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Strategies to Maintain Cardiac Risk Control After Discharge From Cardiovascular Risk Reduction Clinic

Primary Purpose

Diabetes, Dyslipidemia, Hypertension

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Counseling
Interactive Education
Group Support
Pharmacologic case management
Sponsored by
Providence VA Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Previous enrollment in Cardiovascular Risk Reduction Clinic (CRRC) Eligible for CRRC discharge: For DM patients: HbA1c < 7.0 %, BP < 130/85 mm Hg , and LDL < 100 mg/dl; For Non-DM patients: BP < 140/90 mm Hg, and LDL < 100 mg/dl; Able and willing to sign informed consent. Exclusion Criteria: Presence of conditions that might limit long-term compliance (eg, dementia, acute psychiatric decompensation within the previous 6 months, unstable psychiatric disorder); Metastatic disease or terminal illness

Sites / Locations

  • Providence VAMC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

No Intervention

Arm Label

group intervention

individual

usual care

Arm Description

pharmacist-led group intervention in behavioral and pharmacologic therapy

pharmacist-based individual clinic visits with behavioral and pharmacologic intervention for cardiac risk reduction

usual care

Outcomes

Primary Outcome Measures

The number of patients who had non-compliance to ADA target goals in smoking, LDL cholesterol, blood pressure or Hb A1c.

Secondary Outcome Measures

Full Information

First Posted
July 24, 2006
Last Updated
April 14, 2014
Sponsor
Providence VA Medical Center
Collaborators
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00358033
Brief Title
Strategies to Maintain Cardiac Risk Control After Discharge From Cardiovascular Risk Reduction Clinic
Official Title
Effectiveness of Different Strategies in Maintaining Target Goals of Cardiovascular Risk Factors in Patients Discharged From Cardiovascular Risk Reduction Clinic
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
July 2003 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Providence VA Medical Center
Collaborators
Merck Sharp & Dohme LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether a combined behavioral and pharmacological intervention provided by a multidisciplinary team will further reduce LDL-C, smoking, BP and Hb-A1C in diabetic patients with A1c between 7% and 9% when compared to usual care.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes, Dyslipidemia, Hypertension, Coronary Atherosclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
group intervention
Arm Type
Experimental
Arm Description
pharmacist-led group intervention in behavioral and pharmacologic therapy
Arm Title
individual
Arm Type
Active Comparator
Arm Description
pharmacist-based individual clinic visits with behavioral and pharmacologic intervention for cardiac risk reduction
Arm Title
usual care
Arm Type
No Intervention
Arm Description
usual care
Intervention Type
Behavioral
Intervention Name(s)
Counseling
Intervention Type
Behavioral
Intervention Name(s)
Interactive Education
Intervention Type
Behavioral
Intervention Name(s)
Group Support
Intervention Type
Procedure
Intervention Name(s)
Pharmacologic case management
Intervention Description
Provided by clinical pharmacists
Primary Outcome Measure Information:
Title
The number of patients who had non-compliance to ADA target goals in smoking, LDL cholesterol, blood pressure or Hb A1c.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Previous enrollment in Cardiovascular Risk Reduction Clinic (CRRC) Eligible for CRRC discharge: For DM patients: HbA1c < 7.0 %, BP < 130/85 mm Hg , and LDL < 100 mg/dl; For Non-DM patients: BP < 140/90 mm Hg, and LDL < 100 mg/dl; Able and willing to sign informed consent. Exclusion Criteria: Presence of conditions that might limit long-term compliance (eg, dementia, acute psychiatric decompensation within the previous 6 months, unstable psychiatric disorder); Metastatic disease or terminal illness
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wen-Chih Wu, MD
Organizational Affiliation
Providence VAMC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Providence VAMC
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02908
Country
United States

12. IPD Sharing Statement

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Strategies to Maintain Cardiac Risk Control After Discharge From Cardiovascular Risk Reduction Clinic

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