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Trial registered on ANZCTR
Registration number
ACTRN12610000108011
Ethics application status
Not yet submitted
Date submitted
28/01/2010
Date registered
2/02/2010
Date last updated
2/02/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
An evaluation of the impact of the 'Your Heart Forecast' Tool on smokers' understanding of their cardiovascular disease risk and their motivation to make lifestyle changes.
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Scientific title
An evaluation of the impact of the 'Your Heart Forecast' Tool on smokers' understanding of their cardiovascular disease risk and their motivation to make lifestyle changes.
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Secondary ID [1]
1359
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Nil
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Universal Trial Number (UTN)
U1111-1113-5109
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cardiovasular disease
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Condition category
Condition code
Cardiovascular
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0
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Coronary heart disease
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Public Health
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The 'Your Heart Forecast' tool, an electronic tool that was developed to help doctors explain cardiovascular risk to their patients and encourage them to make important lifestyle changes. Administered by the patient's doctor or practice nurse, the Heart Forecast Tool provides a graphical story, starting with a patient's current cardiovascular risk, and showing them how they compare to a peer with ideal risk factor control and the same cardiovascular risk. The tool then shows patients what happens to their risk as they get older and make no changes to their current risk factors (their Heart Forecast), and then what would happen to their risk in the future if they were able to make changes (eg. stop smoking). The Heart Forecast takes 5-10 minutes to administer and can be downloaded free via this website address: http://www.yourheartforecast.org.nz/index.asp?pageID=2145872462
Participants allocated to this intervention group also undergo the 'usual risk assessment' in addition to the Heart Forecast tool.
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Intervention code [1]
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Behaviour
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Intervention code [2]
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Prevention
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Comparator / control treatment
The comparator intervention is 'usual risk assessment', which involves estimating the participant's 5 year cardiovascular disease risk using flip charts. Like the group receiving the Heart Forecast tool intervention, this group would receive the assessment face-to-face with the study coordinator (either a study nurse or General Practice [GP] registrar). The approximate duration of the assessment (which includes completing pre- and post-assessment questionnaires) will be no more than 60 minutes
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Control group
Active
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Outcomes
Primary outcome [1]
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Improvement in participants' motivation to make appropriate lifestyle changes. This will be assessed using a structured questionnaire.
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Assessment method [1]
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Timepoint [1]
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Immediately post-intervention and 1 month later
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Primary outcome [2]
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Improvement in participants' understanding of:
(1) their short- and longer-term cardiovascular risk
(2) how lifestyle change can reduce risk in the short- and long-term
(3) their own individual cardiovascular risk factors
This will be assessed using a structured questionnaire.
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Assessment method [2]
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Timepoint [2]
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Immediately post-intervention and 1 month later
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Secondary outcome [1]
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nil
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Assessment method [1]
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
Smokers aged 30-65 years
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Minimum age
30
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Patients with clinically high risk, as defined by New Zealand Guidelines Group criteria - ie. if they have any of the following:
- previous cardiovascular disease
- stroke or transient ischaemic attack (TIA)
- diabetes complicated by renal disease
- a genetic lipid disorder
- blood pressure 170/100 or over
- total cholesterol or total cholesterol/high density lipoprotein ratio (TC/HDL) 8 or over
- pregnant
Also, non-English speakers would be excluded as the Forecast tool is available in English language version only
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Potential participants will be identified from practice databases. The study nurse will contact people meeting eligibility criteria and invite them to join the study.
Allocation concealment will be achieved via sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation of intervention (to either 'usual risk assessment' or 'usual risk assessment plus Heart Forecast') will be via generation of random numbers (this will be via simple randomisation using a randomisation table created by computer software). Numbers will be considered as random digits from 0 to 9, with odd numbers representing randomisation to 'usual risk assessment' and even numbers indicating allocation to 'usual risk assessment plus Heart Forecast'.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/03/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Southland
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation of New Zealand
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Address [1]
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PO Box 17-160
Greenlane
Auckland 1546
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
Section of Epidemiology and Biostatistics
School of Population Health
Tamaki Campus
University of Auckland
PO Box 92-019
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart Foundation of New Zealand
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Address [1]
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PO Box 17-160
Greenlane
Auckland 1546
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Lower South Regional Ethics Committee
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Ethics committee address [1]
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PO Box 5849 Dunedin 9058
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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07/02/2010
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
‘Your Heart Forecast’ is an electronic tool that was developed to help doctors explain cardiovascular risk to their patients and encourage them to make important lifestyle changes. The Heart Forecast was piloted in over 40 practices in Auckland and Northland in early 2009. Feedback was positive, indicating that the tool supported cardiovascular risk communication and shared decision making. The current study aims to more formally test the efficacy of the Heart Forecast, examining whether it improves patients’ understanding of the determinants of their risk and helps motivate them to make necessary lifestyle changes. One hundred patients aged 30-65 who are current smokers will be recruited on to this study. They will be randomised to receive one of two interventions: either usual risk assessment or usual risk assessment plus the Heart Forecast. Changes in understanding and motivation will be assessed via questionnaires immediately pre- and post, and 1-month post, their intervention sessions.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Andrew Kerr
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Address
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Department of Cardiology
Middlemore Hospital
Private Bag 933111
Otahuhu
Auckland
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Country
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New Zealand
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Phone
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+649 2760000
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Fax
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+649 2709746
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Andrew Kerr
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Address
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Department of Cardiology
Middlemore Hospital
Private Bag 933111
Otahuhu
Auckland
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Country
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New Zealand
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Phone
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+649 2760000
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Fax
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+649 2709746
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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