- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00552591
Family Heart Health Program: Randomized, Controlled Trial (FHHP-RCT)
Background: Family members (spouses, siblings, offspring) of patients with coronary heart disease (CHD) may themselves be at increased risk for developing CHD for genetic, biochemical and/or behavioural reasons. Targeted approaches aimed at family members of those with established CHD may be a cost-effective way to identify high-risk persons and link them to effective risk factor modification. During pilot testing we found 29% of family members of patients recently hospitalized at our institution had ≥ 3 CHD risk factors. Encouragingly, they indicated high levels of "readiness" to change underlying risk behaviours such as cigarette smoking and physical inactivity. We have developed a 12-week family heart health program featuring a personal plan for achieving risk factor goals and weekly contact with a heart health educator. This intervention needs to be fully tested.
Research Aims:
In this study, we will:
- Compare the effects of a targeted family heart health (FHH) screening, counselling and follow-up program versus usual care (UC) for reducing participants total cholesterol/high density lipoprotein (TC/HDL) ratio 52 weeks after program entry, in family members of patients recently hospitalized with CHD;
- Compare the effects of the FHH program versus UC on modifiable components comprising the Framingham score, including: smoking status; systolic blood pressure; total cholesterol; and high density lipoprotein cholesterol;
- Compare the effects of the FHH program versus UC on: lifestyle-related factors (dietary patterns, leisure time exercise, body composition); medication use (anti-lipemic medications, anti-hypertensive medications, pharmacotherapies for smoking cessation); and use of healthcare resources (physician visits, hospitalization days, number of laboratory and diagnostic tests and procedures).
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ontario
-
Ottawa, Ontario, Canada, K1Y 4W7
- University of Ottawa Heart Institute
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Spouse, offspring or sibling of patient hospitalized at UOHI within the past 5 years for:
- Acute coronary syndrome (ACS);
- Elective percutaneous coronary intervention (PCI); or
- Bypass surgery (CABG);
- Willing to provide informed consent;
At least one of the following modifiable risk factors:
- Current smoker;
- Systolic blood pressure ≥ 140 and or Diastolic BP ≥ 90 and/or currently on medication to treat high blood pressure;
- Total cholesterol/HDL-cholesterol ratio ≥ 5.0 and/or on antilipemic medication;
- Abdominal obesity (for men, waist circumference > 102 cm; for women, waist circumference > 88cm);
- Physical Inactivity [<150 min mod, 5-7 d/week or <100 min vig, 4-7 d/week]
- Geographically available for assessment, intervention and follow-up.
Exclusion Criteria:
- Unable to understand English or French;
- History of diabetes mellitus or any atherosclerotic disease;
- Fasting glucose ≥ 7.0 mmol/L at screening;
- Presence of life threatening illness (e.g., known or suspected cancer or other disease with a life expectancy of less than five years);
- Chronic kidney disease and/or undergoing dialysis;
- Active liver disease;
- Pregnant or planning to become pregnant within the next year;
- Cognitive impairment;
- Other family member already participating in study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
Family Heart Health Program
|
The educator and participant will negotiate a personal plan for achieving the goals through lifestyle change (i.e.
smoking cessation, increased exercise, improved nutrition) and, if necessary, pharmacotherapy coordinated by the participant's personal physician.
Educational modules have been developed to address specific lifestyle issues including smoking cessation, healthy eating, exercise, and weight management, and will be provided to participants as required.
A summary of the risk factor profile and personal plan will be incorporated into a report for the participant's personal physician as well.
Participants will also receive telephone-based motivational counseling sessions for 12 weeks to address specific lifestyle issues.
|
No Intervention: 2
Usual Care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
TC/HDL ratio
Time Frame: one year
|
one year
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Secondary outcomes of interest will include the modifiable components comprising the Framingham score (smoking status, systolic BP, total cholesterol, HDL- and LDL-cholesterol)
Time Frame: 12 weeks and one year
|
12 weeks and one year
|
Use of risk reducing medications, use of health care resources, smoking status, leisure time exercise, dietary patterns, and body composition
Time Frame: 12 weeks and one year
|
12 weeks and one year
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Robert D Reid, MBA, PhD, Ottawa Heart Institute Research Corporation
- Study Chair: Andrew L Pipe, MD, Ottawa Heart Institute Research Corporation
- Study Chair: Lori J Mosca, MD, PhD, New York Presbyterian Hospital
- Study Chair: Heidi Mochari, MPH, RD, New York Presbyterian Hospital
- Study Chair: George Wells, PhD, Ottawa Heart Institute Research Corporation
- Study Chair: Louise J Beaton, MSc, Ottawa Heart Institute Research Corporation
- Study Chair: Pat O'Farrell, RN, Ottawa Heart Institute Research Corporation
- Study Chair: Chris M Blanchard, PhD, Dalhousie University
- Study Chair: Sophia Papadakis, MHA, Ottawa Heart Institute Research Corporation
- Study Chair: Monika Slovinec D'Angelo, PhD, Ottawa Heart Institute Research Corporation
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NA 6142
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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