Protocol for the 'e-Nudge trial': a randomised controlled trial of electronic feedback to reduce the cardiovascular risk of individuals in general practice [ISRCTN64828380].

Trials
Tim A HoltStephen Munday

Abstract

Cardiovascular disease (including coronary heart disease and stroke) is a major cause of death and disability in the United Kingdom, and is to a large extent preventable, by lifestyle modification and drug therapy. The recent standardisation of electronic codes for cardiovascular risk variables through the United Kingdom's new General Practice contract provides an opportunity for the application of risk algorithms to identify high risk individuals. This randomised controlled trial will test the benefits of an automated system of alert messages and practice searches to identify those at highest risk of cardiovascular disease in primary care databases. Patients over 50 years old in practice databases will be randomised to the intervention group that will receive the alert messages and searches, and a control group who will continue to receive usual care. In addition to those at high estimated risk, potentially high risk patients will be identified who have insufficient data to allow a risk estimate to be made. Further groups identified will be those with possible undiagnosed diabetes, based either on elevated past recorded blood glucose measurements, or an absence of recent blood glucose measurement in those with established card...Continue Reading

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Citations

Oct 20, 2015·American Journal of Preventive Medicine·Gibril J NjieUNKNOWN Community Preventive Services Task Force
Mar 7, 2007·British Medical Bulletin·Umesh Chauhan
Jul 10, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tim A HoltDavid Stables
Apr 1, 2010·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tim A HoltDavid Stables
Mar 16, 2017·The Cochrane Database of Systematic Reviews·Kunal N KarmaliMark D Huffman

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Software Mentioned

EMIS
CARDIA
EMIS LV
CARDIA ( Automated Risk Detection Intervention and Advice )
Nudge

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