Multi-CHARM: Cardiovascular Health And Risk Modification in Family Health Teams
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Multi-faceted Cardiovascular Decision Support Risk factor active surveillance, multi-disciplinary disease management and decision aid intervention |
Behavioral: Active risk factor surveillance
Cardiovascular risk status assessment followed by active surveillance and physician review where risk factor control is suboptimal
|
Other: Control Usual Care Usual care in a wait-list control arm that receives the experimental intervention after 6 months. |
Behavioral: Active risk factor surveillance
Cardiovascular risk status assessment followed by active surveillance and physician review where risk factor control is suboptimal
|
Outcome Measures
Primary Outcome Measures
- mean systolic blood pressure [6 months]
Secondary Outcome Measures
- Proportion of adults with 3 cardiovascular risk factors under optimal control [6 months]
Eligibility Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Granovsky Gluskin Family Medicine Cwntre | Toronto | Ontario | Canada | M5T 3L9 |
Sponsors and Collaborators
- University of Toronto
Investigators
- Principal Investigator: Warren J McIsaac, MD, Granovsky Gluskin Family Medicine Centre, Mount Sinai Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MOH-1048