Evidence map›Paper›PMID 31787053›Full record

Trial reportJournal of the American Heart Association2019

Changing Results-Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management.

Esti Iturralde, Stacy A Sterling, Connie S Uratsu, Pranita Mishra, Thekla B Ross, Richard W Grant

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Patient-centered education in dyslipidemia management: a systematic review.Asian biomedicine : research, reviews and news · 2022
    Review
  8. Review
  9. Article
  10. 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

6 authors.

Esti IturraldeDivision of Research Kaiser Permanente Northern California Oakland CA.
Stacy A SterlingDivision of Research Kaiser Permanente Northern California Oakland CA.
Connie S UratsuDivision of Research Kaiser Permanente Northern California Oakland CA.
Pranita MishraDivision of Research Kaiser Permanente Northern California Oakland CA.
Thekla B RossDivision of Research Kaiser Permanente Northern California Oakland CA.
Richard W GrantDivision of Research Kaiser Permanente Northern California Oakland CA.

Funding

Multi-Component Behavioral Intervention for Complex Patients with CVD RiskR01HL117939 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2014 to 2018
$3.4M
Mentored Research to Improve Care for Complex Patients with DiabetesK24DK109114 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2016 to 2020
$914k
NHLBI NIH HHS R01 HL117939NIDDK NIH HHS K24 DK109114
6 · The paper itself

Abstract

Background Despite the success of current cardiovascular disease (CVD) management programs, many patients do not achieve optimal control of CVD-related risk factors. New strategies are needed to better activate and engage these patients. Methods and Results We conducted a parallel, 2-arm, randomized controlled trial, CREATE Wellness (Changing Results-Engage and Activate to Enhance Wellness) from February 2015 to September 2017 with 12-month follow-up to September 2018. Eligible participants had ≥1 uncontrolled CVD risk factors (hyperlipidemia, hypertension, or diabetes mellitus) for at least 2 years before study enrollment. The control group (n=315) received usual care within an existing CVD population-based disease management program. The intervention group (n=332) received usual care plus a group-based behavioral intervention focused on patient activation and engagement. Study outcomes included patient activation and patient-centered care processes (6 months) and healthcare system engagement, medication adherence, and control of CVD risk factors (12 months). Compared with the control group at follow-up, the intervention group had greater improvement in patient activation (adjusted mean difference=2.8,

Indexed as

Delivery of Health CarePatient-Centered CareSelf-ManagementAgedCardiovascular DiseasesFemaleHumansMaleMiddle AgedRisk AssessmentRisk Factorscardiovascular disease risk factorsdisease managementpatient‐centered care

Identifiers

PMID31787053
PMCPMC6912976

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.