Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Center for Advancing Equity in Clinical Preventive Services Project 2: Reducing Disparities in Primary Prevention of Cardiovascular Disease
Brief Summary: Cardiovascular disease (CVD) is the leading cause of disparities in years of life lost by race and low socioeconomic status. Statins have been shown to decrease the risk of cardiovascular events among individuals with high CVD risk. Yet, despite increased statin use and overall declining CVD rates, disparities in statin use and disparities in the control of high cholesterol by race, ethnicity, and socioeconomic status have persisted.

Objective: To improve the appropriate use of statins for primary cardiovascular disease prevention among high risk individuals at community health centers through a system of population health management that uses electronic health record (EHR) data to identify patients for targeted education and outreach.

Aim 1: Conduct a randomized controlled trial among individuals with 10-year risk for myocardial infarction or coronary death of 10% or higher to determine if the population health management intervention, compared to usual care, results in higher rates of documented statin treatment discussions within 6 months (primary process outcome), higher rates of statin prescribing within 6 months (secondary process outcome), and higher rates of significant low-density lipoprotein cholesterol (LDL-C) lowering defined as a follow up LDL-C ≥30 mg/dL lower than baseline (primary clinical outcome).

Aim 2: Interview patients who received the intervention to identify barriers to success

Aim 3: Assess the overall costs of the intervention and the costs per each patient who achieves significant LDL-C lowering compared to patient who received usual care.


Options:
A: Arm Label: High intensity intervention group; Type: EXPERIMENTAL; Interventions: Behavioral: Lifestyle intervention | Arm Label: Low intensity intervention group; Type: EXPERIMENTAL; Interventions: Behavioral: Lifestyle intervention | Arm Label: Control group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Lifestyle intervention; Assigned to Arm(s): High intensity intervention group, Low intensity intervention group
B: Arm Label: Population Health Management Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Population Health Management Intervention | Arm Label: Usual Care Control Group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Population Health Management Intervention; Assigned to Arm(s): Population Health Management Intervention
C: Arm Label: Case; Type: EXPERIMENTAL; Interventions: Behavioral: Peer Coach Phone Calls, Behavioral: Health Educator Visits, Other: written materials | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Other: written materials | Intervention Type: BEHAVIORAL; Name: Peer Coach Phone Calls; Assigned to Arm(s): Case | Intervention Type: BEHAVIORAL; Name: Health Educator Visits; Assigned to Arm(s): Case | Intervention Type: OTHER; Name: written materials; Assigned to Arm(s): Case, Control
D: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: CVRS Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: CVRS Intervention | Intervention Type: BEHAVIORAL; Name: CVRS Intervention; Assigned to Arm(s): CVRS Intervention

Answer: B