Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care

Completed · Not applicable

Conditions studied: Diabetes Mellitus, Hypertension, Coronary Artery Disease, Atrial Fibrillation, Stroke

In brief

The trial will examine whether a centralized Prevention Health \& Cardiovascular Risk Service (PHCVRS) run by clinical pharmacists at the University of Iowa can be implemented in primary care offices and whether it can improve the care delivered to patients at risk for developing cardiovascular disease.

Key facts

Study ID

NCT01983813

Run by

Korey Kennelty

People needed

302

Starts

2014-03-19

Expected to finish

2018-04-01

Last updated by the study team

2019-08-13

Who can join

Age: 50 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Section A: Demographic Criteria
• Patient was seen in your clinic or practice at least once in the past 24 months
• English-speaking male or female
• Age is 50 or older at medical record screening
• Section B: Risk Factors - Must have at least one of the following conditions
• Uncontrolled diabetes (Hemoglobin A1c > or + 7.5)
• Elevated LDL cholesterol > 110 for patients with PAD, CAD, stroke or diabetes or > 140 otherwise
• Elevated blood pressure with:
• Systolic BP >= 140 or Diastolic BP >=90 in persons with diabetes or chronic kidney disease OR
• Systolic BP >= 150 in persons with uncomplicated hypertension
• Section C: Cardiovascular Conditions - total number of risk factors in Section B (above) plus number of conditions Section C (below) must be THREE OR MORE
• History of coronary artery disease
• Previous Heart Attack
• History of Stroke
• History of Transient Ischemic Attack
• History of Atrial fibrillation
• History of Peripheral Vascular Disease / claudication
• History of carotid artery disease
• Current smoker
• Obesity with BMI > 30

You may not qualify if…

• Section D: Exclusion Criteria - has NONE of the following:
• Inability to give informed consent
• Pregnant
• Diagnosis of pulmonary hypertension (Note: secondary pulmonary hypertension is OK)
• Cancer diagnosis with a life expectancy estimated less than 2 years
• Residence in a nursing home or diagnosis of dementia
• No telephone or a hearing impairment not allowing them to use a phone
• Refusal to consider attempting to use the internet at home, community center, library, medical office or other source to access the PHRM
• Patient has plans to move from the area or transfer care to a different clinic in the next 12 months
• Omron blood pressure cuff cannot be used on patient's arm for any reason

Where it is running

• Akron Mercy Medical Clinic — Akron, Iowa, United States
• Iowa Specialty Hospitals - Belmond Clinic — Belmond, Iowa, United States
• Employee Health Clinic, Mercy Cedar Rapids — Cedar Rapids, Iowa, United States
• Iowa Speciality Hospitals - Clarion Clinic — Clarion, Iowa, United States
• Great River Medical Group — Davenport, Iowa, United States
• Des Moines University Family Medicine Clinic — Des Moines, Iowa, United States
• Grinnell Regional Family Practice — Grinnell, Iowa, United States
• Knoxville Hospital Clinic — Knoxville, Iowa, United States
• Newton Clinic, P.C. — Newton, Iowa, United States
• UI Health Care-River Crossing — Riverside, Iowa, United States
• Siouxland Community Health Center — Sioux City, Iowa, United States
• Burlington Area Family Practice Center — West Burlington, Iowa, United States

Full record on ClinicalTrials.gov

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