Will Veterans Engage in Prevention After HRA-guided Shared Decision Making?

Completed · Not applicable

Conditions studied: Health Risk Appraisal, Heart Disease, Prevention

In brief

The VA has committed to disseminate a web-based Healthy Living Assessment(HLA) tool and use it as the cornerstone of a personalized prevention plan to engage patients to improve their health behaviors that lead to high health risk. Health risk assessments done in isolation, however, do not generally lead to behavior change. Our study will test the effectiveness of a Shared Decision Making intervention designed to activate Veterans to enroll in effective prevention programs. The intervention will be conducted over the telephone, by a prevention coach, and will be linked to the patients' primary care team. The co-primary outcomes will be patient activation and patient enrollment in prevention programs; 10-year risk of major cardiac events will also be measured.

Key facts

Study ID

NCT01828567

Run by

VA Office of Research and Development

People needed

417

Starts

2014-10-01

Expected to finish

2017-12-30

Last updated by the study team

2018-09-10

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• To be included in the study, patients must meet the following:
• enrolled in primary care at the Durham or Ann Arbor Health Care Systems
• have one modifiable risk factor identified by a healthy living assessment (physical inactivity, overweight or obese by BMI, or tobacco user)

You may not qualify if…

• Individuals will be excluded if they have any of the following:
• have been hospitalized for a stroke, myocardial infarction or coronary artery revascularization in the past three months
• have an active diagnosis of psychosis
• have any other health condition they feel would impede participation in the study
• reside in a nursing home
• are severely impaired in hearing or speech, so that they cannot respond to telephone calls
• have significant cognitive or memory impairment
• do not have access to a telephone
• are participating in another prevention intervention study
• are already enrolled in a formal prevention service

Where it is running

• VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
• Durham VA Medical Center, Durham, NC — Durham, North Carolina, United States

Full record on ClinicalTrials.gov

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