Trial document
DRKS00003554
Trial Description
Title
Development of a quality-tested patient decision aid for lowering cardio-vascular risk
Trial Acronym
QEH-CVR
URL of the Trial
[---]*
Brief Summary in Lay Language
Cardiovascular diseases are the leading causes of death in industrialised nations. High blood pressure and unhealthy lifestyle (smoking, physical inactivity, obesity and excessive alcohol consumption) increase the risk of heart attack or stroke, particularly in combination with additional risk factors such as family history and diabetes mellitus. Lifestyle changes and medical adherence can lower cardiovascular risk. Active patient participation is needed for a higher level of treatment adherence. Decision aids facilitate patients’ understanding of the disease and available therapies, thus empowering patients so as to enhance their participation in medical decision making.
The aim of this study is to develop an evidence-based decision aid to decrease cardiovascular risk. The decision aid will be designed as a booklet which may be used in addition to a cardiovascular risk calculator. The decision aid will contain information on evidence-based treatment options (including their advantages and disadvantages) to reduce cardiovascular risk. Additionally it includes worksheets which support patients in weighting their preferences and in implementing lifestyle changes. Furthermore, the decision aid is to stimulate patients and their general practitioners to develop an individual treatment plan with realistic goals. The goals should be discussed and, if necessary, adapted in the following consultations.
The evidence-based decision aid will be elaborated according to the International Patient Decision Aid Standards (IPDAS). In a structured multi-step process, involving experts and patients, qualitative and quantitative methods will be applied including (1) expert evaluations, (2) focus groups with experts and patients, (3) questionnaire survey, and (4) final expert rating.
Future research is needed to verify the practical application and effectiveness of the decision aid.
Brief Summary in Scientific Language
Cardiovascular diseases are the leading causes of death in industrialised nations. High blood pressure and unhealthy lifestyle (smoking, physical inactivity, obesity and excessive alcohol consumption) increase the risk of heart attack or stroke, particularly in combination with additional risk factors such as family history and diabetes mellitus. Lifestyle changes and medical adherence can lower cardiovascular risk. Active patient participation is needed for a higher level of treatment adherence. Decision aids facilitate patients’ understanding of the disease and available therapies, thus empowering patients so as to enhance their participation in medical decision making.
The aim of this study is to develop an evidence-based decision aid to decrease cardiovascular risk. The decision aid will be designed as a booklet which may be used in addition to a cardiovascular risk calculator. The decision aid will contain information on evidence-based treatment options (including their advantages and disadvantages) to reduce cardiovascular risk. Additionally it includes worksheets which support patients in weighting their preferences and in implementing lifestyle changes. Furthermore, the decision aid is to stimulate patients and their general practitioners to develop an individual treatment plan with realistic goals. The goals should be discussed and, if necessary, adapted in the following consultations.
The evidence-based decision aid will be elaborated according to the International Patient Decision Aid Standards (IPDAS). In a structured multi-step process, involving experts and patients, qualitative and quantitative methods will be applied including (1) expert evaluations (thinking aloud method), (2) focus groups, (3) questionnaire survey, and (4) final expert rating.
Future research is needed to verify the practical application and effectiveness of the decision aid.
Do you plan to share individual participant data with other researchers?
[---]*
Description IPD sharing plan:
[---]*
Organizational Data
- DRKS00003554
- 2012/09/27
- [---]*
- yes
- Approved
- 39/12, Ethik-Kommission der Albert-Ludwigs-Universität Freiburg
Secondary IDs
- [---]*
Health Condition or Problem studied
- I10-I15 - Hypertensive diseases
- I25.0 - Atherosclerotic cardiovascular disease, so described
- I73.9 - Peripheral vascular disease, unspecified
- E10-E14 - Diabetes mellitus
Interventions/Observational Groups
- Development of an evidenced-based decision aid for patients to decrease cardiovascular risk by involving experts and patients.
Characteristics
- Non-interventional
- Other
- Other
- Open (masking not used)
- [---]*
- Other
- Other
- Other
- N/A
- N/A
Primary Outcome
Development of an evidence-based decision aid for patients to decrease cardiovascular risk.
Secondary Outcome
Acceptance of the decision aid by patients and general practitioners. Evaluation by survey and expert rating
Countries of Recruitment
- Germany
Locations of Recruitment
- other
- other
- other
Recruitment
- Actual
- 2012/10/24
- 45
- Monocenter trial
- National
Inclusion Criteria
- Both, male and female
- 18 Years
- 90 Years
Additional Inclusion Criteria
Patients: high cardiovascular risk
Minimum age: 18 years.
Experts: Practitioners or scientists with high knowledge about evidence based medicine regarding cardiovascular diseases, health behavior, and shared decision making.
Exclusion Criteria
Patients: Limits of understanding because of mental diseases or insufficient language skills or Patients with serious illness and/or short life expectancy. Pregnant women.
Addresses
-
start of 1:1-Block address primary-sponsor
- Universitätsklinik Freiburg Lehrbereich Allgemeinmedizin
- Ms. M.A. Iris Tinsel
- Elsässer Straße 2m
- 79110 Freiburg
- Germany
end of 1:1-Block address primary-sponsorstart of 1:1-Block address contact primary-sponsor- 0049-761-270 - 77920
- 0049-761-270 - 77900
- iris.tinsel at uniklinik-freiburg.de
- http://www.uniklinik-freiburg.de/allgemeinmedizin/live/index.html
end of 1:1-Block address contact primary-sponsor -
start of 1:1-Block address scientific-contact
- Universitätsklinik Freiburg Lehrbereich Allgemeinmedizin
- Ms. M.A. Iris Tinsel
- Elsässer Straße 2m
- 79110 Freiburg
- Germany
end of 1:1-Block address scientific-contactstart of 1:1-Block address contact scientific-contact- 0049 - 761 -270 - 77920
- 0049 - 761 -270 - 77900
- iris.tinsel at uniklinik-freiburg.de
- http://www.uniklinik-freiburg.de/allgemeinmedizin/live/index.html
end of 1:1-Block address contact scientific-contact -
start of 1:1-Block address public-contact
- Universitätsklinik Freiburg Lehrbereich Allgemeinmedizin
- Ms. M.A. Iris Tinsel
- Elsässer Straße 2m
- 79110 Freiburg
- Germany
end of 1:1-Block address public-contactstart of 1:1-Block address contact public-contact- 0049-761-270 -77920
- 0049-761-270 -77900
- iris.tinsel at uniklinik-freiburg.de
- http://www.uniklinik-freiburg.de/allgemeinmedizin/live/index.html
end of 1:1-Block address contact public-contact
Sources of Monetary or Material Support
-
start of 1:1-Block address materialSupport
- Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg. Nachwuchsförderung Versorgungsforschung Baden-Württemberg
- Königstraße 46
- 70173 Stuttgart
- Germany
end of 1:1-Block address materialSupportstart of 1:1-Block address contact materialSupport- [---]*
- [---]*
- [---]*
- [---]*
end of 1:1-Block address contact materialSupport
Status
- Recruiting complete, follow-up complete
- 2014/04/08