Embedded Community-based Heart-Age Risk Education Trial in Cinese Primary Healthcare
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Cognitive Intervention.
- Кому может быть актуально
- Состояния в реестре: Hypertension. Базовые параметры: от 60 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
Effectiveness of an Embedded Community-based Heart-Age Risk Education Model (E-CHARM) in Improving Cardiovascular Risk Awareness and Health Behaviors Among Older Adults With Hypertension: a Randomized Controlled Trial
Обзор
This study evaluates the effectiveness of a brief Heart Age-based risk education intervention embedded in routine primary care for older adults with hypertension in China. The intervention uses routine health check data to generate a personalized one-page Heart Age report, delivered by physicians during regular follow-up visits. The trial tests whether this approach improves risk awareness and self-management behavior without disrupting clinical workflow.
Подробное описание
This is a randomized controlled trial conducted a community health center in Kunshan, Jiangsu, China. Approximately 600 older adults (≥60 years) with hypertension will be recruited following completion of their national annual health check. Participants will be randomized 1:1 to receive either standard care or a Heart Age report with a brief scripted explanation delivered during their next follow-up consultation. The primary outcome is change in cardiovascular risk awareness at 3 months. Secondary outcomes include behavior change(measured by questionnaires); implementation outcomes (feasibility, acceptability, fidelity) will be measured in the intervention group. Clinical indicators (e.g., blood pressure, glucose) will be extracted from health records at 12 months as exploratory outcomes.
Вмешательства
- Поведенческое Cognitive Intervention
Participants in the intervention arm will receive a personalized one-page Heart Age report based on data from their government-funded annual health check. The report is delivered by trained physicians using a standardized communication script during a routine follow-up visit. The control group receives usual chronic disease care without structured risk communication.
Первичные конечные точки
- Change in cardiovascular disease (CVD) risk awareness [Срок оценки: 3 months]
Вторичные конечные точки (7)
- Change in physical activity level [Срок оценки: 3 months]
- Change in dietary behavior: fruit intake [Срок оценки: 3 months]
- Change in dietary behavior: table salt use [Срок оценки: 3 months]
- Change in medication adherence [Срок оценки: 3 months]
- Implementation outcomes 1: Feasibility (intervention group only) [Срок оценки: 3 months]
- Implementation outcomes 2: Acceptability (intervention group only) [Срок оценки: 3 months]
- Implementation outcomes 3: Fidelity (intervention group only) [Срок оценки: 3 months]
Критерии участия
Критерии включения
- Adults aged ≥60 years
- Diagnosed with hypertension
- Completed their government-funded annual health check within the past 3 months
- Scheduled for a routine follow-up consultation within the enrollment window -Able to provide informed consent-
Критерии исключения
- Diagnosed dementia or severe cognitive impairment
- Terminal illness
- Participation in another clinical intervention trial
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
Китай · 1 центр
- Tinglin Community Health Center — Сучжоу
Публикации
- Wang G, Huang Y, Li B, Zuo Y, Song W, Li Y, Sun Y, Xue N, Wang Z, Wang T, Hu Z. Effectiveness and implementation of an embedded community-based heart-age risk education model (E-CHARM) in improving cardiovascular risk awareness and health behaviors among older adults with hypertension: Protocol for a randomized controlled trial. Contemp Clin Trials. 2026 Apr;163:108258. doi: 10.1016/j.cct.2026.108 PMID 41713746
Идентификаторы
NCT: NCT07045363 · 2025HC064