Summary

Eligibility
for people ages 40 years and up (full criteria)
Location
at Sylmar, California and other locations
Dates
study started
completion around
Principal Investigator
by Allison Diamant

Description

Summary

Cardiovascular disease is a major cause of morbidity and mortality among people living with HIV. Recent studies have demonstrated that patients with HIV experience a 50-100% increased risk of myocardial infarction and stroke compared to HIV-uninfected persons. They also face higher risks of stroke, sudden death, and heart failure. However, evidence-based statin therapy-which is safe in this population and highly effective at reducing cardiovascular risk-is under-prescribed. The investigators propose a multi-level intervention to increase evidence-based statin prescribing by addressing barriers at these levels. The implementation intervention includes two strategies: (1) tailored education at the leadership, provider, and patient levels, and (2) behavioral economics-informed feedback for providers.

Official Title

Behavioral Economics and Implementation Research to Reduce Cardiovascular Risk in HIV-Infected Adults

Keywords

HIV, Cardiovascular Diseases, Knowledge assessment, Education Intervention, Provider Feedback

Eligibility

You can join if…

Open to people ages 40 years and up

  • age ≥ 40 years
  • have been diagnosed with HIV
  • LDL ≥ 190, diabetes and LDL ≥ 70
  • or 10-year ASCVD risk ≥ 7.5%
  • or history of heart attack, stroke, or peripheral vascular disease
  • care for patients with HIV at least 1/2 day each week (physicians)
  • work at participating clinics (physicians)

You CAN'T join if...

  • unable to provide written, informed consent
  • not at participating clinic

Locations

  • Olive View-UCLA Medical Center
    Sylmar California 91342 United States
  • Venice Family Clinic
    Santa Monica California 90405 United States
  • Tarzana Treatment Centers, Inc.
    Tarzana California 91356 United States
  • To Help Everyone Health and Wellness Centers
    Los Angeles California 90062 United States
  • Watts Health Center
    Los Angeles California 90002 United States
  • Oasis Clinic
    Los Angeles California 90059 United States
  • JWCH Institute
    Commerce California 90040 United States

Lead Scientist at UCLA

  • Allison Diamant
    Adjunct Professor, Medicine. Authored (or co-authored) 73 research publications

Details

Status
in progress, not accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, Los Angeles
ID
NCT03687060
Study Type
Interventional
Participants
About 75 people participating
Last Updated