Cardiovascular Risk Factors Clinical Trial
Official title:
Effect of Patient Awareness and Education on Compliance and Cardiovascular Risk Factor Control
Patient's awareness of their risk factors for heart disease and their active involvement in their own management plan can help improve their adherence to treatment and their risk profile. The purpose of this study is to investigate the influence of patient education and awareness of heart disease risk factors on compliance to medication and lifestyle modification.
Prospective cluster randomized interventional study with primary health care clinics as
clusters.Clinics will be randomized to conventional care or to structured patient education
in addition to care. Trained physicians will extract information from the patient medical
record and will conduct a personal interview with the participants, after they finish with
their routine visit, to fill a case report form (CRF)
CRF will include the following items:
- Patient Demographics,
- Socioeconomic: income, employment and education
- Past Medical History
- Smoking history
- Alcohol use
- Medications
- Adherence: Morisky scale
- Examination: BP, weight, height, waist
- Investigations: LDL-C, HbA1C 2.Compliance/adherence to the medication will be measured
by using the Morisky scale, which is a validated scale for measuring adherence in
hypertension and diabetic patients among other disease.
Patients attending clinics that are randomized to structured patient education will receive
education targeting all the risk factors they have. They will be informed about specific
evidence -based target values they should achieve for each of the risk factors. Their
compliance to prescribed medications will be encouraged and specific advice about improving
compliance will be given. To achieve this physicians in the education clinics are going to
use two items:
1. Framingham Risk Score calculator.
2. Know your numbers patient booklet.
Follow up visits will be scheduled at 2 months, 6 months and 12 months after the initial
visit. For patients in both education and conventional clinics, compliance to medications
will be assessed and the degree of risk factor control will also be determined through
specific measurements that include number of cigarettes smoked, systolic and diastolic blood
pressure, body mass index and waist circumference, HBA1C and LDL values.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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