A systematic collection of retrospective and prospective data based on non-intervention patient observation, aimed to assess the risks, course and outcomes of a disease or a group of diseases: * the retrospective part: database of patients with cardiovascular risks; * the prospective part: observation of patients in the real medical practice
The research program will have two parts: Stage1: identification of patients with moderate, high and very high cardiovascular risks, not having diseases of atherosclerotic genesis and requiring lipid-lowering drugs. Stage 2: a prospective observation of patients receiving primary medical prophylaxis of CVD with atorvastatin
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
2,912
Patients are handed out information leaflets on the correction of risk factors, SMS reminders, extended statins counseling.
Deputy Chief Medical Officer for Prevention at the Center for Medical Prevention
Astrakhan, Russia
Nizhny Novgorod Regional Center for Medical Prevention
Nizhny Novgorod, Russia
Regional Center for Medical Prevention
Novosibirsk, Russia
Samara Regional Center for Medical Prevention
Samara, Russia
Change in the percentage of patients who achieved target LDL cholesterol level depending on the level of cardiovascular risk from baseline and 12 months
The primary objective of this study is to assess the influence of routing and extended statin counseling of patients with cardiovascular risk factors on the change in the percentage of patients who achieved target LDL cholesterol level from baseline through 12 months
Time frame: 12 months
Assess the effect of routing and extended statin counseling on changes in treatment adherence
The method used to measure adherence included the Morisky Medication Adherence Scale (MMAS - 4). Morisky Medication Adherence Scale is 4- item self-reported scale measuring medication taking behavior. Scores are transformed to a range of 0-4, in which higher scores reflect better adherence
Time frame: Baseline and Month 12
Change from baseline in lipid levels (mmol/l)
To evaluate the impact of extended statin counseling on change of CVD risk factors (lipid levels) in patients with moderate, high and very high risk. Measurement of lipid levels at baseline and after 3,6,12 months
Time frame: Baseline, Month 3, Month 6 and Month 12
Change from baseline in blood pressure (mm Hg)
To evaluate the impact of standard and extended counseling on change of CVD risk factors (blood pressure). Measurement of blood pressure (mm Hg) at baseline and after 3,6,12 months
Time frame: Baseline, Month 3, Month 6 and Month 12
Impact of standard and extended counseling on statin therapy adherence
The method used to measure adherence was KAP test. KAP test is the specially designed questionnaire for this study includes 14 questions, in patients with hyperlipidemia. KAP test summary score is an assessment of patients' knowledge about high cholesterol, their attitude to this problem and the application of this knowledge. Higher scores reflect better indicators of knowledge, attitudes and practices
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Republican Center for Medical Prevention of the Republic of Bashkortostan
Ufa, Russia
Time frame: Baseline and Month 12