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| ID | Type | Description | Link |
|---|---|---|---|
| 08-297 | Other Grant/Funding Number | VA HSRD |
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Cardiovascular disease (CVD) is the leading cause of death in the United States; more than 80% of veterans have > 2 risk factors for CVD. Our study is one of the first to examine the implementation of a tailored behavioral/educational self-management intervention in primary care clinics designed to improve CVD risk. The proposed study could result in a leap forward in CVD risk management among veterans for several reasons: 1) ) This is a novel extension of our previous interventions that have demonstrated improved BP, now designed to address multiple chronic conditions contributing to CVD risk, particularly hyperlipidemia and diabetes. The study focuses on both multiple CVD-related risk factor management and medication management 2) The intervention is multi-behavioral; it addresses patients' various health behavior (e.g., smoking, diet, and medication adherence). 3) Components of the intervention will include specific recommendations and transportability of intervention application software and tracking packages that will allow clinic managers to implement the intervention if it is effective.
Anticipated Impacts on Veteran's Healthcare: Cardiovascular disease (CVD) is the leading cause of death in the U.S.; more than 80% of veterans have > 2 risk factors for CVD. An intervention that addresses multiple CVD risk factors among high-risk veterans has the greatest potential to improve morbidity and mortality.
Project Background/Rationale: The proposed study will take place in two VA primary care clinics (1-Community-Based Outpatient Clinics and 1-primary care clinic affiliated with a hospital). We will improve CVD risk among veterans by addressing the modifiable risk factors of systolic blood pressure (SBP), smoking, and low-density lipoprotein cholesterol (LDL-C). The intervention will be tailored to the needs of vulnerable high risk patients (e.g. African Americans, low literate) and integrated into clinics, thereby enhancing the potential for benefit and generalizability to other settings.
The proposed study could significantly improve CVD risk management among veterans for several reasons: 1) This intervention is a novel extension of our previous efficacious interventions, but provides a novel extension to address multiple chronic conditions contributing to CVD risk. 2) The intervention focuses on both multiple CVD-related behaviors and medication management. 3) The intervention was developed to ensure implementation across a large and representative sample of veterans; and; 4) The intervention, if found efficacious and financially self-sustaining, could be widely implemented within the VA healthcare system.
Project Objectives: The proposed study will examine two research questions:
Can patients randomized to a clinical pharmacist-administered telephone behavioral/ medication management intervention tailored to their needs improve CVD outcomes relative to a control group over 12 months? Primary Hypothesis: (H1) Veterans who receive the behavioral/medication intervention will have greater improvement of their CVD Risk Profile over the 12 months of follow-up as compared to the control group.
Secondary Hypotheses: (H2) Veterans who receive the intervention will have improved medication adherence, physical activity, improved diet, lower body mass index as compared to the control group over 12 months of follow-up. (H3) Veterans who receive the intervention will have greater improvements in LDL over the 12 months of follow-up as compared to the control group. (H4) Veterans with diabetes who receive the intervention will have greater improved HbA1c as compared to the control group over 12 months of follow-up.
If the intervention is found to be effective, is it cost effective? Project Methods: To address these hypotheses, we propose a two-arm randomized clinical trial design in which 500 patients with cardiovascular disease will be randomized to either the education control group or the intervention group. Patients randomized to the intervention group will receive a clinical pharmacist-administered intervention, which focuses on behavioral and a medication management. The intervention will occur over 12 months. Patients randomized to the control group will receive educational material about CVD reduction. Given the national prevalence of CVD and the dismal rates of risk factor control, intensive, but easily disseminated interventions such as the one proposed could significantly improve treatment of this epidemic in the VA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental | The pharmacist CVD intervention group - clinical pharmacist-administered intervention which focuses on behavioral and medication management for 12 months. |
|
| Arm 2 | No Intervention | The education control group - these participants will receive educational material about CVD reduction. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pharmacist CVD | Behavioral | clinical pharmacist-administered intervention which focuses on behavioral and medication management for 12 months. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and VA Computerized Patient Record System (CPRS) data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | Baseline |
| Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and CPRS data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | 6 months |
| Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and CPRS data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Systolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | Baseline |
| Mean Systolic Blood Pressure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hayden B Bosworth, PhD | Durham VA Medical Center, Durham, NC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Durham VA Medical Center, Durham, NC | Durham | North Carolina | 27705-3875 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28192012 | Result | Goldstein KM, Stechuchak KM, Zullig LL, Oddone EZ, Olsen MK, McCant FA, Bastian LA, Batch BC, Bosworth HB. Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease. J Womens Health (Larchmt). 2017 Jul;26(7):806-814. doi: 10.1089/jwh.2016.5739. Epub 2017 Feb 13. | |
| 28890128 |
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| ID | Title | Description |
|---|---|---|
| FG000 | Pharmacist CVD | The pharmacist cardiovascular (CVD) intervention group - clinical pharmacist-administered intervention which focuses on behavioral and medication management for 12 months. |
| FG001 | Education Control | The education control group - these participants will receive educational material about CVD reduction. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Pharmacist CVD | The pharmacist CVD intervention group - clinical pharmacist-administered intervention which focuses on behavioral and medication management for 12 months. |
| BG001 | Education Control |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and VA Computerized Patient Record System (CPRS) data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | Two out of the 215 participants in the Pharmacist CVD group had missing data due to not having the blood pressure component of the Framingham collected at baseline. | Posted | Mean | Standard Deviation | % 10 yr Risk | Baseline |
|
Adverse events were collected through out the study from baseline thru completion.
Adverse events information was collected by questionnaire from patients at 6 month and 12 month outcome assessments. Adverse event information was also collected from patients through contact with the Pharmacist interventionist or if during updating of clinical records it was discovered that an adverse event had occurred with a patient.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pharmacist CVD | The pharmacist CVD intervention group - clinical pharmacist-administered intervention which focuses on behavioral and medication management for 12 months. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Non_Cardiac Pain | Blood and lymphatic system disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Hayden B. Bosworth, PhD, Assoc Dir, Durham HSR&D COIN | Veterans Administration HSRD, Durham COIN | 919-286-0411 | 6936 | hayden.bosworth@va.gov |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D006973 | Hypertension |
| D003920 | Diabetes Mellitus |
| D006949 | Hyperlipidemias |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews
| 6 months |
| Mean Systolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 12 months |
| Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | Baseline |
| Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 6 months |
| Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 12 months |
| Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | Baseline |
| Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | 6 months |
| Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | 12 months |
| Cholesterol LDL | Collected during interview visit by lab personnel | Baseline |
| Cholesterol LDL | Collected during interview visit by lab personnel | 6 months |
| Cholesterol LDL | Collected during interview visit by lab personnel | 12 months |
| Body Mass Index | Calculated from vitals (height & weight) obtained during interview | Baseline |
| Body Mass Index | Calculated from vitals (height & weight) obtained during interview | 6 months |
| Body Mass Index | Calculated from vitals (height & weight) obtained during interview | 12 months |
| HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | Baseline |
| HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | 6 months |
| HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | 12 months |
| Goldstein KM, Oddone EZ, Bastian LA, Olsen MK, Batch BC, Washington DL. Characteristics and Health Care Preferences Associated with Cardiovascular Disease Risk among Women Veterans. Womens Health Issues. 2017 Nov-Dec;27(6):700-706. doi: 10.1016/j.whi.2017.08.002. Epub 2017 Sep 8. |
| 29754649 | Result | Bosworth HB, Olsen MK, McCant F, Stechuchak KM, Danus S, Crowley MJ, Goldstein KM, Zullig LL, Oddone EZ. Telemedicine cardiovascular risk reduction in veterans: The CITIES trial. Am Heart J. 2018 May;199:122-129. doi: 10.1016/j.ahj.2018.02.002. Epub 2018 Feb 10. |
| 23537965 | Result | Melnyk SD, Zullig LL, McCant F, Danus S, Oddone E, Bastian L, Olsen M, Stechuchak KM, Edelman D, Rakley S, Morey M, Bosworth HB. Telemedicine cardiovascular risk reduction in veterans. Am Heart J. 2013 Apr;165(4):501-8. doi: 10.1016/j.ahj.2012.08.005. Epub 2013 Feb 28. |
| 24303930 | Result | Zullig LL, Melnyk SD, Stechuchak KM, McCant F, Danus S, Oddone E, Bastian L, Olsen M, Edelman D, Rakley S, Morey M, Bosworth HB. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction. Telemed J E Health. 2014 Feb;20(2):135-43. doi: 10.1089/tmj.2013.0145. Epub 2013 Dec 4. |
| 26011549 | Result | Zullig LL, Stechuchak KM, Goldstein KM, Olsen MK, McCant FM, Danus S, Crowley MJ, Oddone EZ, Bosworth HB. Patient-reported medication adherence barriers among patients with cardiovascular risk factors. J Manag Care Spec Pharm. 2015 Jun;21(6):479-85. doi: 10.18553/jmcp.2015.21.6.479. |
| 33769555 | Derived | Palmer MJ, Machiyama K, Woodd S, Gubijev A, Barnard S, Russell S, Perel P, Free C. Mobile phone-based interventions for improving adherence to medication prescribed for the primary prevention of cardiovascular disease in adults. Cochrane Database Syst Rev. 2021 Mar 26;3(3):CD012675. doi: 10.1002/14651858.CD012675.pub3. |
| 33688827 | Derived | Ulmer CS, McCant F, Stechuchak KM, Olsen M, Bosworth HB. Prevalence of insomnia disorder and sleep apnea in a sample of veterans at risk for cardiovascular disease. J Clin Sleep Med. 2021 Jul 1;17(7):1441-1446. doi: 10.5664/jcsm.9228. |
| 32685766 | Derived | Zullig LL, Oakes MM, McCant F, Bosworth HB. Lessons learned from two randomized controlled trials: CITIES and STOP-DKD. Contemp Clin Trials Commun. 2020 Jul 8;19:100612. doi: 10.1016/j.conctc.2020.100612. eCollection 2020 Sep. |
| 25213741 | Derived | Goldstein KM, Melnyk SD, Zullig LL, Stechuchak KM, Oddone E, Bastian LA, Rakley S, Olsen MK, Bosworth HB. Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans. Womens Health Issues. 2014 Sep-Oct;24(5):477-83. doi: 10.1016/j.whi.2014.05.005. |
| Excluded - did not meet criteria |
|
| Withdrawal by Subject |
|
The education control group - these participants will receive educational material about CVD reduction.
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Education Control | The education control group - these participants will receive educational material about CVD reduction. |
|
|
| Secondary | Mean Systolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | One out of the 215 participants in the Pharmacist CVD group did not have blood pressure collected at baseline. | Posted | Mean | Standard Deviation | mmHg | Baseline |
|
|
|
| Secondary | Mean Systolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 28 out of the 215 participants in the Pharmacist CVD group and 23 out of the 213 in the Education Control group had missing blood pressure measurement at 6 months due to missing the 6 month interview entirely or blood pressure not collected at the 6 month assessment due to patient arm size exceeding cuff size or interview completed over the phone. | Posted | Mean | Standard Deviation | mmHg | 6 months |
|
|
|
|
| Secondary | Mean Systolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 36 out of the 215 participants in the Pharmacist CVD group and 30 out of the 213 in the Education Control group had missing blood pressure measurement at 12 mo. due to missing the 12 month interview entirely or blood pressure not collected at the 12 month assessment due to patient arm size exceeding cuff size or interview completed over the phone. | Posted | Mean | Standard Deviation | mmHg | 12 months |
|
|
|
|
| Secondary | Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | One out of the 215 participants in the Pharmacist CVD group did not have blood pressure collected at baseline. | Posted | Mean | Standard Deviation | mmHg | Baseline |
|
|
|
| Secondary | Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 28 out of the 215 participants in the Pharmacist CVD group and 23 out of the 213 in the Education Control group had missing blood pressure measurement at 6 months due to missing the 6 month interview entirely or blood pressure not collected at the 6 month assessment due to patient arm size exceeding cuff size or interview completed over the phone. | Posted | Mean | Standard Deviation | mmHg | 6 months |
|
|
|
|
| Secondary | Mean Diastolic Blood Pressure | Mean BP is calculated as the average of 3 bp measurements. Collected during BP outcome measurement conducted at interviews | 36 out of the 215 participants in the Pharmacist CVD group and 30 out of the 213 in the Education Control group had missing blood pressure measurement at 12 months due to missing the 12 month interview entirely or blood pressure not collected at the 12 mo. assessment due to patient arm size exceeding cuff size or interview completed over the phone. | Posted | Mean | Standard Deviation | mmHg | 12 months |
|
|
|
|
| Primary | Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and CPRS data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | 29 out of the 215 participants in the Pharmacist CVD group and 24 of the 213 participants in the Education Control group had missing data at 6 months due to entirely missing the 6 month assessment or having missing data on one or more of the Framingham components. | Posted | Mean | Standard Deviation | % 10 yr Risk | 6 months |
|
|
|
|
| Primary | Framingham Risk Percent (Estimate of 10 Year Risk of Cardiovascular Disease in Percent) | Components of the Framingham include gender, age fixed at baseline, systolic blood pressure (presence/absence of blood pressure medications at each time point [combination of administrative med data pull and self-report at assessment]), total cholesterol, HDL cholesterol, smoking status (assessed via self-report at each study survey), and diabetes (diabetes is a combination of self-report and CPRS data review). "New cases" of diabetes are allowed to be updated at 6 and 12 months f/u. | 43 out of the 215 participants in the Pharmacist CVD group and 33 of the 213 participants in the Education Control group had missing data at 12 months due to entirely missing the 12 month assessment or having missing data on one or more of the Framingham components. | Posted | Mean | Standard Deviation | % 10 yr Risk | 12 months |
|
|
|
|
| Secondary | Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | 5 out of the 215 participants in the Pharmacist CVD group and 2 out of the 213 participants in the Education Control group had missing data for medication non-adherence due to non-response of adherence items collected in the baseline interview. | Posted | Number | participants | Baseline |
|
|
|
| Secondary | Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | 28 out of the 215 participants in the Pharmacist CVD group and 18 out of the 213 participants in the Education Control group had missing data for medication non-adherence due to missing the 6 month assessment or non-response of adherence items collected in the 6 month interview. | Posted | Number | participants | 6 months |
|
|
|
|
| Secondary | Medication Non-adherence | First 4 items of the 5 item Morisky Self-reported measure of medication adherence was used to determine medication non-adherence. | 35 out of the 215 participants in the Pharmacist CVD group and 24 out of the 213 participants in the Education Control group had missing data for medication non-adherence due to missing the 12 month assessment or non-response of adherence items collected in the 12 month interview. | Posted | Number | participants | 12 months |
|
|
|
|
| Secondary | Cholesterol LDL | Collected during interview visit by lab personnel | 4 out of the 215 participants in the Pharmacist CVD group and 2 out of the 213 participants in the Education Control group had missing data due to not having cholesterol LDL collected at baseline. | Posted | Mean | Standard Deviation | mg/dL | Baseline |
|
|
|
| Secondary | Cholesterol LDL | Collected during interview visit by lab personnel | 29 out of the 215 participants in the Pharmacist CVD group and 22 out of the 213 in the Education Control group had missing cholesterol LDL at 6 months due to missing the 6 month interview entirely or not completing the lab assessment. | Posted | Mean | Standard Deviation | mg/dL | 6 months |
|
|
|
|
| Secondary | Cholesterol LDL | Collected during interview visit by lab personnel | 34 out of the 215 participants in the Pharmacist CVD group and 27 out of the 213 in the Education Control group had missing cholesterol LDL at 12 months due to missing the 12 month interview entirely or not completing the lab assessment. | Posted | Mean | Standard Deviation | mg/dL | 12 months |
|
|
|
|
| Secondary | Body Mass Index | Calculated from vitals (height & weight) obtained during interview | 5 out of the 215 participants in the Pharmacist CVD group and 1 out of the 213 participants in the Education Control group had missing data due weight and/or height not collected at baseline. | Posted | Mean | Standard Deviation | kg/m^2 | Baseline |
|
|
|
| Secondary | Body Mass Index | Calculated from vitals (height & weight) obtained during interview | 30 out of the 215 participants in the Pharmacist CVD group and 23 out of the 213 in the Education Control group had missing body mass index at 6 months due to missing the 6 month interview entirely or the interview was completed over the phone, or weight was not obtained at the 6 month interview. | Posted | Mean | Standard Deviation | kg/m^2 | 6 months |
|
|
|
|
| Secondary | Body Mass Index | Calculated from vitals (height & weight) obtained during interview | 39 out of the 215 participants in the Pharmacist CVD group and 31 out of the 213 in the Education Control group had missing body mass index at 12 months due to missing the 12 month interview entirely or the interview was completed over the phone, or weight was not obtained at the 12 month interview. | Posted | Mean | Standard Deviation | kg/m^2 | 12 months |
|
|
|
|
| Secondary | HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | 4 out of the 85 participants in the Pharmacist CVD group with diabetes at baseline and 2 out of the 86 participants in the Education Control group with diabetes at baseline had missing data due to not having HBA1C collected at baseline. | Posted | Mean | Standard Deviation | percentage of glycosylated hemoglobin | Baseline |
|
|
|
| Secondary | HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | 12 out of the 85 participants in the Pharmacist CVD group with diabetes at baseline and 11 out of the 86 participants in the Education Control group with diabetes at baseline had missing HBA1C at 6 months due to missing the 6 month interview entirely or not completing the lab assessment. | Posted | Mean | Standard Deviation | percentage of glycosylated hemoglobin | 6 months |
|
|
|
|
| Secondary | HBA1C in Diabetic Patients | Lab values collected at interview visit by lab personnel | 14 out of the 85 participants in the Pharmacist CVD group with diabetes at baseline and 15 out of the 86 participants in the Education Control group with diabetes at baseline had missing HBA1C at 6 months due to missing the 6 month interview entirely or not completing the lab assessment. | Posted | Mean | Standard Deviation | percentage of glycosylated hemoglobin | 12 months |
|
|
|
|
| 126 |
| 215 |
| 0 |
| 215 |
| EG001 | Education Control | The education control group - these participants will receive educational material about CVD reduction. | 123 | 213 | 0 | 213 |
| Emergecy Room Visit | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| Coronary Issues | Cardiac disorders | Non-systematic Assessment |
|
| Emergency room visit | Cardiac disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Cardiac disorders | Non-systematic Assessment |
|
| Orthopedic | Cardiac disorders | Non-systematic Assessment |
|
| Planned Surgery | Cardiac disorders | Non-systematic Assessment |
|
| Study Safety Protocol | Cardiac disorders | Non-systematic Assessment |
|
| Emergency room visit | Ear and labyrinth disorders | Non-systematic Assessment |
|
| Infection | Ear and labyrinth disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Ear and labyrinth disorders | Non-systematic Assessment |
|
| Death | Endocrine disorders | Non-systematic Assessment |
|
| Emergency room visit | Endocrine disorders | Non-systematic Assessment |
|
| Endocrine | Endocrine disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Endocrine disorders | Non-systematic Assessment |
|
| Emergency room visit | Eye disorders | Non-systematic Assessment |
|
| Optometry | Eye disorders | Non-systematic Assessment |
|
| Planned Surgery | Eye disorders | Non-systematic Assessment |
|
| Emergency room visit | Gastrointestinal disorders | Non-systematic Assessment |
|
| Gastro_Intestinal | Gastrointestinal disorders | Non-systematic Assessment |
|
| Planned Surgery | Gastrointestinal disorders | Non-systematic Assessment |
|
| Allergic Reaction (non_med SE) | General disorders | Non-systematic Assessment |
|
| Death | General disorders | Non-systematic Assessment |
|
| Emergency room visit | General disorders | Non-systematic Assessment |
|
| Medication Refill | General disorders | Non-systematic Assessment |
|
| Neurologic | General disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | General disorders | Non-systematic Assessment |
|
| Planned Surgery | General disorders | Non-systematic Assessment |
|
| Psychological | General disorders | Non-systematic Assessment |
|
| Emergency room visit | Infections and infestations | Non-systematic Assessment |
|
| Gastro_Intestinal | Infections and infestations | Non-systematic Assessment |
|
| Infection | Infections and infestations | Non-systematic Assessment |
|
| Medication Refill | Infections and infestations | Non-systematic Assessment |
|
| Emergency room visit | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Non_Cardiac Pain | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Protocol Deviation | Investigations | Non-systematic Assessment |
|
| Study Safety Protocol | Investigations | Non-systematic Assessment |
|
| Emergency room visit | Metabolism and nutrition disorders | Non-systematic Assessment |
|
| Circulatory | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Emergency room visit | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Endocrine | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Neurologic | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Orthopedic | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Death | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Dermatologic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Emergency room visit | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Protocol Deviation | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Coronary issues | Nervous system disorders | Non-systematic Assessment |
|
| Emergency room visit | Nervous system disorders | Non-systematic Assessment |
|
| Neurologic | Nervous system disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Nervous system disorders | Non-systematic Assessment |
|
| Emergency room visit | Psychiatric disorders | Non-systematic Assessment |
|
| Medication Refill | Psychiatric disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Psychiatric disorders | Non-systematic Assessment |
|
| Psychological | Psychiatric disorders | Non-systematic Assessment |
|
| Emergency room visit | Renal and urinary disorders | Non-systematic Assessment |
|
| Endocrine | Renal and urinary disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Renal and urinary disorders | Non-systematic Assessment |
|
| Planned Surgery | Renal and urinary disorders | Non-systematic Assessment |
|
| Non_Cardiac Pain | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Emergency room visit | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Death | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Emergency room visit | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Infection | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Pulmonary | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Dermatologic | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Emergency room visit | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Infection | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Emergency room visit | Social circumstances | Non-systematic Assessment |
|
| Coronary issues | Surgical and medical procedures | Non-systematic Assessment |
|
| Emergency room visit | Surgical and medical procedures | Non-systematic Assessment |
|
| Gastro_Intestinal | Surgical and medical procedures | Non-systematic Assessment |
|
| Infection | Surgical and medical procedures | Non-systematic Assessment |
|
| Orthopedic | Surgical and medical procedures | Non-systematic Assessment |
|
| Planned Surgery | Surgical and medical procedures | Non-systematic Assessment |
|
| Pulmonary | Surgical and medical procedures | Non-systematic Assessment |
|
| Circulatory | Vascular disorders | Non-systematic Assessment |
|
| Coronary issues | Vascular disorders | Non-systematic Assessment |
|
| Emergency room visit | Vascular disorders | Non-systematic Assessment |
|
| Neurologic | Vascular disorders | Non-systematic Assessment |
|
| Planned Surgery | Vascular disorders | Non-systematic Assessment |
|
Not provided
Not provided
Not provided
| D004700 | Endocrine System Diseases |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |