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Primary Care - Prescribing Lifestyle Adjustments for Cardiovascular Health

Not Applicable
Suspended
Conditions
Cardiovascular Diseases
Cardiovascular Risk Factor
Behavior, Health
Behavior Change Interventions
Interventions
Behavioral: Lifestyle Prescription (LRx)
Registration Number
NCT04113213
Lead Sponsor
University of South Wales
Brief Summary

Prescribing lifestyle changes to patients who are at risk of cardiovascular disease, may be an extremely cost effective mechanism of improving health for the individual themselves and the NHS. It is already proven that positive lifestyle changes such as improved diet, increased physical activity, quitting smoking and reducing alcohol consumption can lower the risk of cardiovascular disease, as well as reduce the risk of all-cause mortality.

P-PLAC2 (Primary Care - Prescribing Lifestyle Adjustments for Cardiovascular Health) is a Phase II interventional study to determine the efficacy of a Lifestyle Prescription (LRx), from the viewpoint of patients and healthcare practitioners. The study uses a mixed methods design, and full study training and support will be provided to staff involved in the recruitment of patients, through to the behaviour change consultation, and end of study.

If the study proves successful, a lifestyle prescription (LRx) could then be made available to support NHS staff throughout all disciplines (specifically those working with patients who are at risk of cardiovascular disease (CVD).

Detailed Description

Not available

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Age 18 and over.
  • Able and willing to provide written informed consent.
  • Understands spoken and written English.
Exclusion Criteria
  • Participant is unwilling or unable to provide written informed consent.
  • Participant is pregnant.
  • Participant has a diagnosed psychological disorder.
  • Participant has a drug dependency.
  • Participant is housebound, or resides in a nursing home.
  • Participant has behavioural issues or learning difficulties.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
InterventionLifestyle Prescription (LRx)Standard care during consultations with the addition of a physical lifestyle prescription.
Primary Outcome Measures
NameTimeMethod
A prescription (LRx) being issued during a consultationDuring month 7 of the study

Number of a co- signed prescription (LRx) forms. Total number of forms to be co-signed = 120.

Patient view of the prescription (LRx) and consultation QuestionnaireDuring month 7 of the study

Completed study questionnaires. Total number of questionnaires to be completed = 120. Responses will be recorded to gain feedback from the patient participants regarding their thoughts and feelings of their consultation with and without the intervention of the prescription (LRx) - control vs interventional group. Initials responses from the questionnaires will be compared with the participants 3mth post consultation questionnaire to establish if they acted upon the guidance offered, and if they're thought and feelings had changed during the time.

Scale: 7 (minimum) to 41 (maximum). A lower value represents a better (more positive) outcome.

Healthcare Practitioner (HCP) view of the prescription (LRx) and consultation Questionnaireduring month 7 of the study

Completed clinician questionnaires. Total number of questionnaires to be completed = 12. Responses will be recorded to gain feedback from the clinicians regarding their thoughts and feelings of their consultations with and without the intervention of the prescription (LRx).

Sections 1 to 3:

Section 1 Scale: 9 to 54 (a lower score represents a better, more positive outcome) Section 2 Scale: 8 to 48 (a lower score represents a better, more positive outcome) Section 3 Scale: 6 to 36 (a lower score represents a better, more positive outcome)

Total score available: 23 to 138

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of South Wales

🇬🇧

Pontypridd, Wales, United Kingdom

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