Cardiovascular Diseases
Conditions
Brief summary
This study, Re-thinking the role of Peers And Training Patients \[RePeAT\], is designed to test the feasibility of training peer-coaches to prepare limited health literacy (LHL) patients to engage in shared-decision making (SDM) for cardiovascular disease (CVD) risk-reduction.
Detailed description
The investigators will use a 2-arm pilot RCT design to assess the feasibility, and acceptability of the intervention. Up to 60 primary care patients will be randomly assigned to participate in the peer-coaching or control group. Patients will be randomized at a 1:1 ratio, stratified by the clinician. Half of the subjects (n=30) will be assigned to the peer-coaching intervention, and the other half will be assigned to the control group.
Interventions
BEHAVIORALPeer Coach
Peer coaching session to support shared decision making among patient with limited health literacy.
Sponsors
University of Rochester
National Heart, Lung, and Blood Institute (NHLBI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Caregiver)
Masking description
Immediately after subjects complete the baseline surveys they will be randomized. The research coordinator will open a sealed envelope that specifies which group the subject is in. Neither the subject nor the research coordinator can choose the randomization group. The randomizations envelopes will be prepared
Intervention model description
. Patients will be randomized at a 1:1 ratio, stratified by the clinician.
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* A patient of Highland Family Medicine practice * At least 40 years old and no more than 75 years old * Be at ≥10% risk for CVD as calculated using the ASCVD Risk Estimator Plus * No plans to leave the practice in the next 12 months * English speaking * Limited Health Literacy (self-report)
Exclusion criteria
* Have experienced a prior cardiac or vascular event such as myocardial infarction (MI) or cerebrovascular accident (CVA) or have had a CVD procedure such as installation of a stent or angioplasty * Gave peripheral vascular disease, intermittent claudication or peripheral arterial disease * Lack of capacity to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ABCS Discussion | patient-clinician office visit, approximately 1 week after the peer coaching session | The investigators will qualitatively code the office visit to determine if subjects engaged in a discussion with their clinician about their ABCS options/preferences. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peer Coach Fidelity | post-coaching, approximately 1-2 weeks prior to the patient-clinician office visit | The investigators will qualitatively code the peer coaching sessions to determine if peer coaches used Teach-back during their session and if the coaching session was done with fidelity. |
Countries
United States
Outcome results
None listed