Adoption of cardiovascular risk reduction guidelines: a cluster-randomized trial.

ABSTRACT:

Background and objectives

Cardiovascular disease (CVD) and underlying atherosclerosis begin in childhood and are related to CVD risk factors. This study evaluates tools and strategies to enhance adoption of new CVD risk reduction guidelines for children.

Methods

Thirty-two practices, recruited and supported by 2 primary care research networks, were cluster randomized to a multifaceted controlled intervention. Practices were compared with guideline-based individual and composite measures for BMI, blood pressure (BP), and tobacco. Composite measures were constructed by summing the numerators and denominators of individual measures. Preintervention and postintervention measures were assessed by medical record review of children ages 3 to 11 years. Changes in measures (pre-post

SUBMITTER: LaBresh KA 

PROVIDER: S-EPMC4144001 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature