atherosclerosis
Conditions
Interventions
Patients randomised to the internet-program will receive an internet-based risk
factor
management program on top of usual care for 12 months. Patients will be invited
for a visit to the nurse
practi
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients with an recent clinical manifestation of atherosclerosis in the coronary, cerebral or peripheral arteries undergoing a standardized risk factor screening program revealing 2 or more treatable risk factors. Patients are between 18 and 80 years of age, capable to read and write Dutch, independent in daily activities and have access to internet at home.
Exclusion criteria
Exclusion criteria: No access to internet. Malignant disease, dependancy in daily activities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| After 1 year all patients (usual care and internet-based care) are asked to return to the clinic for an evaluation visit to obtain the same information on vascular risk factors and risk indicators as was done as at baseline: Total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, glucose, body mass index, waist circumference, blood pressure and smoking. A questionnaire will be used to gather data about health-care use, labour, self-care, exercise, food-choices, self-efficacy, social support, and quality of life. At the beginning of the study and at the end of the intervention period, the 10-year absolute cardiovascular risk will be carculated using the Framingham risk-score. The difference in 10-year risk between end-of-study (after 1 year) and baseline will serve as primairy summary risk outcome. The primairy outcome is the relative difference in absolute risk between the intervention group and copntrol group. | — |
Secondary
| Measure | Time frame |
|---|---|
| The absolute change in each risk factor (the level at 1 year minus the level at baseline) and the percentage of patients reaching the treatment goal for each risk factor will be calculated and serve as secondary outcome. Change in self-management related parameters and actual health behavior between the intervention group and the control group will be related to achieved treatment goals. | — |
Countries
Netherlands
Outcome results
None listed