Enhancing the Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 190
- Locations
- 1
- Primary Endpoint
- Change in Heart Age
Study Overview
Brief Summary
The investigators will develop a "risk report" within the primary care electronic health record (EMIS) for patients attending for their National Health Service Health Check. The value of the report for reducing cardiovascular risk will be assessed qualitatively and also quantitatively in a non-randomised comparative trial.
Detailed Description
The investigators will design a template within the primary care electronic health record (EMIS) that draws on Health Check data to provide a contemporary "risk report". Included in the report will be clear description of life-time cardiovascular risks, the factors driving those risks and how risk might be reduced through life-style and risk factor modification. The investigators will evaluate the benefits of providing patients with a risk report qualitatively by patient and clinician interviews. Quantitative analysis of the benefit of the risk report will be provided by a non-randomised comparative trial. First, a group of patients undergoing a conventional Health Check will be recalled after three months for a second Health Check, allowing measurement of the change in "Heart Age" - a convenient index of life-time cardiovascular risk. Following introduction of the risk report the investigators will recall a further group of patients for a second Health Check, allowing measurement of the change in "Heart Age". The effect of the risk report will be determined by comparing the change in Heart Age between the two groups of patients.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to 74 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adults aged 40-74 years
Exclusion Criteria
- •Prior diagnosis of heart disease, stroke, diabetes, kidney disease or dementia
Arms & Interventions
Conventional Health Check
Patients undergoing conventional National Health Service Health Check
Enhanced Health Check
Patients undergoing National Health Service Health Check enhanced by risk report
Intervention: Enhanced Health Check (Other)
Outcomes
Primary Outcomes
Change in Heart Age
Time Frame: 3 months
Change in Heart Age between 1st Health Check and 2nd Health Check three months later
Secondary Outcomes
- Change in systolic blood pressure(3 months)
- Change in total cholesterol(3 months)
- Changes in smoking status(3 months)
- Change in body mass index(3 months)