Evidence map›Paper›PMID 20469954›Full record

Trial reportThe American journal of managed care2010

The effect of a cardiovascular educational intervention on healthcare utilization and costs.

Amar C Nawathe, Sherry A Glied, William S Weintraub, Lori J Mosca

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of managed care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00728637 (Effectiveness of a Family Heart Health Intervention Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00728637 nacompletednot on this map

Effectiveness of a Family Heart Health Intervention Trial (FIT Heart I)

TypeinterventionalSponsorColumbia UniversityRan2005 to 2008Enrolled501ConditionsCardiovascular Diseases, Heart DiseasesArmsFamily Passport to Heart Health Program, General Educational Materials
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Amar C NawatheDepartment of Medicine, Columbia University, New York, NY, USA.
Sherry A Glied
William S Weintraub
Lori J Mosca
Columbia University · US

Funding

Family Cardiac Caregiver Investigation to Evaluate Outcomes (FIT-O)R01HL075101 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOSCA, LORI J · 2004 to 2010
$3.5M
Gender Race and Ethnic Disparities Research in Cardiovascular Disease PreventionK24HL076346 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOSCA, LORI J · 2005 to 2014
$1.7M
NHLBI NIH HHS K24 HL076346NHLBI NIH HHS R01 HL075101
6 · The paper itself

Abstract

objectivesTo evaluate healthcare utilization and costs following a cardiovascular disease (CVD) screening and educational special intervention (SI) compared with a control intervention (CIN) at 1 year in the Family-Based Intervention Trial for Heart Health. STUDY

designParticipants randomized to SI for screening and periodic lifestyle counseling were compared with participants randomized to CIN for resource utilization and associated costs at 1 year.

methodsA total of 421 participants (67% women and 37% minorities) were healthy family members of hospitalized patients with CVD who had 1-year follow-up resource utilization data. Resource utilization was systematically measured using a standardized questionnaire in both study groups and was validated by medical records in a subsample. Outcomes included provider visits, diagnostic studies, laboratory assessment, medication use, behavioral program enrollment, emergency department (ED) visits, hospital admissions, and healthcare costs.

resultsAt 1 year, there were significantly fewer overall provider visits (P = .04) and psychiatrist visits (P = .03) in SI versus CIN. There was a nonsignificant trend toward fewer ED visits, decreased hospital admissions, and shorter inpatient length of stay in SI versus CIN. Estimated healthcare expenditures for CIN exceeded those for SI by $590 per participant. The cost of the 1-year intervention was $95 per participant.

conclusionsA 1-year standardized low-cost screening and educational intervention was associated with significantly fewer provider visits and with a nonsignificant trend toward reduced healthcare utilization for several parameters. The long-term effect on outcomes and costs deserves further study.

Indexed as

Health EducationRisk Reduction BehaviorCardiovascular DiseasesFemaleHealth ExpendituresHealth ServicesHumansMaleMass ScreeningMiddle Aged

Identifiers

PMID20469954
PMCPMC2956438
OpenAlexW39852560

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.