Randomised controlled trial
Self-Management Support Using Advertising Principles for Older Adults With Low Income at High Cardiovascular Risk: A Randomized Controlled Trial
- Randomised controlled trial
- factorial
Authors' conclusion
For older adults with low income, a tailored SMES program using advertising principles reduced the rate of clinical outcomes compared with usual care.
Study context
- Population
- Older adults with low income at high CV risk in Alberta, Canada
- Participants
- 4,761 adults
- Comparison
- Tailored self-management education and support (SMES) program using advertising principles vs control
- Primary endpoint
- Composite of:
- Death
- MI
- Stroke
- Coronary revascularization
- Hospitalizations for CV-related ambulatory care-sensitive conditions
- Follow-up
- Median 36 months
Primary result
As reported in the abstract
Incidence rate ratio
0.78
95% CI 0.61–1.00
P = 0.047
SMES vs Control
IRR 0.78 (95% CI 0.61–1.00); P = 0.047
Secondary outcomes
| Outcome | difference ($) (95% CI) | P value | |
|---|---|---|---|
| Overall adjusted health care costs · did not differ | 2015 (-$1953 to $5985) | P = 0.320 | |
| −50000500010000Difference, $ (linear scale) |
Quality of life (EQ-5D index score)
- No significant between-group changes in quality of life over time
- mean difference 0.0001; P=0.99 (95% CI −0.018 to 0.018)
Medication adherence
- Proportion adherent to statins not different between the 2 groups
- P = 0.199
- Proportion adherent to ACEi/ARB not different between the 2 groups
- P = 0.754
Original publication
Self-Management Support Using Advertising Principles for Older Adults With Low Income at High Cardiovascular Risk: A Randomized Controlled Trial. Circulation. Published 5 March 2023. doi:10.1161/circulationaha.123.064189
Summarised from the published abstract; every number is checked against it