Trial reportDeutsches Arzteblatt international2025
Support for Patient-Centered Cardiovascular Risk Counseling With Two Components of the DECADE Intervention: Findings of a Multiregional, Cluster-Randomized Controlled Trial.
Trial report in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Patient-centred care for cardiovascular risk patients: insights into goal attainment and satisfaction from the DECADE study.BMC cardiovascular disorders · 2026Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth-conscious behavior can help prevent cardiovascular diseases. The DECADE intervention ("decision aid, action planning, and follow-up support for patients to reduce the 10-year risk of cardiovascular diseases") is designed to support primary care physicians in cardiovascular risk counseling. We studied the effects of two of its components.
methodsA trial with a cluster-randomized 2 x 2 design was conducted in three regions of Germany (registration number DRKS00025401). 76 primary care physicians who were randomly allocated to one of four study arms recruited a total of 797 patients with lifestyle-related cardiovascular risk factors. 712 of them were included in the analysis. Cardiovascular risk was calculated for all patients at the start of the intervention and at 12 months. The control group (CG) underwent usual treatment; intervention group (IG) 1 received DECADE patient materials; IG2 had patient-centered DECADE follow-up consultations (at week 1, at months 3, 6, and 12; and additionally at month 9, if necessary); and IG3 received both of these DECADE intervention components. The primary endpoint was the self-reported change in patient activation (Patient Activation Measure, PAM13) at month 6. The secondary endpoints were changes in health behavior and clinical parameters. Linear mixed regression models were used to analyze the effects of DECADE follow-up consultations (IG2 + IG3) versus no follow-up consultations (CG + IG1), and of DECADE materials (IG1 + IG3) versus no materials (CG + IG2), according to the 2 x 2 design.
resultsDECADE follow-up consultations (compared to none) had a small positive, statistically significant effect on the primary endpoint PAM13 score of 1.14 points (95% confidence interval (CI): [0.09; 2.19], p = 0.033). The effect of DECADE patient materials (compared to none) was 0.30 (95% CI: [-0.75; 1.35], p = 0.57). Patients in all study arms showed improved health behavior.
conclusionAlthough the demonstrated effect on the PAM13 score is of uncertain clinical relevance, other findings of this trial imply that DECADE may effectively support physicians in cardiovascular risk counseling. A long-term trial of its clinical effects is recommended.
Indexed as
Identifiers
What OpenQuestion holds
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.