The Impact of Patient Involvement in Decision-Making About Heart Disease Prevention
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Purpose
The purpose of this study is to determine whether providing patients with information about their global coronary heart disease (CHD) risk and effective risk-reducing strategies allows them to make appropriate decisions about heart disease prevention.
| Condition | Intervention |
|---|---|
|
Cardiovascular Disease |
Device: Heart-to-Heart Decision Aid |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Single Blind |
| Official Title: | Decision Aid to Improve Coronary Heart Disease Risk Modification: a Pilot Randomized Trial |
- Discussion with provider about CHD risk reduction
- Stated plans for CHD risk reduction
- Knowledge about CHD prevention
- Perception of CHD risk
- Interest in participating in decision-making
| Estimated Enrollment: | 120 |
| Study Start Date: | June 2003 |
| Estimated Study Completion Date: | February 2004 |
Background: Low utilization of effective CHD prevention strategies may be due to many factors, but chief among them is the lack of patient involvement in prevention decisions. We undertook this study to test the effectiveness of an individually-tailored, computerized decision aid about CHD on patients’ discussions with their doctor and their plans for CHD prevention.
Methods: We conducted a pilot randomized trial in a convenience sample of adults with no previous history of cardiovascular disease to test the effectiveness of an individually-tailored, computerized decision aid about CHD prevention against a risk factor list that patients could present to their doctor.
Eligibility| Ages Eligible for Study: | 35 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- presenting for routine medical care with regular medical provider
- able to understand, speak, and read English
Exclusion Criteria:
- prior history of cardiovascular disease
- history of serious medical illness that would limit candidacy for screening
- previous participation in intensive risk modification as part of diabetes study in our clinic
- no cholesterol measurement in the last 3 years, limiting ability to provide up-to-date risk estimate
Contacts and Locations| United States, North Carolina | |
| University of North Carolina at Chapel Hill | |
| Chapel Hill, North Carolina, United States, 27599 | |
| Principal Investigator: | Stacey L. Sheridan, MD, MPH | University of North Carolina, Chapel Hill |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00315978 History of Changes |
| Other Study ID Numbers: | 03-MED-221 |
| Study First Received: | April 17, 2006 |
| Last Updated: | July 9, 2007 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of North Carolina, Chapel Hill:
|
Risk Assessment Decision Support Technique Physician-Patient Relations Prevention and Control |
Additional relevant MeSH terms:
|
Cardiovascular Diseases Coronary Disease Heart Diseases Myocardial Ischemia Vascular Diseases |
ClinicalTrials.gov processed this record on May 23, 2013