Impact of Patient-Centered Approach for Communicating Coronary Calcium on Cardiovascular Health
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ClinicalTrials.gov Identifier: NCT06055972 |
Recruitment Status :
Recruiting
First Posted : September 28, 2023
Last Update Posted : January 23, 2024
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Condition or disease | Intervention/treatment | Phase |
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Coronary Artery Disease Cardiovascular Diseases Smoking | Other: Educational Letter Post CT Examination | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 800 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | Impact of Patient-Centered Approach for Communicating Coronary Calcium on Cardiovascular Health |
Actual Study Start Date : | December 19, 2023 |
Estimated Primary Completion Date : | September 30, 2024 |
Estimated Study Completion Date : | December 31, 2024 |
Arm | Intervention/treatment |
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Experimental: Letter Recipients with Coronary Calcium Score/Educational Materials
Patients randomized to the CAC-based educational intervention will receive an educational letter within 8 weeks of CT examination.
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Other: Educational Letter Post CT Examination
Patients randomized to the CAC-based educational intervention will receive an educational letter within 8 weeks of CT examination which will include the following:
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No Intervention: Non-Letter Recipients (Control)
Patients in the control group will not receive any letter in the mail with their coronary calcium score and educational materials.
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- Guideline-Appropriate High Cholesterol Care [ Time Frame: 6 Months ]Rate of statin use (how often patients are required to take statin medications) and adherence (how often patents comply with taking statin medications as prescribed) to prescription in patients with known hypercholesterolemia. This will be determined by patients' self-reported answers to questions during interviews and review of medical records. Both rate of statin use and patient compliance will be used to generate a single, overall assessment of how well patients are being treated for and managing their hypercholesteremia.
- Exercise Level [ Time Frame: 6 Months ]Changes in exercise level, surveyed using International Physical Activity Questionnaire (IPAQ-short) questionnaire. The IPAQ-short questionnaire is comprised of 7, self-reported, open-ended questions surrounding individuals' last 7-day recall of physical activity. The questionnaire estimates the total physical activity in Metabolic Equivalent of Task (METs)- min/week and time spent sitting. Scores vary depending on the person's activity level throughout the preceding 7 days, and there is not defined range for scores, as the questions are open ended (e.g. How many hours did you spend doing vigorous activities during the last 7days?).
- Patient Self-Reported Smoking Habits and Cessation [ Time Frame: 6 Months ]Patients' self-reported smoking habits will be assessed via phone call or questionnaire at baseline and 6-month follow-up.
- Weight loss [ Time Frame: 6 Months ]Patient reported weight changes
- Blood Pressure Control [ Time Frame: 6 Months ]Patient reported blood pressure changes and initiation of anti-hypertensive therapy. Both systolic/diastolic blood pressure will be measured.
- Patient Anxiety [ Time Frame: 6 Months ]Patient anxiety, measured by changes in Generalize Anxiety Disorder-7 (GAD-7) anxiety questionnaire 6 months after intervention. The GAD-7 questionnaire is rated on a scale from 0-21, with higher scores indicating higher patient self-reported anxiety levels.
- Number of Invasive/Noninvasive Hospitalizations [ Time Frame: 6 Months ]Clinical visits, cardiac imaging tests, and hospitalizations 6 months after the intervention, to be measured by medical record review (to be assessed by research coordinator at 6 month follow-up) and follow up phone survey (patient self-reporting). Number of visits, obtained from both the patient interview and patient medical records, for both invasive and noninvasive hospitalizations, will be combined to generate a single number, or complete total number of visits patients have experienced 6 months after intervention.
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Ages Eligible for Study: | 50 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 50 to 80 years old
- More than 20 pack years of smoking
- Actively smoking or previous smokers who quit with the last 15 years
- Completed a Low-dose CT Scan for Lung Cancer Screening within 30 day of registration
Exclusion Criteria:
- Patients unable to understand the informed consent process
- Patients without a contact phone number or permanent address to receive the study intervention.
- Patients who do not understand the English language
- Patients with known CAD or prior heart surgery /intervention
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06055972
Contact: Etta Pisano | 215-574-3150 | episano@acr.org |
United States, Michigan | |
University of Michagan | Recruiting |
Ann Arbor, Michigan, United States, 48109 | |
Contact: Prachi Agarwal, MD 734-232-3320 prachia@med.umich.edu | |
United States, Washington | |
University of Washington | Recruiting |
Seattle, Washington, United States, 98195 | |
Contact: Karen Ordovas, MD 206-543-3320 ordovask@uw.edu |
Responsible Party: | American College of Radiology |
ClinicalTrials.gov Identifier: | NCT06055972 |
Other Study ID Numbers: |
ACR 4708 |
First Posted: | September 28, 2023 Key Record Dates |
Last Update Posted: | January 23, 2024 |
Last Verified: | January 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Plan Description: | There is no plan to share individual patient data to other researchers. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Coronary Artery Calcification Patient-Centered Approach Lung Cancer Screening |
Cardiovascular Diseases Coronary Artery Disease Coronary Disease Myocardial Ischemia |
Heart Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |