- Primary Investigators:
Benjamin J. Powers
- Primary Location:
Duke University, Division of General Internal Medicine
- Project Type & Year:
Special Project 2010
We propose an evaluation that will assess three important components of risk communication: 1) provide patients with personalized risk communication using the risk calculator developed by the Informed Medical Decisions Foundation and health information taken from the Living with Coronary Artery Disease program; 2) provide personalized tailored patient feedback to help initiate and maintain specific cardiovascular CVD-related behaviors (e.g., medication adherence, exercise, diet, smoking cessation) to reduce their risks; and 3) evaluate how this feedback can be incorporated into clinical care by examining 3-month patient outcomes and provider responses to the risk information.
The specific aims of this research study are:
Specific aim 1: To evaluate the impact of both the Living with Coronary Artery Disease and the Cardiac Risk Calculator and feeding back personalized CVD risk reduction information on patient knowledge, health beliefs, decisional conflict, preferences for risk reduction, and intention to change CVD-related behaviors (e.g., medication adherence, exercise, diet, weight loss, smoking cessation and alcohol moderation) in a diverse sample of high risk individuals.
Specific aim 2: To evaluate the feasibility and acceptability of providing both patients and providers feedback on individuals’ CVD risk via the tool and incorporating it into regular clinical practice.
Specific aim 3: If improvements in outcomes, examine the cost of the program in terms of the patient, provider, and overall costs of implementing the program.