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- Title
Effects of an evidence-based computerized virtual clinician on low-density lipoprotein and non-high-density lipoprotein cholesterol in adults without cardiovascular disease: The Interactive Cholesterol Advisory Tool.
- Authors
Block, Robert C.; Abdolahi, Amir; Niemiec, Christopher P.; Rigby, C. Scott; Williams, Geoffrey C.
- Abstract
There is a lack of research on the use of electronic tools that guide patients toward reducing their cardiovascular disease risk. We conducted a 9-month clinical trial in which participants who were at low (n = 100) and moderate (n = 23) cardiovascular disease risk—based on the National Cholesterol Education Program III’s 10-year risk estimator—were randomized to usual care or to usual care plus use of an Interactive Cholesterol Advisory Tool during the first 8 weeks of the study. In the moderate-risk category, an interaction between treatment condition and Framingham risk estimate on low-density lipoprotein and non-high-density lipoprotein cholesterol was observed, such that participants in the virtual clinician treatment condition had a larger reduction in low-density lipoprotein and non-high-density lipoprotein cholesterol as their Framingham risk estimate increased. Perceptions of the Interactive Cholesterol Advisory Tool were positive. Evidence-based information about cardiovascular disease risk and its management was accessible to participants without major technical challenges.
- Subjects
BLACK people; CARDIOVASCULAR diseases risk factors; CHOLESTEROL; DIET; FISHER exact test; LIPOPROTEINS; MEDICINE information services; RESEARCH funding; T-test (Statistics); WHITE people; WORLD Wide Web; STATINS (Cardiovascular agents); RANDOMIZED controlled trials; PHYSICAL activity; DATA analysis software; HEALTH information services
- Publication
Health Informatics Journal, 2016, Vol 22, Issue 4, p897
- ISSN
1460-4582
- Publication type
Article
- DOI
10.1177/1460458215600040