Cardiovascular Health Awareness Program (CHAP) in Subsidized Social Housing

NCT03549845 | Completed

• 1 other identifier: CHAP052018
• Study Type: interventional
• Target: 2,742
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to improve the cardiovascular health of seniors living in subsidized housing by implementing the successful community-based Cardiovascular Health Awareness Program (CHAP). CHAP is a patient-centred, interdisciplinary, multi-pronged, community-led CVD and stroke prevention and management program designed to prevent and reduce the impact of cardiovascular disease in older adults. The program addresses common cardiovascular disease risk factors, such as smoking, physical activity and poor diet by raising awareness of health and community resources available to encourage self-care and appropriate management of cardiovascular disease. A randomized controlled trial will be used to evaluate the impact of CHAP on healthcare utilization by older adults living in subsidized housing.

Conditions

Cardiovascular Diseases; Cardiovascular Risk Factor; Diabetes Mellitus

Keywords

Healthcare Utilization; Emergency Department; Hospitalization; Low Income; Social Housing; Older Adults; Quality of Life

Outcome Measures

Primary Outcomes (1)

• Healthcare Utilization Composite - Change in CVD-related emergency department visits and hospitalizations

  Change in rate of CVD-related emergency department visits and hospitalizations by postal code from administrative databases (Building-level analysis)

  Monthly from 1 year pre-intervention to 1 year post-intervention

Secondary Outcomes (6)

• Healthcare Utilization - Change in all-cause emergency department visits

  Monthly from 1 year pre-intervention to 1 year post-intervention

• Healthcare Utilization - Change in all-cause hospitalizations

  Monthly from 1 year pre-intervention to 1 year post-intervention

• Change in quality of life

  Baseline and 1 year

• Quality-Adjusted Life Years (QALYs)

  1 year (post-intervention)

• Cost-effectiveness

  1 year (post-intervention)

Other Outcomes (4)

• Cardiovascular Risk - Change in blood pressure

  Baseline and 1 year

• Cardiovascular Risk - Change in body mass index

  Baseline and 1 year

• Cardiovascular Risk - Change in waist circumference

  Baseline and 1 year

Study Arms (2)

CHAP Intervention

EXPERIMENTAL

The Cardiovascular Health Awareness Program (CHAP) intervention is an on-site drop-in, monthly, cardiovascular risk assessment program run by trained volunteers with community-led group health sessions that deliver education and information about access to community health resources. The education sessions will be delivered by national and provincial and local community organizations utilizing already developed material as much as possible, but maintaining consistency across both provinces. Health education sessions will include topics such as: Physical Activity, Healthy Eating, Stress, Tobacco Use, High Blood Pressure, Role of Pharmacist: How they can assist people, and Appropriate use of 9-1-1. This intervention will be held in a common room in selected subsidized housing buildings.

Behavioral: Cardiovascular Health Awareness Program

Control

NO INTERVENTION

The control buildings will receive usual care which will be wellness programs already present in the building prior to the RCT if these are present. Not all control buildings will have wellness programs.

Interventions

Cardiovascular Health Awareness Program BEHAVIORAL

Cardiovascular disease prevention and health promotion

CHAP Intervention

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Approximately 50-200 apartment units
• Majority of residents are 55 years of age or older.
• Unique postal code
• Availability of at least one building with similar characteristics for matching/randomization
• Resides in a study building
• Aged 55 years or older
• Speaks and reads English or French
• Note: Younger residents will be allowed to take part in the program but their data will not be included in the analysis.

You may not qualify if:

• None

Sponsors & Collaborators

• McMaster University: lead
• Université de Montréal: collaborator

Study Sites (1)

Centre de recherche du CHUM

Montreal, Quebec, H2X 0A9, Canada

Location

Related Publications (1)

• Agarwal G, Girard M, Angeles R, Pirrie M, Lussier MT, Marzanek F, Dolovich L, Paterson JM, Thabane L, Kaczorowski J. Design and rationale for a pragmatic cluster randomized trial of the Cardiovascular Health Awareness Program (CHAP) for social housing residents in Ontario and Quebec, Canada. Trials. 2019 Dec 23;20(1):760. doi: 10.1186/s13063-019-3806-5.

  PMID: 31870415 DERIVED

MeSH Terms

Conditions

Cardiovascular Diseases; Diabetes Mellitus; Emergencies

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Gina Agarwal

  McMaster University

  PRINCIPAL INVESTIGATOR

• Janusz Kaczorowski

  CHUM (Université de Montréal)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Pragmatic cluster randomized controlled trial with parallel intervention and control groups. Randomization will occur at the building level (clusters) and the intervention is open to all building residents.

Study Record Dates

• First Submitted: May 15, 2018
• First Posted: June 8, 2018
• Study Start: September 17, 2018
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2022
• Last Updated: March 15, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)