Cardiovascular Health And Risk Modification in Family Health Teams

Study Overview
=================
Brief Summary
-----------------
Cardiovascular diseases remain the main cause of mortality in Canada. While effective interventions are available for reducing the risk of cardiovascular disease,there continue to be gaps between the potential reduction in risk that could be achieved by effectively managing these risk factors and levels of risk factor control currently in clinical practice. This study will evaluate the ability of a different model of risk factor care using other health providers assisting family doctors, along with information aids for patients and health professionals,to achieve better levels of cardiovascular risk factor control in adults.

Official Title
-----------------
Multidisciplinary Cardiovascular Health And Risk Modification in Family Health Teams

Conditions
-----------------
Cardiovascular Risk Factors, Hypertension, Hyperlipidemia, Diabetes

Intervention / Treatment
-----------------
* Behavioral: Active risk factor surveillance


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: adults 50 to 80 years of age having attending a family medicine clinic for more than one year Exclusion Criteria: not able to participate for one year not able to read English requires house calls nursing home resident cognitive impairment current chest pain or symptoms of active coronary heart disease

Ages Eligible for Study
-----------------
Minimum Age: 50 Years
Maximum Age: 80 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Multi-faceted Cardiovascular Decision Support<br>Risk factor active surveillance, multi-disciplinary disease management and decision aid intervention | Behavioral: Active risk factor surveillance<br>* Cardiovascular risk status assessment followed by active surveillance and physician review where risk factor control is suboptimal<br>|
| Other: Control Usual Care<br>Usual care in a wait-list control arm that receives the experimental intervention after 6 months. | Behavioral: Active risk factor surveillance<br>* Cardiovascular risk status assessment followed by active surveillance and physician review where risk factor control is suboptimal<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mean systolic blood pressure |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of adults with 3 cardiovascular risk factors under optimal control |  | 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
chronic disease management, decision aids, cardiovascular risk factors