Nutritional, Metabolic, Endocrine Cardiology
Conditions
Interventions
Nurse led life style choice and coaching intervention
Usual care
Sponsors
William Lumu
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adult men and women aged 40-79 years with a high ASCVD risk score of at least 7.5% as calculated with a Pooled Cohort Risk Equations. 2. Willing to provide informed consent. 3. Asymptomatic for ASCVD (those without a history of non-fatal myocardial infarction, stroke, heart failure, percutaneous coronary intervention, coronary artery bypass surgery or current atrial fibrillation).
Exclusion criteria
Exclusion criteria: 1. Those with symptomatic ASCVD (those with history of non-fatal myocardial infarction, stroke, heart failure, percutaneous coronary intervention, coronary artery bypass surgery or current atrial fibrillation, chronic renal failure) 2. Patients without all variables to calculate the pooled cohort risk score and baseline data. 4. Pregnant women 5. Very ill patients 6. Patients who don’t usually keep appointments that is, those who have attended clinics only once per year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the trial will be the mean difference in change in systolic blood pressure between baseline, and after 6 and 12 months between intervention and usual care groups at individual and cluster levels. | — |
Secondary
| Measure | Time frame |
|---|---|
| i) absolute difference and relative change in the predicted 10-year ASCVD risk between the intervention and usual care groups at individual and cluster levels after 6 and 12 months. ii) absolute changes in total cholesterol, low-density lipoprotein cholesterol, glycated hemoglobin, body mass index between intervention and usual care groups at individual and cluster levels after 6 and 12 months. iii) differences between groups in the change in proportion of patients reaching treatment goals for systolic blood pressure, total cholesterol, LDL cholesterol glycated hemoglobin, body mass index at individual and cluster levels after 6 and 12 months | — |
Countries
Uganda
Contacts
Public ContactWilliam Lumu
PhD student Texila American University
Outcome results
None listed