Skip to content

HEalth Check TRial (HECTR): Risk-tailored invitations to improve uptake of NHS Health Checks

HEalth Check TRial (HECTR): randomised controlled trial comparing uptake of NHS Health Check in response to standard letters, CVD risk-personalised letters and telephone invitations

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN15840751
Enrollment
2500
Registered
2017-10-24
Start date
2015-10-14
Completion date
Unknown
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiovascular disease Circulatory System

Interventions

The three trial arms are the different methods of invitation to attend a NHS Health Check (with attendance/non-attendance as the outcome): 1. Standard letter (control) - patients rece
Medium 10-19.9%
low <10%). Random allocation of individual patients within practices was completed within EMIS using bespoke searches: an eligible cohort search was run using the existing search base
search was run to randomly select 33.3% of the cohort and allocate them to Arm 1
search was run to randomly select 50% of the remaining cohort and allocate them to Arm 2
the remaining 33.3% of the cohort were allocated to Arm 3. For each arm, patients are invited up to three times before being recorded as a non-responder (and non-attender).

Sponsors

Staffordshire University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients will be included if they are: 1. Registered at one of the participating practices 2. Aged 40-74 years 3. Are eligible and due for a NHS Health based on the national programme criteria (see exclusion criteria)

Exclusion criteria

Exclusion criteria: National NHS Health Check eligibility criteria will exclude patients from receiving an invitation if any of the following apply: 1. Coronary heart disease 2. Chronic kidney disease (CKD) which has been classified as stage 3, 4 or 5 within the meaning of the National Institute for Health and Care Excellence (NICE) clinical guideline 182 on Chronic Kidney Disease 3. Diabetes 4. Hypertension 5. Atrial fibrillation 6. Transient ischaemic attack 7. Hypercholesterolemia 8. Heart failure 9. Peripheral arterial disease 10. Stroke 11. Prescribed statins 12. People who have previously had an NHS Health Check, or any other check undertaken through the health service in England, and found to have a 20% or higher risk of developing cardiovascular disease over the next ten years

Design outcomes

Primary

MeasureTime frame
Uptake of NHS Health Check, measured at 12 months from baseline or earlier if the practice had invited the entire cohort before 12 months

Secondary

MeasureTime frame
Response to NHS Health Check invitation, measured at 12 months from baseline or earlier if the practice had invited the entire cohort before 12 months

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 4, 2026