randomized to the active intervention group will be mailed a tailored cardiovascular risk message.

Treatment:

Behavioral: Direct-to-patient tailored cardiovascular risk message system

Control

No Intervention group