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Promoting Cholesterol Screening

Not Applicable
Completed
Conditions
Cardiovascular Diseases
Primary Prevention of Cardiovascular Disease
Lipid Testing
Registration Number
NCT01930149
Lead Sponsor
Northwestern University
Brief Summary

Cholesterol screening is an important prerequisite for cardiovascular disease (CVD) risk assessment. Cholesterol screening is recommended by the United States Preventive Services Task Force (USPSTF). Since reminder systems have been shown to modestly improve the rates of preventive services, including in safety net settings, we will implement patient-directed reminders to health center patients who meet our eligibility criteria.

The aim of this study is to determine if a mailed outreach message and facilitated ordering of screening lipid tests increases cholesterol screening test completion within 3 months among federally qualified community health center patients who are eligible for screening compared to usual care.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
480
Inclusion Criteria
  • Patient at participating health center
  • At least 1 visit to clinic in the prior 12 months
  • No total cholesterol and high-density lipoprotein cholesterol result recorded in the electronic health record in the past 5 years
  • No cholesterol screening order placed within the previous 3 months
  • Men 35-75 years old, or women 45-75 years old who also have one of the following: hypertension, obesity, or current smoking
Exclusion Criteria
  • Previously diagnosed cardiovascular disease, peripheral arterial disease or diabetes mellitus
  • Statin on active medication list
  • Preferred language other than English or Spanish

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Completion of total cholesterol and HDL cholesterol test or full lipid panelwithin 3 months of outreach

Primary outcome will be completion of total cholesterol and HDL cholesterol test or a full lipid panel recorded within GE Centricity electronic health record at the patient's clinical site.

Secondary Outcome Measures
NameTimeMethod
Statin prescriptionwithin 3 months of outreach

Secondary outcome is prescription of a statin as assessed by automated electronic queries of electronic health record.

Trial Locations

Locations (3)

North Country Health Care

🇺🇸

Flagstaff, Arizona, United States

Near North Health Service Corporation

🇺🇸

Chicago, Illinois, United States

Heartland Health Outreach

🇺🇸

Chicago, Illinois, United States

North Country Health Care
🇺🇸Flagstaff, Arizona, United States

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