Evidence map›Paper›PMID 31870415›Full record

ArticleTrials2019

Design and rationale for a pragmatic cluster randomized trial of the Cardiovascular Health Awareness Program (CHAP) for social housing residents in Ontario and Quebec, Canada.

Gina Agarwal, Magali Girard, Ricardo Angeles, Melissa Pirrie, Marie-Thérèse Lussier, Francine Marzanek, Lisa Dolovich, J Michael Paterson, Lehana Thabane, Janusz Kaczorowski

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03549845 (Pragmatic Randomized Controlled Trial of the Cardiovascular Health Awareness Program), 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
1.8field-weighted citation impact, top 15% 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.

NCT03549845 nacompletednot on this map

Pragmatic Randomized Controlled Trial of the Cardiovascular Health Awareness Program (CHAP) in Subsidized Social Housing

TypeinterventionalSponsorMcMaster UniversityRan2018 to 2022Enrolled2,742ConditionsCardiovascular Diseases, Cardiovascular Risk Factor, Diabetes MellitusArmsCardiovascular Health Awareness Program
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  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

10 authors at 5 institutions in 1 country.

Gina AgarwalDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada. gina.agarwal@gmail.com.ORCID http://orcid.org/0000-0002-5691-4675
Magali GirardCentre hospitalier de l'Université de Montréal (CHUM), Montréal, Canada.
Ricardo AngelesDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada.
Melissa PirrieDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada.
Marie-Thérèse LussierDepartment of Family and Emergency Medicine, Université de Montréal, Montreal, Canada.
Francine MarzanekDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada.
Lisa DolovichDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada.
J Michael PatersonDepartment of Family Medicine, McMaster University, 100 Main Street West, DBHSC, 5th Floor, Hamilton, ON, L8P 1H6, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Janusz KaczorowskiCentre hospitalier de l'Université de Montréal (CHUM), Montréal, Canada.
McMaster University · CACentre Hospitalier de l’Université de Montréal · CAUniversity of Toronto · CACentre Integre de Sante et de Services Sociaux de Laval · CAImpact · CA

Funding

CIHR TFF-128264
6 · The paper itself

Abstract

backgroundThe Cardiovascular Health Awareness Program (CHAP) uses volunteers to provide cardiovascular disease (CVD) and diabetes screening in a community setting, referrals to primary care providers, and locally available programs targeting lifestyle modification. CHAP has been adapted to target older adults residing in social housing, a vulnerable segment of the population. Older adults living in social housing report poorer health status and have a higher burden of a multitude of chronic illnesses, such as CVD and diabetes. The study objective is to evaluate whether there is a reduction in unplanned CVD-related Emergency Department (ED) visits and hospital admissions among residents of social seniors' housing buildings receiving the CHAP program for 1 year compared to residents in matched buildings not receiving the program. METHODS/

designThis is a pragmatic, cluster randomized controlled trial in community-based social (subsidized) housing buildings in Ontario and Quebec. All residents of 14 matched pairs (intervention/control) of apartment buildings will be included. Buildings with 50-200 apartment units with the majority of residents aged 55+ and a unique postal code are included. All individuals residing within the buildings at the start of the intervention period are included (intention to treat, open cohort). The intervention instrument consists of CHAP screens for high blood pressure using automated blood pressure monitors and for diabetes using the Canadian Diabetes Risk (CANRISK) assessment tool. Monthly drop-in sessions for screening/monitoring are held within a common area of the building. Group health education sessions are also held monthly. Reports are sent to family doctors, and attendees are encouraged to visit their family doctor. The primary outcome measure is monthly CVD-related ED visits and hospitalizations over a 1-year period post randomization. Secondary outcomes are all ED visits, hospitalizations, quality of life, cost-effectiveness, and participant experience. DISCUSSION: It is anticipated that CVD-related ED visits and hospitalizations will decrease in the intervention buildings. Using the volunteer-led CHAP program, there is significant opportunity to improve the health of older adults in social housing.

trial registrationClinicalTrials.gov,NCT03549845. Registered on 15 May 2018. Updated on 21 May 2019.

Indexed as

Cardiovascular DiseasesDiabetes MellitusEmergency Service, HospitalHealth PromotionHospitalizationPublic HousingReferral and ConsultationBlood Pressure DeterminationBody Mass IndexHealth EducationHumansHypertensionMass ScreeningOntarioPragmatic Clinical Trials as TopicPrimary Health CareCardiometabolic risk factorsDiabetesHypertensionOlder adultsPovertySocial housingVolunteer

Identifiers

PMID31870415
PMCPMC6929306
OpenAlexW2996999427

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.