An Intervention to Improve Management of Dyslipidemia in Primary Care

Study Overview
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Brief Summary
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To assess the effectiveness of a clinical audit and physician based intervention in improving the management of dyslipidemia at Health centres in the Southeast Health Region of Jamaica

Official Title
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A Cluster Randomized Controlled Trial of an Intervention to Improve the Management of Dyslipidemia in Primary Care

Conditions
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Cardiovascular Disease, Dyslipidemia, Diabetes Melletus, Obesity

Intervention / Treatment
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* Other: Audit
* Other: Physician Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Attended the clinic for at least 18 months Is diagnosed with any of hypertension, diabetes, dyslipidemia, stroke, coronary heart disease (including angina, myocardial infarction), congestive cardiac failure or peripheral arterial disease, were eligible to be included in the audit Exclusion Criteria: acutely ill or was diagnosed with established kidney disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Audit and Physician intervention<br>The intervention will comprise the feedback of the results of the baseline audit, training in motivational interviewing for clinic staff, use of a physician reminder stamp in the patients' charts and distribution of patient education cards | Other: Audit<br>* An assessment of medical records using a pre-specified audit instrument to assess the level of care given for clinic attendees with cardiovascular disease including dyslipidemia<br>Other: Physician Intervention<br>* Feedback Training sessions for physicians inclusive Motivational Interviewing training and the use of physician reminders on medical records before each clinic session<br>|
| Sham Comparator: Audit only<br>The intervention will comprise the feedback of the results of the baseline audit only | Other: Audit<br>* An assessment of medical records using a pre-specified audit instrument to assess the level of care given for clinic attendees with cardiovascular disease including dyslipidemia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of persons attending health centers in the Southeast Health region with normal lipid values |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of persons attending health centers in the Southeast Health region with normal glucose values |  | 1 year | 
| Proportion of persons attending health centers in the Southeast Health region with normal blood pressure values |  | 1 year |