Journal article
Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol
Contemporary clinical trials, Vol.102, pp.106282-106282
03/2021
DOI: 10.1016/j.cct.2021.106282
PMCID: PMC8627195
PMID: 33444781
Abstract
Medical clinics are increasingly hiring clinical pharmacists to improve management of cardiovascular disease (CVD). However, the limited number of clinical pharmacists employed in a clinic may not impact the large number of complex patients needing the services. We have developed a remote telehealth service provided by clinical pharmacists to complement CVD services provided by on-site clinical pharmacists and aid sites without a clinical pharmacist. This cardiovascular risk service (CVRS) has been studied in two NIH-funded trials, however, we identified barriers to optimal intervention implementation. The purpose of this study is to examine how to implement the CVRS into medical offices and see if the intervention will be sustained.
This is a 5-year, pragmatic, cluster-randomized clinical trial in 13 primary care clinics across the US. We randomized clinics to receive CVRS or usual care and will enroll 325 patient subjects and 288 key stakeholder subjects. We have obtained access to the electronic medical records (EMRs) of all study clinics to recruit subjects and provide the pharmacist intervention. The intervention is staggered so that after 12 months, the usual care sites will receive the intervention for 12 months. Follow-up will be accomplished though medical record abstraction at baseline, 12 months, 24 months, and 36 months.
This study will enroll subjects through 2021 and results will be available in 2024. This study will provide unique information on how the CVRS provided by remote clinical pharmacists can be effectively implemented in medical offices, many of which already employ on-site clinical pharmacists.
Clinical Trial Registration Information: NCT03660631: http://clinicaltrials.gov/ct2/show/NCT03660631
Details
- Title: Subtitle
- Dissemination of a telehealth cardiovascular risk service: The CVRS live protocol
- Creators
- Korey A Kennelty - University of IowaNels J Engblom - University of IowaBarry L Carter - University of IowaLiz Hollingworth - University of IowaBarcey T Levy - University of IowaRachel J Finkelstein - University of IowaChristopher P Parker - University of IowaYinghui Xu - University of IowaKayla L Jackson - University of IowaJeffrey D Dawson - University of IowaKathryn K Dorsey - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials, Vol.102, pp.106282-106282
- DOI
- 10.1016/j.cct.2021.106282
- PMID
- 33444781
- PMCID
- PMC8627195
- NLM abbreviation
- Contemp Clin Trials
- ISSN
- 1551-7144
- eISSN
- 1559-2030
- Publisher
- Elsevier Inc
- Grant note
- DOI: 10.13039/100000050, name: National Heart, Lung, and Blood Institute
- Language
- English
- Date published
- 03/2021
- Academic Unit
- Public Health Administration; Center for Evaluation and Assessment; Epidemiology; Educational Policy and Leadership Studies; Biostatistics; Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center
- Record Identifier
- 9984227041302771
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