Which is the best way for cardiovascular prevention according to the Dutch general practitioner's guidelines, in a general pratitioner's office?a. By a nurse practioner, supervised by the general practitioner, while the frequency and…
ID
Source
Brief title
Condition
- Coronary artery disorders
- Vascular disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Change in SCORE-score after one year of treatment.
Secondary outcome
- Change in specific risk facors (blood pressure, cholesterol, physical
activity, weight, waist circumference, smoking habits)
- Psychological wellness
- Patient satisfaction
- Cost effectivity
- AGE
Background summary
In patients with a moderately elevated cardiovascular risk (SCORE-score >= 5%),
the effects of treatments are investigated. These treatments are losing weight
, stopping smoking, increase of physical activity and treatment of hypertension
and cholesterol by a nurse practitioner. This treatments are conform
established Dutch general practitioner's guidelines. We will compare intensive
feedback based on home monitoring, with usual care.
Study objective
Which is the best way for cardiovascular prevention according to the Dutch
general practitioner's guidelines, in a general pratitioner's office?
a. By a nurse practioner, supervised by the general practitioner, while the
frequency and intensity of the control visits are as usual.
b. By a nurse pratitioner, supervised by the general practiotioner, with the
help of home monitoring devices by the patient himself and telemonitoring by
the nurse practitioner.
Study design
randomised controled trial
Intervention
Participants receive medication and lifestyle advice from a nurse practitioner
over the year. With the intervention group this is accompanied by intensive
feedback based on and home monitoring devices.
Study burden and risks
Risks: No risks, this study involves a standard treatment according to the
guidelines; treatment with the help of home monitoring will be compared with
treatment as usual.
Burden: regular 20 minute visits to the general practitioner's office, three
time venipuncture, questionnaire, normal physical examination, lifestyle
interventions including diet and a program to stop smoking.
Postbus 30001
9700 RB Groningen
NL
Postbus 30001
9700 RB Groningen
NL
Listed location countries
Age
Inclusion criteria
- men 50-75 yr, females 55-75 yr
- BMI >= 25 or smokers or low physical activity
- SCORE-score >= 5%
- able to use simple home monitoring devicesr
Exclusion criteria
- not motivated fo lifestyle intervention
- known cardiovascular disease
- known diabetes
- thyroid function abnormality
- life expectancy <2 yr
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL19465.042.07 |