Evidence map›Paper›PMID 21300712›Full record

Trial reportBMJ (Clinical research ed.)2011

Improving cardiovascular health at population level: 39 community cluster randomised trial of Cardiovascular Health Awareness Program (CHAP).

Janusz Kaczorowski, Larry W Chambers, Lisa Dolovich, J Michael Paterson, Tina Karwalajtys, Tracy Gierman, Barbara Farrell, Beatrice McDonough, Lehana Thabane, Karen Tu and 8 more

2 registry-linked trialsOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 103 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 11 pooled it
10.3field-weighted citation impact, top 1% 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.

NCT03713333 nacompletednot on this mapstarted 2018, after this paper: background citation

Implementation of High Definition Screening Using Handheld Imaging and Digital Health Technologies Within a Learning Health System to Identify Cardiovascular Disease at the Point-of-care: The ASE-INNOVATE Program

TypeinterventionalSponsorScripps HealthRan2018 to 2020Enrolled374ConditionsCardiovascular Diseases, Hypertension, Heart Failure, Atrial FibrillationArmsDigital Health Device Diagnostics
NCT05560737 unknown statusnot on this mapstarted 2021, after this paper: background citation

ODYSSEE-vCHAT Mental Health Study: A Virtual Community Promoting Health Literacy, Self-Care, and Peer Support for Heart Failure and Kidney Disease

Typeobservational_patient_registrySponsorUniversity Health Network, TorontoRan2021 to 2023Enrolled215ConditionsChronic Heart Failure, Chronic Kidney DiseasesArmsODYSSEE-vCHAT
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 11 syntheses or guidelines pooled it, 195 citations in OpenAlex.

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  7. Risk scoring for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
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  11. Recommendations on screening for high blood pressure in Canadian adults.Canadian family physician Medecin de famille canadien · 2013
    Guideline
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  13. Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 1 country.

Janusz KaczorowskiDepartment of Family Practice, University of British Columbia, 320-5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3. Janusz.kaczorowski@familymed.ubc.ca
Larry W Chambers
Lisa Dolovich
J Michael Paterson
Tina Karwalajtys
Tracy Gierman
Barbara Farrell
Beatrice McDonough
Lehana Thabane
Karen Tu
Brandon Zagorski
Ron Goeree
Cheryl A Levitt
William Hogg
Stephanie Laryea
Megan Ann Carter
Dana Cross
Rolf J Sabaldt
McMaster University · CAUniversity of Ottawa · CAInstitute for Clinical Evaluative Sciences · CAChild and Family Research Institute · CAÉlisabeth Bruyère Hospital · CAHamilton Health Sciences · CAInstitute of Population and Public Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of the community based Cardiovascular Health Awareness Program (CHAP) on morbidity from cardiovascular disease.

designCommunity cluster randomised trial.

setting39 mid-sized communities in Ontario, Canada, stratified by location and population size.

participantsCommunity dwelling residents aged 65 years or over, family physicians, pharmacists, volunteers, community nurses, and local lead organisations.

interventionCommunities were randomised to receive CHAP (n = 20) or no intervention (n = 19). In CHAP communities, residents aged 65 or over were invited to attend volunteer run cardiovascular risk assessment and education sessions held in community based pharmacies over a 10 week period; automated blood pressure readings and self reported risk factor data were collected and shared with participants and their family physicians and pharmacists.

main outcome measureComposite of hospital admissions for acute myocardial infarction, stroke, and congestive heart failure among all community residents aged 65 and over in the year before compared with the year after implementation of CHAP.

resultsAll 20 intervention communities successfully implemented CHAP. A total of 1265 three hour long sessions were held in 129/145 (89%) pharmacies during the 10 week programme. 15,889 unique participants had a total of 27,358 cardiovascular assessments with the assistance of 577 peer volunteers. After adjustment for hospital admission rates in the year before the intervention, CHAP was associated with a 9% relative reduction in the composite end point (rate ratio 0.91, 95% confidence interval 0.86 to 0.97; P = 0.002) or 3.02 fewer annual hospital admissions for cardiovascular disease per 1000 people aged 65 and over. Statistically significant reductions favouring the intervention communities were seen in hospital admissions for acute myocardial infarction (rate ratio 0.87, 0.79 to 0.97; P = 0.008) and congestive heart failure (0.90, 0.81 to 0.99; P = 0.029) but not for stroke (0.99, 0.88 to 1.12; P = 0.89).

conclusionsA collaborative, multi-pronged, community based health promotion and prevention programme targeted at older adults can reduce cardiovascular morbidity at the population level. Trial registration Current controlled trials ISRCTN50550004.

Indexed as

AgedCardiovascular DiseasesCluster AnalysisCommunity Health ServicesContinuity of Patient CareFemaleHealth PromotionHospitalizationHumansMaleOntarioProgram EvaluationReferral and Consultation

Identifiers

PMID21300712
PMCPMC3034422
OpenAlexW2059973713

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.