Assessment of Life's Simple 7™ in the primary care setting: The Stroke Prevention in Healthcare Delivery EnviRonmEnts (SPHERE) study

Abstract Background Adverse health behaviors and factors predict increased coronary heart disease and stroke risk, and effective use of health information technology (HIT) to automate assessment of and intervention on these factors is needed. A comprehensive, automated cardiovascular health (CVH) as...

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Veröffentlicht in:Contemporary clinical trials 2014-07, Vol.38 (2), p.182-189
Hauptverfasser: Foraker, Randi E, Shoben, Abigail B, Lopetegui, Marcelo A, Lai, Albert M, Payne, Philip R.O, Kelley, Marjorie, Roth, Caryn, Tindle, Hilary, Schreiner, Andrew, Jackson, Rebecca D
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container_end_page 189
container_issue 2
container_start_page 182
container_title Contemporary clinical trials
container_volume 38
creator Foraker, Randi E
Shoben, Abigail B
Lopetegui, Marcelo A
Lai, Albert M
Payne, Philip R.O
Kelley, Marjorie
Roth, Caryn
Tindle, Hilary
Schreiner, Andrew
Jackson, Rebecca D
description Abstract Background Adverse health behaviors and factors predict increased coronary heart disease and stroke risk, and effective use of health information technology (HIT) to automate assessment of and intervention on these factors is needed. A comprehensive, automated cardiovascular health (CVH) assessment deployed in the primary care setting offers the potential to enhance prevention, facilitate patient–provider communication, and ultimately reduce cardiovascular (CV) disease risk. We describe the methods for a study to develop and test an automated CVH application for stroke prevention in older women. Methods and results The eligible study population for the Stroke Prevention in Healthcare Delivery EnviRonmEnts ( SPHERE ) study is approximately 1600 female patients aged 65 years and older and their primary care providers at The Ohio State University Wexner Medical Center. We will use an intervention design that will allow for a run-in period, comparison group data collection, a provider education period, and implementation of a best practice alert to prompt provider–patient interactions regarding CVH. Our primary outcome is a CVH score, comprising Life's Simple 7 : smoking status, body mass index, blood pressure, cholesterol, fasting glucose, physical activity, and diet. The SPHERE application will generate visualizations of the CVH score within the electronic health record (EHR) during the patient–provider encounter. A key outcome of the study will be change in mean CVH score pre- and post-intervention. Conclusions The SPHERE application leverages the EHR and may improve health outcomes through HIT designed to empower clinicians to discuss CVH with their patients and enhance primary prevention efforts.
doi_str_mv 10.1016/j.cct.2014.03.007
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A comprehensive, automated cardiovascular health (CVH) assessment deployed in the primary care setting offers the potential to enhance prevention, facilitate patient–provider communication, and ultimately reduce cardiovascular (CV) disease risk. We describe the methods for a study to develop and test an automated CVH application for stroke prevention in older women. Methods and results The eligible study population for the Stroke Prevention in Healthcare Delivery EnviRonmEnts ( SPHERE ) study is approximately 1600 female patients aged 65 years and older and their primary care providers at The Ohio State University Wexner Medical Center. We will use an intervention design that will allow for a run-in period, comparison group data collection, a provider education period, and implementation of a best practice alert to prompt provider–patient interactions regarding CVH. Our primary outcome is a CVH score, comprising Life's Simple 7 : smoking status, body mass index, blood pressure, cholesterol, fasting glucose, physical activity, and diet. The SPHERE application will generate visualizations of the CVH score within the electronic health record (EHR) during the patient–provider encounter. A key outcome of the study will be change in mean CVH score pre- and post-intervention. Conclusions The SPHERE application leverages the EHR and may improve health outcomes through HIT designed to empower clinicians to discuss CVH with their patients and enhance primary prevention efforts.</description><identifier>ISSN: 1551-7144</identifier><identifier>EISSN: 1559-2030</identifier><identifier>DOI: 10.1016/j.cct.2014.03.007</identifier><identifier>PMID: 24721482</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject><![CDATA[Aged ; Aging ; Biomedical informatics ; Blood Glucose ; Blood Pressure ; Body Mass Index ; Cardiovascular ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - prevention & control ; Cholesterol - blood ; Decision Support Systems, Clinical - organization & administration ; Diet ; Electronic Health Records - organization & administration ; Exercise ; Female ; Health Behavior ; Hematology, Oncology and Palliative Medicine ; Humans ; Lifestyle ; Ohio ; Primary Health Care - organization & administration ; Primary Prevention - organization & administration ; Research Design ; Risk factor ; Risk Factors ; Smoking Prevention ; Stroke - prevention & control ; Women]]></subject><ispartof>Contemporary clinical trials, 2014-07, Vol.38 (2), p.182-189</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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A comprehensive, automated cardiovascular health (CVH) assessment deployed in the primary care setting offers the potential to enhance prevention, facilitate patient–provider communication, and ultimately reduce cardiovascular (CV) disease risk. We describe the methods for a study to develop and test an automated CVH application for stroke prevention in older women. Methods and results The eligible study population for the Stroke Prevention in Healthcare Delivery EnviRonmEnts ( SPHERE ) study is approximately 1600 female patients aged 65 years and older and their primary care providers at The Ohio State University Wexner Medical Center. We will use an intervention design that will allow for a run-in period, comparison group data collection, a provider education period, and implementation of a best practice alert to prompt provider–patient interactions regarding CVH. Our primary outcome is a CVH score, comprising Life's Simple 7 : smoking status, body mass index, blood pressure, cholesterol, fasting glucose, physical activity, and diet. The SPHERE application will generate visualizations of the CVH score within the electronic health record (EHR) during the patient–provider encounter. A key outcome of the study will be change in mean CVH score pre- and post-intervention. 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administration</subject><subject>Primary Prevention - organization &amp; administration</subject><subject>Research Design</subject><subject>Risk factor</subject><subject>Risk Factors</subject><subject>Smoking Prevention</subject><subject>Stroke - prevention &amp; control</subject><subject>Women</subject><issn>1551-7144</issn><issn>1559-2030</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFuEzEQhlcIREvhAbgg3yiHDTO217sBCakqgSBFomrK2fJ6J9TprjfYTqTcEQ_Co_Ek7DaBAwdOHsn__0nzTZY9R5ggoHq9nlibJhxQTkBMAMoH2SkWxTTnIODh_Yx5iVKeZE9iXAMIVajicXbCZclRVvw0-3ERI8XYkU-sX7GFW9HLyJau27TEyl_ffzLnWboltgmuM2HPrAnEIqXk_Nc37Gb4WabQ3xG7CrQbKK73Y2VOpk239-H31LodDdWZ37nr3ncznyI7X17NZ9ezVyymbbN_mj1amTbSs-N7ln35MLu5nOeLzx8_XV4sciuhSrnkq0bxogApK2uULSVaA1OsKxCmESgVcsOVamqwQkmBwOtaiGmhKjU1KMRZdn7gbkL_bUsx6c5FS21rPPXbqLGQimOJ1RjFQ9SGPsZAK31UoBH0qF-v9aBfj_o1CD3oHzovjvht3VHzt_HH9xB4ewjQsOTOUdDROvKWGhdogDW9-y_-3T9t2zrvrGnvaE9x3W-DH-xp1JFr0Mvx_uP5UQKAVFPxG0pdqYg</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Foraker, Randi E</creator><creator>Shoben, Abigail B</creator><creator>Lopetegui, Marcelo A</creator><creator>Lai, Albert M</creator><creator>Payne, Philip R.O</creator><creator>Kelley, Marjorie</creator><creator>Roth, Caryn</creator><creator>Tindle, Hilary</creator><creator>Schreiner, Andrew</creator><creator>Jackson, Rebecca D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>Assessment of Life's Simple 7™ in the primary care setting: The Stroke Prevention in Healthcare Delivery EnviRonmEnts (SPHERE) study</title><author>Foraker, Randi E ; Shoben, Abigail B ; Lopetegui, Marcelo A ; Lai, Albert M ; Payne, Philip R.O ; Kelley, Marjorie ; Roth, Caryn ; Tindle, Hilary ; Schreiner, Andrew ; Jackson, Rebecca D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-42fd62550448ca6c741ca091b803ad314612a266db0c3643102bb33956869a133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aging</topic><topic>Biomedical informatics</topic><topic>Blood Glucose</topic><topic>Blood Pressure</topic><topic>Body Mass Index</topic><topic>Cardiovascular</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Cholesterol - blood</topic><topic>Decision Support Systems, Clinical - organization &amp; administration</topic><topic>Diet</topic><topic>Electronic Health Records - organization &amp; administration</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Lifestyle</topic><topic>Ohio</topic><topic>Primary Health Care - organization &amp; administration</topic><topic>Primary Prevention - organization &amp; administration</topic><topic>Research Design</topic><topic>Risk factor</topic><topic>Risk Factors</topic><topic>Smoking Prevention</topic><topic>Stroke - prevention &amp; control</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foraker, Randi E</creatorcontrib><creatorcontrib>Shoben, Abigail B</creatorcontrib><creatorcontrib>Lopetegui, Marcelo A</creatorcontrib><creatorcontrib>Lai, Albert M</creatorcontrib><creatorcontrib>Payne, Philip R.O</creatorcontrib><creatorcontrib>Kelley, Marjorie</creatorcontrib><creatorcontrib>Roth, Caryn</creatorcontrib><creatorcontrib>Tindle, Hilary</creatorcontrib><creatorcontrib>Schreiner, Andrew</creatorcontrib><creatorcontrib>Jackson, Rebecca D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Contemporary clinical trials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foraker, Randi E</au><au>Shoben, Abigail B</au><au>Lopetegui, Marcelo A</au><au>Lai, Albert M</au><au>Payne, Philip R.O</au><au>Kelley, Marjorie</au><au>Roth, Caryn</au><au>Tindle, Hilary</au><au>Schreiner, Andrew</au><au>Jackson, Rebecca D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Life's Simple 7™ in the primary care setting: The Stroke Prevention in Healthcare Delivery EnviRonmEnts (SPHERE) study</atitle><jtitle>Contemporary clinical trials</jtitle><addtitle>Contemp Clin Trials</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>38</volume><issue>2</issue><spage>182</spage><epage>189</epage><pages>182-189</pages><issn>1551-7144</issn><eissn>1559-2030</eissn><abstract>Abstract Background Adverse health behaviors and factors predict increased coronary heart disease and stroke risk, and effective use of health information technology (HIT) to automate assessment of and intervention on these factors is needed. A comprehensive, automated cardiovascular health (CVH) assessment deployed in the primary care setting offers the potential to enhance prevention, facilitate patient–provider communication, and ultimately reduce cardiovascular (CV) disease risk. We describe the methods for a study to develop and test an automated CVH application for stroke prevention in older women. Methods and results The eligible study population for the Stroke Prevention in Healthcare Delivery EnviRonmEnts ( SPHERE ) study is approximately 1600 female patients aged 65 years and older and their primary care providers at The Ohio State University Wexner Medical Center. We will use an intervention design that will allow for a run-in period, comparison group data collection, a provider education period, and implementation of a best practice alert to prompt provider–patient interactions regarding CVH. Our primary outcome is a CVH score, comprising Life's Simple 7 : smoking status, body mass index, blood pressure, cholesterol, fasting glucose, physical activity, and diet. The SPHERE application will generate visualizations of the CVH score within the electronic health record (EHR) during the patient–provider encounter. A key outcome of the study will be change in mean CVH score pre- and post-intervention. Conclusions The SPHERE application leverages the EHR and may improve health outcomes through HIT designed to empower clinicians to discuss CVH with their patients and enhance primary prevention efforts.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24721482</pmid><doi>10.1016/j.cct.2014.03.007</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Aged
Aging
Biomedical informatics
Blood Glucose
Blood Pressure
Body Mass Index
Cardiovascular
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - prevention & control
Cholesterol - blood
Decision Support Systems, Clinical - organization & administration
Diet
Electronic Health Records - organization & administration
Exercise
Female
Health Behavior
Hematology, Oncology and Palliative Medicine
Humans
Lifestyle
Ohio
Primary Health Care - organization & administration
Primary Prevention - organization & administration
Research Design
Risk factor
Risk Factors
Smoking Prevention
Stroke - prevention & control
Women
title Assessment of Life's Simple 7™ in the primary care setting: The Stroke Prevention in Healthcare Delivery EnviRonmEnts (SPHERE) study
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