| Primary | Proportion of Patients Reporting Discussion of at Least One Non-ideal or Missing CVH Topic | Discussion of non-ideal cardiovascular health (CVH) factors (yes or no). CVH discussions will be defined as patient-reported discussions with their provider for any of the seven non-ideal CVH conditions identified for that patient. Conditions include CVH factors (cholesterol, blood pressure, glucose/hemoglobin A1c) and CVH behaviors (body mass index, smoking, diet, and physical activity). Measured using survivor survey (discussions, diet, and primary care) and EHR for other CVH factors. | | Posted | | Number | 95% Confidence Interval | Percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| | | Title | Denominators | Categories |
|---|
| | | Title | Measurements |
|---|
| - OG00096.2(93.5 to 97.8)
- OG00152.2(45.6 to 58.8)
|
|
| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
|---|
| Estimates are produced from logistic regression with generalized estimating equations clustering for providers within sites. | Regression, Logistic | The model is adjusted for participant characteristics that were imbalanced between the two arms at baseline. | <0.0001 | | | | | | | | | | | | | | Superiority | | |
|
| Secondary | Referrals to Primary Care to Manage CV Risk | Medical chart abstraction of referrals to providers regarding CVH at survivor baseline visit. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Referrals to Cardiology to Manage CV Risk | Medical chart abstraction of referrals to providers regarding CVH at survivor baseline visit. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: Cholesterol Test | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: Glucose Test | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: A1c Test | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: Cholesterol Medication | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: Diabetes Medication | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Ordering of CVH-relevant Labs and Treatments to Manage CV Risk: Blood Pressure Medication | Medical chart abstraction. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Any Completed Visits With Primary Care Providers | Medical chart abstraction of completed visits to providers regarding CVH one year from survivor baseline visit | | Posted | | Number | 95% Confidence Interval | percentage of participants | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Any Completed Visits With Cardiology Providers | Medical chart abstraction of completed visits to providers regarding CVH one year from survivor baseline visit | | Posted | | Number | 95% Confidence Interval | percentage of participants | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Behaviors Recorded in the Past Year: Smoking Status | Medical chart abstraction; Patient survey as secondary, verification source. Proportion of participants who were non-smoking at 1-year, of those who were smoking at baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Behaviors Recorded in the Past Year: BMI | Medical chart abstraction; Patient survey as secondary, verification source. Change in BMI from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | BMI (kg/m^2) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Behaviors Recorded in the Past Year: Physical Activity | Medical chart abstraction; Patient survey as secondary, verification source. Change in total minutes of physical activity per week from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | minutes/week | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Behaviors Recorded in the Past Year: Healthy Diet Score | Medical chart abstraction; Patient survey as secondary, verification source. Change in healthy diet score from baseline to 1-year. Healthy diet score is calculated from the sum of 5 diet questions (range: 0-5) with higher scores indicating a healthier diet. | | Posted | | Least Squares Mean | 95% Confidence Interval | diet score | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Factors Recorded in the Past Year: Total Cholesterol | Medical chart abstraction; Patient survey as secondary, verification source. Change in total cholesterol from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | total cholesterol (mg/dL) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Factors Recorded in the Past Year: Systolic Blood Pressure | Medical chart abstraction; Patient survey as secondary, verification source. Change in systolic blood pressure l from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | SBP (mmHg) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Factors Recorded in the Past Year: Diastolic Blood Pressure | Medical chart abstraction; Patient survey as secondary, verification source. Change in diastolic blood pressure l from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | DBP (mmHg) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Factors Recorded in the Past Year: A1c | Medical chart abstraction; Patient survey as secondary, verification source. Change in A1c from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | A1c (%) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Change in CVH Factors Recorded in the Past Year: Glucose | Medical chart abstraction; Patient survey as secondary, verification source. Change in glucose from baseline to 1-year. | | Posted | | Least Squares Mean | 95% Confidence Interval | glucose (mg/dL) | | 1 year | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
| |
| Secondary | Patient Perception and Knowledge of CV Risks: I am Confident I Understand my Risk of Heart Disease | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: I Understand What Steps I Need to Take to Maintain or Improve my Heart Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: I Plan to Take Steps to Maintain or Improve my Heart Health Within the Next Year | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: Cancer Poses a Risk to my Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: Heart Disease Poses a Risk to my Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: I Think it is Important to Talk to my Oncology Provider About my Heart Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: I Think it is Important to Talk to my Primary Care Provider About my Heart Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Patient Perception and Knowledge of CV Risks: Oncology Providers Should Talk to Their Patients About Their Heart Health | Measured using structured survivor survey. Health knowledge questions were adapted from a survey assessing the relative risk of cancer and cardiovascular disease in United States populations. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Models are estimating the proportion of participants who answered the question as Neutral/Disagree/Strongly Disagree at pre-visit baseline who then answered Agree/Strongly Agree at post-visit baseline. | | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline | | | | ID | Title | Description |
|---|
| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. | | OG001 | Usual Care | Usual care practices will conduct routine follow-up care visits for enrolled survivors following typical clinic practice, without use of the AH-HA tool. |
|
| Secondary | Proportion of Survivors for Whom AH-HA is Utilized | We will capture the number of eligible patient visits during which the AH-HA tool was used in intervention clinics and the total number of eligible visits to calculate the proportion of patients where AH-HA was utilized. | | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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| Secondary | Measure of Tool Acceptability With Tool Assessment: I Liked the Heart Health Tool I Used Today With my Provider | In the Baseline: Post-Visit Survey, survivors will complete a Tool Assessment questionnaire assessing whether or not they recall seeing or discussing the AH-HA tool with their provider and five questions assessing: how much they liked the tool, how helpful it was, how easy it was to understand, how much it improved their understanding, and if they would like to use this tool in the future. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Frequencies are presented for participants responding with Agree/Strongly Agree. | Of the 294 participants in the intervention arm, 245 reported using the AH-HA tool with their provider at baseline visit. | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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| Secondary | Measure of Tool Acceptability With Tool Assessment: It Was Helpful to See my Heart Health Score | In the Baseline: Post-Visit Survey, survivors will complete a Tool Assessment questionnaire assessing whether or not they recall seeing or discussing the AH-HA tool with their provider and five questions assessing: how much they liked the tool, how helpful it was, how easy it was to understand, how much it improved their understanding, and if they would like to use this tool in the future. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Frequencies are presented for participants responding with Agree/Strongly Agree. | Of the 294 participants in the intervention arm, 245 reported using the AH-HA tool with their provider at baseline visit. | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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| Secondary | Measure of Tool Acceptability With Tool Assessment: I Found the Heart Health Tool Easy to Understand | In the Baseline: Post-Visit Survey, survivors will complete a Tool Assessment questionnaire assessing whether or not they recall seeing or discussing the AH-HA tool with their provider and five questions assessing: how much they liked the tool, how helpful it was, how easy it was to understand, how much it improved their understanding, and if they would like to use this tool in the future. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Frequencies are presented for participants responding with Agree/Strongly Agree. | Of the 294 participants in the intervention arm, 245 reported using the AH-HA tool with their provider at baseline visit. | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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| Secondary | Measure of Tool Acceptability With Tool Assessment: The Picture/Diagram Improved my Understanding of Heart Health | In the Baseline: Post-Visit Survey, survivors will complete a Tool Assessment questionnaire assessing whether or not they recall seeing or discussing the AH-HA tool with their provider and five questions assessing: how much they liked the tool, how helpful it was, how easy it was to understand, how much it improved their understanding, and if they would like to use this tool in the future. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Frequencies are presented for participants responding with Agree/Strongly Agree. | Of the 294 participants in the intervention arm, 245 reported using the AH-HA tool with their provider at baseline visit. | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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| Secondary | Measure of Tool Acceptability With Tool Assessment: I Would Like to Use This Tool to Talk About my Heart Health With my Oncology Provider at a Future Appointment | In the Baseline: Post-Visit Survey, survivors will complete a Tool Assessment questionnaire assessing whether or not they recall seeing or discussing the AH-HA tool with their provider and five questions assessing: how much they liked the tool, how helpful it was, how easy it was to understand, how much it improved their understanding, and if they would like to use this tool in the future. Questions were asked on a 5-point Likert scale from Strongly Agree to Strongly Disagree. Responses were categorizes as Agree/Strongly Agree or Neutral/Disagree/Strongly Disagree. Frequencies are presented for participants responding with Agree/Strongly Agree. | Of the 294 participants in the intervention arm, 245 reported using the AH-HA tool with their provider at baseline visit. | Posted | | Count of Participants | | Participants | | Baseline | | | | ID | Title | Description |
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| OG000 | Intervention - AH-HA Tool | With assistance from the study team, the clinic will implement the AH-HA tool in the clinics' EPIC EHR. Providers at the intervention sites will be trained to use the tool during routine follow-up care with survivors. During a routine follow-up care appointment, the provider will use the AH-HA tool with enrolled patients. AH-HA Tool in the EPIC EHR: The Automated Heart-Health Assessment tool implemented in clinics' EPIC EHR will be used by providers during routine follow-up care appointments. |
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