Implementation Research: Translating the ABCS Into HIV Care
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 4,277
- 试验地点
- 2
- 主要终点
- 10-year CVD risk reduction
研究概览
简要总结
The overall objective of this project is to develop and rigorously test implementation strategies to address the gap in scientific knowledge of lower use of evidence-based interventions commonly referred to as the ABCS (aspirin, blood pressure control, cholesterol control, and smoking cessation)which contributes to the growing CVD morbidity and mortality among PLH.
详细描述
Our project has two major aims:
Aim 1: To assess the impact of the implementation of an evidence-based, multilevel strategy to reduce cardiovascular vascular disease (CVD) among PLH.
Aim 2: To assess the process of implementation of these strategies using RE-AIM QuEST. Using both quantitative and qualitative methods, we evaluate the process of implementation by assessing Reach, [Effectiveness addressed in Aim 1], Adoption, Implementation and Maintenance whilst integrating Qualitative Evaluation for Systematic Translation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 79 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Serve a cohort of at least 100 HIV patients
- •Have an Electronic Health Record (EHR)
- •Agree to collaborate on implementing feasible adaptations of intervention strategies
- •Patient of the site with a diagnosis of HIV
- •Age 40-79 years
- •≥5% risk for CVD as calculated using the ASCVD Risk Estimator Plus
- •Willing to participate
- •No plans to leave the site in the next 12 months
- •Proficient in either English or Spanish
- •Own a cell phone with texting capabilities
- •Clinicians:
- •Physicians, Physicians Assistants, or Nurse Practitioners who provide direct HIV care to patients
- •Work at a participating site
- •Willing to implement the project's intervention strategies
排除标准
- •Currently participating in another CVD trial
- •Have experienced a prior cardiac or vascular event such as myocardial infarction (MI) or cerebrovascular accident (CVA)
- •Have had a CVD procedure such as installation of a stent or angioplasty
- •Have peripheral vascular disease, intermittent claudication or peripheral arterial disease
- •Are pregnant
- •Lacks capacity to consent
- •Clinicians:
- •Planning to leave the site within the next 12 months
结局指标
主要结局
10-year CVD risk reduction
时间窗: 12 months
This will be based on the ACVSD risk calculator
次要结局
未报告次要终点
研究者
Kevin Fiscella
Professor
University of Rochester