Implementing Shared Decision Making (SDM) For Individualized CV Prevention (SDM4IP)
NCT04450914 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 112127
Last updated 2025-05-02
Summary
Cardiovascular (CV) disease is the #1 cause of premature mortality and substantial morbidity in the U.S. Despite clinical guidelines, most clinical interventions are implemented in people at relatively lower CV risk, and few among people at the highest risk. Shared decision making (SDM) can mitigate the risk-treatment paradox by reducing risk blindness and lack of fit of the preventive regimen, but the adoption of SDM in routine clinical care is incomplete. This study addresses SDM adoption of a CV prevention SDM tool in three health systems.
Conditions
- Cardiovascular Risk
- Cardiovascular Prevention
Interventions
- BEHAVIORAL
-
CV Prevention Choice Tool
The CV Prevention Choice SDM tool is a shared decision making intervention. It is embedded in the electronic health record and uses EHR data to estimate and display cardiovascular risk for individual patients and then foster conversations between clinicians and patients about available options for preventive care based on individual risk and preferences.
- BEHAVIORAL
-
Implementation Facilitation Strategies
During the active implementation stage, health systems will deploy tailored implementation facilitation and other tailored implementation strategies aimed at increasing adoption and use of shared decision making using CV Prevention Choice.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Jennifer Ridgeway, PhD · Mayo Clinic
-
Victor Montori, MD · Mayo Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 40 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-05-10
- Primary Completion
- 2024-12-31
- Completion
- 2025-04-29
Countries
- United States
Study Locations
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