N/A
N=18,578
CV Wizard: Does a Clinical Decision Support Tool Improve CVD Risk Factor Control in Safety Net Clinics?
Heart Attack · Stroke · Cardiovascular Diseases
Bottom Line
View on ClinicalTrials.gov: NCT03001713 ↗Enrolled (actual)
18,578
Serious AEs
—
Results posted
Feb 2025
Primary outcome: Primary: 1-year Change in 10-year CVD Risk — 0.4; 0.2 percent risk of CVD
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- CV WIZARD (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Kaiser Permanente
- Primary completion
- Mar 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY 1-year Change in 10-year CVD Risk |
0.4; 0.2 | — |
| PRIMARY 1-year Change in Reversible CVD Risk |
0.4; -0.1 | — |
Summary
This project aims to reduce disparities in cardiovascular disease (CVD) risk factor control and in rates of heart attacks and strokes among the low-income, racially / ethnically diverse Americans who receive primary care at safety net community health centers (CHCs). To achieve this important objective, the investigators will adapt a successful clinical decision support (CDS) system currently used in CVD care at several large, integrated health care systems, to meet the patient needs and workflow processes of 60 CHCs. The investigators will determine if use of this CDS improves CVD care, reduces disparities in CVD care and outcomes, and increases patient engagement in CVD treatment choices, in CHCs. Results of this randomized trial will help accelerate the translation of major investments in health informatics systems into substantial clinical benefits for large numbers of high-risk, low-income patients. Results will also provide a template for CVD care improvement that can be spread to other CHCs and extended to other clinical conditions.
Eligibility Criteria
Inclusion Criteria
- Adult clinic attendees with high CVD risk, including women and minorities
- Persons aged 18-21 with high-CVD risk
- Some subjects with mental health conditions of various types
Exclusion Criteria
-Children aged younger than 18
Note: The investigators are not enrolling patients for this clinic-randomized study, but rather studying the uptake and impact of a set of EHR-based clinical decision support tools into regular care at the participating clinics. In this clinic-randomized trial, the intervention / randomization are clinic level.
Data sourced from ClinicalTrials.gov (NCT03001713). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.