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%.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Baseline, 3 months post-enrollment

Results posted on

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

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

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.
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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-intervention

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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-enrollment

Population: 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

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 events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Holly Gooding

Emory University

Phone: 404-778-1429

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place