Trial Outcomes & Findings for Incorporating CV Risk Assessment in AYA Visits (NCT NCT05384834)
NCT ID: NCT05384834
Last Updated: 2023-10-13
Results Overview
Risk is assessed based on answers surrounding the most critical diet and lifestyle factors that can influence a person's CVD risk. The factors include exercise, intake of fruits, vegetables, grains, nuts, sugary beverages and red/processed meats, and exercise. The Healthy Heart Score algorithm will be used to calculate the relative percent risk score of participants. Participants with a higher percent risk score have a higher risk for CVD based on their current reported habits. Those at low risk will have a risk score \<10%, moderate risk a risk score between 10 and 15%, and high risk a score above 15%.
COMPLETED
NA
60 participants
Baseline, 3 months post-enrollment
2023-10-13
Participant Flow
Participants were enrolled from Children's Healthcare of Atlanta - Hughes Spalding Research Room in Atlanta, Georgia, USA. Participant enrollment began July 01, 2022, and all follow-up assessments were completed by April 03, 2023.
The healthcare providers (HCPs) were instructed to complete a short anonymous survey without demographic information. Demographic information was not required to answer the survey. HCPs were not enrolled. They were not actually part of the clinical trial, per the NIH definition of a clinical trial.
Participant milestones
| Measure |
AYA Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Overall Study
STARTED
|
60
|
|
Overall Study
COMPLETED
|
12
|
|
Overall Study
NOT COMPLETED
|
48
|
Reasons for withdrawal
| Measure |
AYA Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
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|---|---|
|
Overall Study
Lost to Follow-up
|
43
|
|
Overall Study
Withdrawal by Subject
|
5
|
Baseline Characteristics
Incorporating CV Risk Assessment in AYA Visits
Baseline characteristics by cohort
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Age, Categorical
<=18 years
|
44 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
16 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
|
Age, Continuous
|
17 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
60 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
50 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
7 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
60 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three months follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals. HCPs, n=5 from the same two clinical practices in Atlanta, Georgia were recruited by the research coordinator only to understand their perspectives about incorporating the HerHeart tool into clinical practice.
Risk is assessed based on answers surrounding the most critical diet and lifestyle factors that can influence a person's CVD risk. The factors include exercise, intake of fruits, vegetables, grains, nuts, sugary beverages and red/processed meats, and exercise. The Healthy Heart Score algorithm will be used to calculate the relative percent risk score of participants. Participants with a higher percent risk score have a higher risk for CVD based on their current reported habits. Those at low risk will have a risk score \<10%, moderate risk a risk score between 10 and 15%, and high risk a score above 15%.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
#HerHEART Risk Score in AYA From Baseline
Baseline
|
0.10 Percentage Risk
Interval 0.07 to 0.13
|
|
#HerHEART Risk Score in AYA From Baseline
Three (3) months post-enrollment
|
0.08 Percentage Risk
Interval 0.06 to 0.1
|
PRIMARY outcome
Timeframe: Baseline, 3 months months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Diet score = (0.03626 × grams/d of cereal fiber + 0.18283 \[if fruits + vegetables ≥3 servings/d\] + 0.14522 \[if nuts 0.1-1 servings/d + 0.2444 \[if nuts \>1 servings/d\]- 0.14631 × servings/d of sugar-sweetened beverages - 0.15624 × servings/d of red and processed meats)\*10 A higher score implies better diet quality. An increase in diet score correlates with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Overall Composite of Diet Score
Baseline
|
0.27 Diet Score
Interval -0.84 to 1.11
|
|
Overall Composite of Diet Score
Three (3) months post-enrollment
|
0.28 Diet Score
Interval -0.84 to 1.11
|
PRIMARY outcome
Timeframe: Baseline, 3 months post- post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Intake will be measured with number of servings per day. Increase in servings/day correlates with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Fruit and Vegetable Intake
Fruits at Baseline
|
2.00 Number of Servings per day
Interval 1.0 to 3.0
|
|
Fruit and Vegetable Intake
Fruits at 3 months post-enrollment
|
1.5 Number of Servings per day
Interval 1.0 to 3.0
|
|
Fruit and Vegetable Intake
Vegetables at Baseline
|
1.00 Number of Servings per day
Interval 0.88 to 2.0
|
|
Fruit and Vegetable Intake
Vegetables at 3 months post-enrollment
|
2.00 Number of Servings per day
Interval 1.0 to 2.0
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Intake will be measured with number of servings per day. A decrease in consumption is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Red and Processed Meats Intake
Red meats at baseline
|
0.30 number of servings per week
Interval 0.3 to 0.5
|
|
Red and Processed Meats Intake
Red meats at 3 months post-enrollment
|
0.30 number of servings per week
Interval 0.3 to 0.88
|
|
Red and Processed Meats Intake
Processed Meats at Baseline
|
0.50 number of servings per week
Interval 0.3 to 1.0
|
|
Red and Processed Meats Intake
Processed Meats at 3 months post-enrollment
|
0.30 number of servings per week
Interval 0.1 to 0.45
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Intake will be measured with number of servings per week. A decrease in consumption is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Sugar and Sweetened Beverages
Baseline
|
0.30 number of servings per week.
Interval 0.1 to 0.5
|
|
Sugar and Sweetened Beverages
Three months post-enrollment
|
0.30 number of servings per week.
Interval 0.15 to 0.45
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-interventionPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Intake will be measured with number of servings per week. An increase in intake is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Nut Consumption
Baseline
|
0.30 Number of Servings per week
Interval 0.0 to 0.3
|
|
Nut Consumption
3 months post-intervention
|
0.30 Number of Servings per week
Interval 0.15 to 0.45
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Number of participants who consume alcohol will be collected. No alcohol consumption is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Alcohol Consumption
Baseline
|
0 Participants
|
|
Alcohol Consumption
3 months post-enrollment
|
0 Participants
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Self-reported smoker status will be obtained and classified as: Never smoke, used to smoke, current smoker. Investigators will look at changes in smoking status where a decrease in use is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Nicotine Use
Baseline · Never Smoke
|
46 Participants
|
|
Nicotine Use
Baseline · Used to Smoke
|
4 Participants
|
|
Nicotine Use
Baseline · Current Smoker
|
10 Participants
|
|
Nicotine Use
Three months post-enrollment · Never Smoke
|
9 Participants
|
|
Nicotine Use
Three months post-enrollment · Used to Smoke
|
1 Participants
|
|
Nicotine Use
Three months post-enrollment · Current Smoker
|
0 Participants
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Consumption of cereal will be measured in g/day. An increase in cereal fiber is associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Cereal Fiber
Baseline
|
0.30 g/day
Interval 0.3 to 0.5
|
|
Cereal Fiber
Three months post-enrollment
|
0.30 g/day
Interval 0.3 to 0.5
|
PRIMARY outcome
Timeframe: Baseline, 3 months post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three-month follow-up includes only those who completed the study activities at the specific time point. Even though twelve (12) participants completed all activities, data was lost on 2 individuals.
Physical activity will be measured in number of hours per week. Increase in physical activity associated with a better outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Physical Activity
Intense Physical Activity at Baseline
|
0.75 number of hours per week
Interval 0.0 to 1.06
|
|
Physical Activity
Intense Physical Activity at 3 months post-enrollment
|
0.75 number of hours per week
Interval 0.06 to 2.0
|
|
Physical Activity
Moderate Physical Activity at Baseline
|
0.75 number of hours per week
Interval 0.63 to 2.0
|
|
Physical Activity
Moderate Physical Activity at 3 months post-enrollment
|
1.38 number of hours per week
Interval 0.75 to 2.0
|
SECONDARY outcome
Timeframe: Baseline, 3 month post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three months follow-up includes only those who completed the study activities at the specific time point.
AYA participant's BMI will be measured during the clinic appointment when participant is recruited. AYA participants will then be asked to return for a study visit 3 months post intervention where their BMI will be measured again. Change in BMI will be measured with a decrease in BMI being associated with a positive outcome and an increase in BMI being associated with a negative outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
BMI From Baseline
BMI at Baseline
|
24 kg/m^2
Interval 21.0 to 28.0
|
|
BMI From Baseline
BMI at 3 months post-enrollment
|
25 kg/m^2
Interval 23.0 to 25.0
|
SECONDARY outcome
Timeframe: Baseline, 3 month post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three months follow-up includes only those who completed the study activities at the specific time point.
AYA participants' systolic BP (SBP) will be measured during the clinic appointment when the participant is recruited. AYA participants will then be asked to return for a study visit 3 months post-intervention where their BP will be measured again. Change in SBP will be measured with a decrease in SBP being associated with a positive outcome and an increase in SBP being associated with a negative outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Systolic Blood Pressure (BP) From Baseline
SPB at Baseline
|
118 mmHg
Interval 112.0 to 121.0
|
|
Systolic Blood Pressure (BP) From Baseline
SBP at 3 months post-enrollment
|
117 mmHg
Interval 108.0 to 133.0
|
SECONDARY outcome
Timeframe: Baseline, 3 month post-enrollmentPopulation: Includes all participants who completed the baseline questionnaires, and the three months follow-up includes only those who completed the study activities at the specific time point.
AYA participants' diastolic BP (DBP) will be measured during the clinic appointment when the participant is recruited. AYA participants will then be asked to return for a study visit 3 months post-intervention where their BP will be measured again. Change in DBP will be measured with a decrease in diastolic BP being associated with a positive outcome and an increase in BP being associated with a negative outcome.
Outcome measures
| Measure |
AYA Participants
n=60 Participants
AYA participants will complete a brief initial survey consisting of demographic information and the Visual Analog Scale (VAS) and the #HerHeart tool in clinic. AYA participants will the rate the usability of the #HerHeart tool using the Website Analysis and Measurement Inventory (WAMMI), the likelihood they would recommend the app to their friends, and the likelihood of behavior change. AYA participants will then be offered the opportunity to continue into the 3-month intervention phase.
#HerHeart tool: An integrated application consisting of a lifestyle-based CVD risk assessment and companion behavioral intervention. It will be administered at baseline and 3 months follow-up.
|
|---|---|
|
Diastolic Blood Pressure (BP) From Baseline
Baseline DBP
|
67 mmHg
Interval 63.0 to 71.0
|
|
Diastolic Blood Pressure (BP) From Baseline
DBP at 3 months post-enrollment
|
67 mmHg
Interval 62.0 to 72.0
|
Adverse Events
AYA Participants
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place