ASCVD
Conditions
Keywords
Statin
Brief summary
ACHIEVE aims to increase statin usage among patients with ASCVD by having a pharmacist talk to patients and providers.
Detailed description
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in the United States (U.S.) Statins reduce the risk of cardiovascular events by 30% in those with prior history of ASCVD. Despite being inexpensive and well-tolerated, however, statins are underused in clinical practice, particularly in patients who identify as Black. A large-scale intervention to improve evidence-based statin initiation among individuals with ASCVD is needed, particularly for the Black population. To meet this need, we aim to conduct a multi-center, pragmatic, cluster randomized, controlled trial to assess the impact of a provider- and patient-directed intervention to increase the prescription of, and adherence to, appropriate statin therapy among those with ASCVD (ACHIEVE: A Controlled trial to improve use of High IntEnsity statins for Vascular protEction). The intervention will be pharmacist-led, embedded in commercial payer systems, partnering with the National Committee for Quality Assurance (NCQA), and with a particular emphasis on improving statin use in the Black population.
Interventions
Pharmacists will call patients and their providers to discuss benefits of statin use
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a diagnosis of atherosclerotic cardiovascular disease currently not treated with a moderate- high intensity statin and the providers that care for them. * Patient age 18-75
Exclusion criteria
* Hemodialysis * History of rhabdomyolysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Provider engagement as measured by recruitment | 2 years | The goal is recruiting at least 25% of identified providers. |
| Patient engagement as measured by recruitment | 2 years | The goal is to recruit at least 30% of identified patients overall and within the black population |
Countries
United States
Contacts
Duke University