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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02178930
Registration number
NCT02178930
Ethics application status
Date submitted
29/06/2014
Date registered
1/07/2014
Date last updated
30/08/2017
Titles & IDs
Public title
HealthMap: an Interactive Health Plan Randomised Trial to Prevent Cardiovascular Disease in People With HIV
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Scientific title
HealthMap: a Cluster Randomised Trial of Interactive Health Plans and Self-management Support to Prevent Cardiovascular Disease in People With HIV
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Secondary ID [1]
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U1111-1150-6489
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Universal Trial Number (UTN)
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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:
HIV
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Cardiovascular Disease
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Integrated self management support
Other: Integrated self management support - The intervention involves the introduction of an interactive chronic disease support platform into doctor-patient consultations, in addition to a self-management support program. Specifically, the intervention comprises the following interlinked components: within consultation engagement; at home exploration; phone and web-based health coaching.
No intervention: Usual care - The control group will receive usual care from study sites until all study participants have completed 12 months of follow up from their Baseline Visits. At this point access to the study intervention will be expanded to include control sites.
Other interventions: Integrated self management support
The intervention comprises a consultation engagement, at home exploration, phone and web-based health coaching.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary study endpoint is 10-year risk of non-fatal acute myocardial infarction or coronary heart disease death as estimated by the Framingham risk equation
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Assessment method [1]
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Coronary heart disease Framingham risk equation is obtained from: Wilson P, D'Agostino R, Levy D, Belanger A, Silbershatz H, et al. (1998) Prediction of Coronary Heart Disease Using Risk Factor Categories. Circulation 97: 1837 - 1847.
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Cardiovascular risk relative to age as measured by the Joint European Taskforce relative risk tables
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Assessment method [1]
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Timepoint [1]
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12 months
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Secondary outcome [2]
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Cardiovascular risk as estimated by an HIV-specific risk score
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Assessment method [2]
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(Worm Signe W, Sabin C, Weber R, Reiss P, El Sadr W, et al. (2010) Risk of Myocardial Infarction in Patients with HIV Infection Exposed to Specific Individual Antiretroviral Drugs from the 3 Major Drug Classes: The Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) Study. The Journal of Infectious Diseases 201: 318-330.)
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Timepoint [2]
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12 months
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Secondary outcome [3]
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Smoking status as measured by self-report and verified by urinary cotinine in those describing quitting during the study
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Assessment method [3]
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0
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Timepoint [3]
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12 months
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Secondary outcome [4]
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Fasting total cholesterol and total cholesterol:HDL ratio
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Assessment method [4]
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(measured by serum assay)
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Systolic blood pressure
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Assessment method [5]
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(using a sphygmomanometer)
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Timepoint [5]
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12 months
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Secondary outcome [6]
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Body mass index and waist circumference
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Assessment method [6]
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Body mass index (calculated by weight in kilograms divided by height in metres squared; these are measured using a scale and stadiometer) and waist circumference (measured using a flexible steel measuring tape)
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Timepoint [6]
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12 months
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Secondary outcome [7]
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Proportion of patients achieving Australian cardiovascular risk factor management targets
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Assessment method [7]
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(http://strokefoundation.com.au/healthprofessionals/ clinical-guidelines/guidelines-for-the-assessment-andmanagement- of-absolute-cvd-risk/)
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Timepoint [7]
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12 months
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Secondary outcome [8]
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Quality of life as measured by the AQoL-4D instrument
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Assessment method [8]
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0
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Timepoint [8]
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12 months
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Secondary outcome [9]
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Mental health status as measured by the DASS instrument
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Assessment method [9]
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0
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Timepoint [9]
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12 months
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Secondary outcome [10]
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Self-management capacity as measured by the heiQ instrument
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Assessment method [10]
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Timepoint [10]
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12 months
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Secondary outcome [11]
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Proportion of patients with HIV virological suppression
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Assessment method [11]
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(Below the lower limit of detection of the assay used )
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Timepoint [11]
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12 months
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Secondary outcome [12]
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Proportion of patients achieving HIV quality of care measures
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Assessment method [12]
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Timepoint [12]
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12 months
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Secondary outcome [13]
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Evaluation of the intervention program (intervention arm only)
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Assessment method [13]
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using a questionnaire designed specifically for this study and using structured interviews.
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Timepoint [13]
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12 months
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Secondary outcome [14]
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Health care provider related: Evaluation of the intervention program intervention arm only)
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Assessment method [14]
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Evaluation of the intervention program (intervention arm only) using a questionnaire designed specifically for this study and using structured interviews.
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Timepoint [14]
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12 months
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Eligibility
Key inclusion criteria
* •HIV infected adults aged 30 years or over.
* Receiving ongoing primary HIV and general care at a study site and likely to remain in follow up at that site for 12 months.
* Willing and able to provide written informed consent.
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Minimum age
30
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* •Diagnosed cardiovascular disease, consisting of coronary heart disease, stroke or transient ischaemia attack, or peripheral arterial disease.
* Previous participation in a self-management or coaching program.
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Study design
Purpose of the study
Prevention
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2014
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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
30/04/2017
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Sample size
Target
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Accrual to date
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Final
731
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Fountain Street General Practice - Alexandra
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Recruitment hospital [2]
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Coffs Central Medical Centre - Coffs Harbour
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Recruitment hospital [3]
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CPC Medical Practice - Port Macquarie
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Recruitment hospital [4]
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East Sydney Doctors - Sydney
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Recruitment hospital [5]
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Holdsworth House Medical Practice - Sydney
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Recruitment hospital [6]
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Riverside Family Medical Practice - Adelaide
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Recruitment hospital [7]
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Alfred Hospital - Melbourne
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Recruitment hospital [8]
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Melbourne Sexual Health Centre - Melbourne
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Recruitment hospital [9]
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Northside Clinic - Melbourne
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Recruitment hospital [10]
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Richmond Hill Medical Centre - Melbourne
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Recruitment hospital [11]
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Recreation Medical Centre - Melbourne
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Recruitment hospital [12]
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Monash Medical Centre - Melbourne
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Recruitment hospital [13]
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Prahran Market Clinic - Melbourne
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Recruitment hospital [14]
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Centre Clinic - Melbourne
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Recruitment postcode(s) [1]
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2015 - Alexandra
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Recruitment postcode(s) [2]
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2450 - Coffs Harbour
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Recruitment postcode(s) [3]
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2444 - Port Macquarie
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Recruitment postcode(s) [4]
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2010 - Sydney
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Recruitment postcode(s) [5]
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5042 - Adelaide
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Recruitment postcode(s) [6]
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3004 - Melbourne
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Recruitment postcode(s) [7]
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3053 - Melbourne
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Recruitment postcode(s) [8]
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3068 - Melbourne
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Recruitment postcode(s) [9]
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3121 - Melbourne
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Recruitment postcode(s) [10]
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3143 - Melbourne
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Recruitment postcode(s) [11]
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3168 - Melbourne
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Recruitment postcode(s) [12]
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3181 - Melbourne
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Recruitment postcode(s) [13]
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3182 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Karen Klassen
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The Alfred
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Monash University
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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National Association of People with HIV Australia
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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National Health and Medical Research Council, Australia
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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Victorian AIDS Council
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Address [6]
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Country [6]
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Other collaborator category [7]
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Other
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Name [7]
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Department of Health & Human Services, State Government of Victoria, Australia
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Address [7]
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Country [7]
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Other collaborator category [8]
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Other
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Name [8]
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Flinders University
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Address [8]
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Country [8]
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Other collaborator category [9]
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Other
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Name [9]
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Living Positive Victoria
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Address [9]
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Country [9]
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Other collaborator category [10]
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Other
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Name [10]
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NSW Ministry of Health
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Address [10]
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Other collaborator category [11]
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Other
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Name [11]
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University of Melbourne
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Address [11]
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Other collaborator category [12]
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Other
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Name [12]
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Deakin University
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Address [12]
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Country [12]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to improve the health status of people living with HIV in Australia. The overall goal is to rigorously evaluate the impact of interactive health plans and self-management support on chronic condition outcomes in people with HIV. The specific aims are to: Aim 1: Using a doctor-level cluster randomised trial, evaluate the effect of interactive health plans and self-management support on coronary heart disease risk and other chronic condition outcomes in people living with HIV. Aim 2: Evaluate patient and health care provider experiences and acceptability of interactive health plans and self-management support. Aim 3: Evaluate intervention cost-effectiveness and effect on health service utilisation.
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Trial website
https://clinicaltrials.gov/study/NCT02178930
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Trial related presentations / publications
Dodson S, Klassen KM, McDonald K, Millard T, Osborne RH, Battersby MW, Fairley CK, Simpson JA, Lorgelly P, Tonkin A, Roney J, Slavin S, Sterjovski J, Brereton M, Lewin SR, Crooks L, Watson J, Kidd MR, Williams I, Elliott JH. HealthMap: a cluster randomised trial of interactive health plans and self-management support to prevent coronary heart disease in people with HIV. BMC Infect Dis. 2016 Mar 5;16:114. doi: 10.1186/s12879-016-1422-5.
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Public notes
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Contacts
Principal investigator
Name
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Julian Elliott
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Address
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Monash University
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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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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02178930
Download to PDF