Cardiovascular Health Awareness Program (CHAP) in Subsidized Social Housing
NCT ID: NCT03549845
Last Updated: 2023-03-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
2742 participants
INTERVENTIONAL
2018-09-17
2022-12-31
Brief Summary
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Detailed Description
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This project will build on the success of CHAP in other provinces. The program has been shown to reduce blood pressure and CVD-related hospitalization costs. CHAP is a patient-centred, interdisciplinary, multi-pronged, community-led CVD and stroke prevention and management program designed to prevent and reduce the impact of cardiovascular disease in older adults. The program addresses common cardiovascular disease risk factors, such as smoking, physical activity and poor diet by raising awareness of health and community resources available to encourage self-care and appropriate management of cardiovascular disease.
Taking the form of a randomized controlled trial, the sample will be subsidized housing buildings (low income) for those aged 55 years and over. During CHAP monthly assessment sessions, participants will 1) complete a consent form, 2) complete a cardiovascular risk profile form, 3) undergo blood pressure measurement using an automated blood pressure measuring device, 4) receive targeted healthy lifestyle and preventive care materials, 5) be invited to participate in group health education sessions. Those patients identified at high risk will be assessed by a health professional and referred to a family physician for timely and appropriate follow-up.. The impact this program will have on health care utilization (emergency visits, cardiovascular hospitalization rates) will be measured using administrative databases.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
Randomization will occur at the building level (clusters) and the intervention is open to all building residents.
PREVENTION
NONE
Study Groups
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CHAP Intervention
The Cardiovascular Health Awareness Program (CHAP) intervention is an on-site drop-in, monthly, cardiovascular risk assessment program run by trained volunteers with community-led group health sessions that deliver education and information about access to community health resources. The education sessions will be delivered by national and provincial and local community organizations utilizing already developed material as much as possible, but maintaining consistency across both provinces. Health education sessions will include topics such as: Physical Activity, Healthy Eating, Stress, Tobacco Use, High Blood Pressure, Role of Pharmacist: How they can assist people, and Appropriate use of 9-1-1. This intervention will be held in a common room in selected subsidized housing buildings.
Cardiovascular Health Awareness Program
Cardiovascular disease prevention and health promotion
Control
The control buildings will receive usual care which will be wellness programs already present in the building prior to the RCT if these are present. Not all control buildings will have wellness programs.
No interventions assigned to this group
Interventions
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Cardiovascular Health Awareness Program
Cardiovascular disease prevention and health promotion
Eligibility Criteria
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Inclusion Criteria
* Majority of residents are 55 years of age or older.
* Unique postal code
* Availability of at least one building with similar characteristics for matching/randomization
* Resides in a study building
* Aged 55 years or older
* Speaks and reads English or French
Note: Younger residents will be allowed to take part in the program but their data will not be included in the analysis.
Exclusion Criteria
55 Years
ALL
Yes
Sponsors
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Université de Montréal
OTHER
McMaster University
OTHER
Responsible Party
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Principal Investigators
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Gina Agarwal
Role: PRINCIPAL_INVESTIGATOR
McMaster University
Janusz Kaczorowski
Role: PRINCIPAL_INVESTIGATOR
CHUM (Université de Montréal)
Locations
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Centre de recherche du CHUM
Montreal, Quebec, Canada
Countries
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References
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Agarwal G, Girard M, Angeles R, Pirrie M, Lussier MT, Marzanek F, Dolovich L, Paterson JM, Thabane L, Kaczorowski J. 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. Trials. 2019 Dec 23;20(1):760. doi: 10.1186/s13063-019-3806-5.
Other Identifiers
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CHAP052018
Identifier Type: -
Identifier Source: org_study_id
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