Promoting Cholesterol Screening
Reducing Disparities in Primary Prevention of Cardiovascular Disease: Promoting Cholesterol Screening
Cholesterol screening is an important prerequisite for cardiovascular disease (CVD) risk assessment. Cholesterol screening is recommended by the United States Preventive Services Task Force (USPSTF). Since reminder systems have been shown to modestly improve the rates of preventive services, including in safety net settings, we will implement patient-directed reminders to health center patients who meet our eligibility criteria.
The aim of this study is to determine if a mailed outreach message and facilitated ordering of screening lipid tests increases cholesterol screening test completion within 3 months among federally qualified community health center patients who are eligible for screening compared to usual care.
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
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Arizona
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Flagstaff、Arizona、美国、86004
- North Country Health Care
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Illinois
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Chicago、Illinois、美国、60610
- Near North Health Service Corporation
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Chicago、Illinois、美国、60645
- Heartland Health Outreach
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patient at participating health center
- At least 1 visit to clinic in the prior 12 months
- No total cholesterol and high-density lipoprotein cholesterol result recorded in the electronic health record in the past 5 years
- No cholesterol screening order placed within the previous 3 months
- Men 35-75 years old, or women 45-75 years old who also have one of the following: hypertension, obesity, or current smoking
Exclusion Criteria:
- Previously diagnosed cardiovascular disease, peripheral arterial disease or diabetes mellitus
- Statin on active medication list
- Preferred language other than English or Spanish
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
无干预:常规护理对照组
随机分配到该组的参与者将接受常规护理。
|
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实验性的:Mailed patient outreach intervention
Participants randomized to this arm will receive mailed letter from health center that encourages cholesterol testing and describes the steps necessary to obtain the test at the patient's care site.
Clinic staff will facilitate the ordering of tests for patients who may not have an office visit.
|
This study's intervention is a mailed outreach letter from the health center that encourages cholesterol testing and describes the steps necessary to obtain the test at the patient's care site.
Clinic staff will facilitate the ordering of tests for patients who may not have an office visit.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Completion of total cholesterol and HDL cholesterol test or full lipid panel
大体时间:within 3 months of outreach
|
Primary outcome will be completion of total cholesterol and HDL cholesterol test or a full lipid panel recorded within GE Centricity electronic health record at the patient's clinical site.
|
within 3 months of outreach
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Statin prescription
大体时间:within 3 months of outreach
|
Secondary outcome is prescription of a statin as assessed by automated electronic queries of electronic health record.
|
within 3 months of outreach
|
合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
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