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The goal of this study is to examine if communication of image-based cardiovascular risk to patients undergoing coronary artery calcium scoring (CAC) improves patient understanding of their risk for cardiovascular disease when compared with usual care (physician-only report).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical Standard Report Only | No Intervention | Participants referred for Coronary Artery Calcium Score Test that receive clinical standard CAC risk report only. | |
| Clinical Standard Report plus Image-Based Report | Experimental | Participants referred for Coronary Artery Calcium Score Test that receive clinical standard CAC risk report plus additional image-based report. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Image-Based Report | Other | Participants will receive the new coronary artery calcium score risk report plus the old report |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in LDL Cholesterol | Change in LDL cholesterol levels obtained from EMR between baseline to 12 months | baseline-12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Total Cholesterol | Change in Total Cholesterol | baseline-12 months |
| Change in Triglycerides | Change in Triglycerides | baseline-12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory: Change in Perception of Risk of Heart Diseases as measured by Perception of Heart Disease Risk score | Perception of Heart Disease Risk Disease Risk score | Baseline, 3 months, 12 months |
| Exploratory: Change in Motivation to Change Behavior as measured by Motivation to Change Behavior (TSRQ) Survey Behavior |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Heidi Osborne | Contact | 216-844-2833 | heidi.osborne@uhhospitals.org |
| Name | Affiliation | Role |
|---|---|---|
| Sadeer Al-Kindi, MD | University Hospitals | Principal Investigator |
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| Change in HDL cholesterol | Change in HDL cholesterol | baseline-12 months |
| Change in Weight | Change in Weight | baseline-12 months |
| Change in Systolic blood pressure | Change in Systolic blood pressure | baseline-12 months |
| Change in Diastolic blood pressure | Change in Diastolic blood pressure | baseline-12 months |
| Change in HbA1c | Change in HbA1c | baseline-12 months |
| Smoking Cessation Visits as measured by medical record review - yes/no | Smoking Cessation Encounters | 12 months |
| Statin prescriptions written as measured by medical record review - yes/no | Statin prescriptions | 12 months |
| Aspirin prescriptions written as measured by medical record review - yes/no | Aspirin prescriptions | 12 months |
| Stress tests ordered as measured by medical record review - yes/no | Stress testing | 12 months |
Motivation to Change Behavior (TSRQ) Disease Risk score |
| Baseline, 3 months, 12 months |
| Exploratory: Change in Medication adherence as measured by Medication adherence (MARSS) Survey | Changes in medication adherence (MARSS) | Baseline, 3 months, 12 months |