Implementation of case management to reduce cardiovascular disease risk in the Stanford and San Mateo Heart to Heart randomized controlled trial: study protocol and baseline characteristics
2006

Reducing Heart Disease Risk in Low-Income Patients

Sample size: 419 publication Evidence: moderate

Author Information

Author(s): Ma Jun, Lee Ky-Van, Berra Kathy, Stafford Randall S

Primary Institution: Stanford University School of Medicine

Hypothesis

Immediate Intervention participants will experience greater reductions in 10-year CHD risk than Delayed Intervention participants.

Conclusion

The study successfully recruited a diverse group of low-income patients to test a case management approach for reducing cardiovascular disease risk.

Supporting Evidence

  • 63% of participants were diagnosed with diabetes.
  • 20% of participants reported having a prior cardiovascular event.
  • Nearly 70% of participants were obese.

Takeaway

This study is trying to help people at risk of heart disease by giving them extra support from health workers to make healthier choices.

Methodology

A randomized controlled trial evaluating a multi-risk cardiovascular case management program.

Potential Biases

Potential contamination due to patient-level randomization.

Limitations

The study may not be generalizable to populations outside of the low-income, primarily ethnic minority groups.

Participant Demographics

Participants were primarily low-income, with 63% identifying as Latino/Hispanic, 65% female, and 61% less educated.

Statistical Information

Confidence Interval

95% CI: 13–16%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1748-5908-1-21

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