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The purpose of this 4 group (2x2) pilot randomized controlled trial is to test the feasibility and logistics of incorporating genetic risk information (9p21)into standard Coronary Heart Disease (CHD) risk counseling or health coaching intervention (or both) in primary care at 2 Duke Clinics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Risk Assessment (SRA) Only | Experimental |
| |
| SRA plus Health Coaching | Experimental |
| |
| SRA plus Genetic Testing | Experimental |
| |
| SRA plus Health Coaching plus Genetic Testing | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health Coaching | Behavioral | biweekly health coaching for 5 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diet | National Cancer Institute (NCI) Multifactor Screener | 6 months |
| Physical Activity | Stanford Brief Activity Scale (SBAS) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting blood glucose | 6 months | |
| Systolic blood pressure | 6 months | |
| Body mass index |
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Inclusion Criteria:
age 18+,
presence of at least one of the following:
able to speak and understand English,
able and willing to give informed consent
Exclusion Criteria:
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| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D014652 | Vascular Diseases |
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| 9p21 | Genetic | Genetic testing results of 9p21 |
|
| Standard Risk Assessment | Other | All 4 arms are assigned to receive standard assessment on coronary heart disease risk |
|
| 6 months |
| Waist circumference | 6 months |
| Low Density Cholesterol (LDL) | 6 months |
| Triglyceride | 6 months |
| Total cholesterol | 6 months |