Dissemination of the Cardiovascular Risk Service

  • STATUS
    Recruiting
  • End date
    Aug 1, 2022
  • participants needed
    700
  • sponsor
    Korey Kennelty
Updated on 11 October 2020
Investigator
Korey Kennelty, PharmD
Primary Contact
Northeast Iowa Family Practice Center (1.5 mi away) Contact
+13 other location
diabetes
hypertension
systolic blood pressure

Summary

The objective of this study is to evaluate the implementation of of a remote, pharmacist-led cardiovascular risk service (CVRS) in 12 large, organizationally and culturally diverse hospitals and health-systems, many with high proportions of minority and underserved patients.

Description

Cardiovascular disease (CVD) causes 2,200 deaths in Americans every day with one death every 39 seconds. Yet effective implementation of research-based interventions that reduce CVD-related illness and death remains a substantial challenge. The objective of this study is to test the scalability of a pharmacist-led, remote CVD risk and prevention services model in large, organizationally and culturally diverse hospitals and health-systems, many with high proportions of minority and underserved patients, using a pragmatic cluster-randomized design. This service is called the Cardiovascular Risk Service (CVRS). There are limited data on the barriers and facilitators of implementation to enhance the CVRS in these types of diverse, complex health-systems. Therefore, scaling up our effective, innovative team-based intervention will require an assessment of barriers and facilitators to CVRS adoption, implementation, and maintenance. Our central hypothesis is that barriers and facilitators to CVRS implementation will vary across diverse primary care offices. We will use mixed methods including interviews, observations, and an innovative physician-pharmacist collaboration survey we developed to predict implementation of pharmacy-based services. The rationale for this proposed study is that overcoming barriers to implementation of a novel strategy to improve secondary prevention of CVD will lead to innovative strategies for broader adoption by health systems throughout the US.

Details
Treatment CVRS Intervention
Clinical Study IdentifierNCT03660631
SponsorKorey Kennelty
Last Modified on11 October 2020

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Eligibility

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Inclusion Criteria

Is your age greater than or equal to 18 yrs?
Gender: Male or Female
Do you have any of these conditions: Diabetes and Hypertension or Diabetes Mellitus Types I and II or Hypertension or Vascular Diseases or Diabetes (Pediatric) or Diabetes Mellitus or Hig...?
Clinical Staff Subjects
Must be a current clinic or pharmacy service employee who works as a provider, pharmacist, nurse, clerk or administrator
Patient Subjects
English or Spanish speaking
Seen in the clinic at least once in the previous 12 months
Currently has one of the following diseases
Diabetes with HA1c 9.0% or greater and/or
Hypertension (uncomplicated) with systolic blood pressure 150 mm Hg or greater
Informal Caregiver Subjects
Person identified by the patient subject who assists the patient subject with activities of daily living or other aspects of the patient subject's healthcare

Exclusion Criteria

Study wide exclusions
Inability to give consent
Nursing home residence
No telephone
Additional patient subject exclusions
Cancer with a life expectancy less than 24 months
Pregnancy
Diagnosis of dementia
Plans to terminate care from the clinic within 24 months
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