Promoting Cholesterol Screening

Study Overview
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Brief Summary
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Cholesterol screening is an important prerequisite for cardiovascular disease (CVD) risk assessment. Cholesterol screening is recommended by the United States Preventive Services Task Force (USPSTF). Since reminder systems have been shown to modestly improve the rates of preventive services, including in safety net settings, we will implement patient-directed reminders to health center patients who meet our eligibility criteria. The aim of this study is to determine if a mailed outreach message and facilitated ordering of screening lipid tests increases cholesterol screening test completion within 3 months among federally qualified community health center patients who are eligible for screening compared to usual care.

Official Title
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Reducing Disparities in Primary Prevention of Cardiovascular Disease: Promoting Cholesterol Screening

Conditions
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Cardiovascular Diseases, Lipid Testing, Primary Prevention of Cardiovascular Disease

Intervention / Treatment
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* Behavioral: Mailed patient outreach intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient at participating health center At least 1 visit to clinic in the prior 12 months No total cholesterol and high-density lipoprotein cholesterol result recorded in the electronic health record in the past 5 years No cholesterol screening order placed within the previous 3 months Men 35-75 years old, or women 45-75 years old who also have one of the following: hypertension, obesity, or current smoking Exclusion Criteria: Previously diagnosed cardiovascular disease, peripheral arterial disease or diabetes mellitus Statin on active medication list Preferred language other than English or Spanish

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 75 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mailed patient outreach intervention<br>Participants randomized to this arm will receive mailed letter from health center that encourages cholesterol testing and describes the steps necessary to obtain the test at the patient's care site. Clinic staff will facilitate the ordering of tests for patients who may not have an office visit. | Behavioral: Mailed patient outreach intervention<br>* This study's intervention is a mailed outreach letter from the health center that encourages cholesterol testing and describes the steps necessary to obtain the test at the patient's care site. Clinic staff will facilitate the ordering of tests for patients who may not have an office visit.<br>|
| No Intervention: Usual Care Control Group<br>Participants randomized to this arm will receive usual care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of total cholesterol and HDL cholesterol test or full lipid panel | Primary outcome will be completion of total cholesterol and HDL cholesterol test or a full lipid panel recorded within GE Centricity electronic health record at the patient's clinical site. | within 3 months of outreach | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Statin prescription | Secondary outcome is prescription of a statin as assessed by automated electronic queries of electronic health record. | within 3 months of outreach | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cholesterol screening, High cholesterol, Cardiovascular disease, Statin treatment