Ignite Creation Date:
2024-05-06 @ 9:29 AM
Last Modification Date:
2024-10-26 @ 12:15 PM
Study NCT ID:
NCT02991534
Status:
COMPLETED
Last Update Posted:
2020-10-08
First Post:
2016-12-09
Brief Title:
Cardiovascular Risk Screening and Risk Reduction in Women Vets
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans QUE 15-272
Status:
COMPLETED
Status Verified Date:
2020-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Background Women Veterans are the fastest growing segment of Veterans Health Administration VHA users This dramatic growth has created challenges for VHA Gender disparities persist in cardiovascular CV and diabetes risk factor control and rates of depression anxiety and mental health comorbidity are disproportionately high among women Veterans Furthermore a high rate of women Veterans attrition from VA care along with organizational barriers to care substantiate that organizational changes are needed in order to engage and retain women Veteran VHA users in evidence-based patient-centered care
Objectives The Enhancing Mental and Physical health of Women through Engagement and Retention EMPOWER QUERI addresses VHA Blueprint for Excellence Strategy 6 by advancing personalized proactive patient-centered care models and Transformational Strategy 72g by implementation of innovative care models in women Veterans health care The EMPOWER QUERI Program is designed to improve women Veterans engagement and retention in evidence-based care for three high priority health conditions ie prediabetes cardiovascular and mental health To achieve this impact goal we propose a cohesive portfolio of projects with the following aims 1 To use an evidence-based implementation strategy that emphasizes local tailoring of care models multilevel stakeholder engagement and systematic evaluation of complex implementation processes in order to enrich organizational capacity for innovations in women Veterans VHA health care 2 To implement personalized proactive patient-centered innovations in VHA womens health that are acceptable feasible satisfactory relevant and effective for both providers and patients thereby encouraging women Veterans engagement and retention and sustainability of the innovations and 3 To generate implementation playbooks for our partners that are scalable and serve as guidance for future implementation of a broader array of evidence-based womens health programs and policy
Methods Three projects will be conducted by an experienced multidisciplinary team Tailoring VAs Diabetes Prevention Program to Women Veterans Needs is a one-year QI project to be conducted in VA Greater Los Angeles womens health clinics Women Veterans with prediabetes will select an in-person peer-led or online gender-specific evidence-based diabetes prevention program to address their risk behaviors and health conditions Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans will increase identification of CV risk among women Veterans enhance patientprovider communication and shared decision-making about CV risk and provide a supportive coordinated health coaching intervention to facilitate women Veterans engagement and retention in appropriate health services Implementation of Tailored Collaborative Care for Women Veterans will evaluate implementation of an evidence-based collaborative care model tailored to enhance provider- and system-level capabilities to address women Veterans anxiety and depression treatment needs thereby improving organizational primary care-mental health integration PC-MHI effectiveness and women Veterans engagement and retention in PC-MHI Both implementation research studies will use a modified stepped wedge design and will apply the evidence-based Replicating Effective Programs REP implementation strategy Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption acceptability feasibility and reach Multilevel stakeholder engagement will be prioritized Program-wide organizational- provider- and patient-level measures and tools will be utilized to enhance synergy productivity and impact As a coherent program of womens health implementation research and quality improvement the proposed EMPOWER QUERI will constitute a major milestone in achieving BPE strategies and realizing women Veterans engagement and ultimately empowerment in our VHA system
Objectives The Enhancing Mental and Physical health of Women through Engagement and Retention EMPOWER QUERI addresses VHA Blueprint for Excellence Strategy 6 by advancing personalized proactive patient-centered care models and Transformational Strategy 72g by implementation of innovative care models in women Veterans health care The EMPOWER QUERI Program is designed to improve women Veterans engagement and retention in evidence-based care for three high priority health conditions ie prediabetes cardiovascular and mental health To achieve this impact goal we propose a cohesive portfolio of projects with the following aims 1 To use an evidence-based implementation strategy that emphasizes local tailoring of care models multilevel stakeholder engagement and systematic evaluation of complex implementation processes in order to enrich organizational capacity for innovations in women Veterans VHA health care 2 To implement personalized proactive patient-centered innovations in VHA womens health that are acceptable feasible satisfactory relevant and effective for both providers and patients thereby encouraging women Veterans engagement and retention and sustainability of the innovations and 3 To generate implementation playbooks for our partners that are scalable and serve as guidance for future implementation of a broader array of evidence-based womens health programs and policy
Methods Three projects will be conducted by an experienced multidisciplinary team Tailoring VAs Diabetes Prevention Program to Women Veterans Needs is a one-year QI project to be conducted in VA Greater Los Angeles womens health clinics Women Veterans with prediabetes will select an in-person peer-led or online gender-specific evidence-based diabetes prevention program to address their risk behaviors and health conditions Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans will increase identification of CV risk among women Veterans enhance patientprovider communication and shared decision-making about CV risk and provide a supportive coordinated health coaching intervention to facilitate women Veterans engagement and retention in appropriate health services Implementation of Tailored Collaborative Care for Women Veterans will evaluate implementation of an evidence-based collaborative care model tailored to enhance provider- and system-level capabilities to address women Veterans anxiety and depression treatment needs thereby improving organizational primary care-mental health integration PC-MHI effectiveness and women Veterans engagement and retention in PC-MHI Both implementation research studies will use a modified stepped wedge design and will apply the evidence-based Replicating Effective Programs REP implementation strategy Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption acceptability feasibility and reach Multilevel stakeholder engagement will be prioritized Program-wide organizational- provider- and patient-level measures and tools will be utilized to enhance synergy productivity and impact As a coherent program of womens health implementation research and quality improvement the proposed EMPOWER QUERI will constitute a major milestone in achieving BPE strategies and realizing women Veterans engagement and ultimately empowerment in our VHA system
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None