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Effect of a Decision Aid About Statin Use in Patients With Type 2 Diabetes Mellitus

This study has been completed.

Sponsored by: Mayo Clinic
Information provided by: Mayo Clinic
ClinicalTrials.gov Identifier: NCT00217061
  Purpose

Background- Statins are a safe and effective therapy to reduce cardiovascular risk in patients with type 2 diabetes; however some patients are not prescribed statins, others do not take it even after being prescribed, and others stop therapy prematurely. Lack of knowledge or misinformation about statins may be responsible for inadequate statin use.

Objective- To test the hypothesis that a formal, structured decision aid could correct deficiencies in the current decision-making process, increase statin use, and improve outcomes in patients with type 2 diabetes.

Methods - The investigators will develop a decision aid called STATIN CHOICE and will pilot its efficacy in a blinded randomized controlled trial enrolling 98 type 2 diabetes patients.

Outcomes- Primary outcomes: adherence to the decision to use or not to use statins three months after using STATIN CHOICE. Secondary outcomes: acceptability of STATIN CHOICE, knowledge about options, satisfaction with decisions, decisional conflict, encounter duration, and quality of life.

Expected results- The investigators anticipate that this work will yield an effective and innovative decision aid for statin use in type 2 diabetes patients. STATIN CHOICE, along with a detailed users manual, will be directly applicable in clinical practice. Data and experience from this project will inform the planning and conduct of a randomized multicenter trial of the effectiveness of STATIN CHOICE in diverse practice settings.

Significance- Patient participation in decision-making resulting in informed treatment decisions, as proposed in this study, will likely lead to improved quality of decision-making, more appropriate use of statins, and improved patient outcomes.


Condition Intervention Phase
Diabetes Mellitus
Dyslipidemia
Hypercholesterolemia
Cardiovascular Disease
Device: Decision Aid Statin Choice
Phase III

Genetics Home Reference related topics:   hypercholesterolemia   

MedlinePlus related topics:   Cholesterol    Diabetes   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Educational/Counseling/Training, Randomized, Single Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title:   The Statin Choice Decision Aid and Its Effects on Statin Decisions in Patients With Type 2 Diabetes Mellitus. A Clustered Randomized Trial

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Adherence to the decision to use or not to use statins

Secondary Outcome Measures:
  • Decisional conflict
  • Knowledge and understanding of risk
  • Quality of life (generic and disease specific)
  • Anxiety state
  • Trust in clinician

Estimated Enrollment:   98
Study Start Date:   April 2005
Estimated Study Completion Date:   October 2005

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Adult patients with type 2 diabetes attending a referral diabetes clinic, who are taking or not taking statins, and give consent to participate. Excluded were patients who had sensory or mental impairments or language barriers that preclude them from using the intervention and therefore participate in this trial.

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00217061

Locations
United States, Minnesota
Mayo Clinic    
      Rochester, Minnesota, United States, 55905

Sponsors and Collaborators
Mayo Clinic

Investigators
Principal Investigator:     Victor M. Montori, M.D.     Mayo Clinic    
  More Information

Publications indexed to this study:

Study ID Numbers:   38-05
First Received:   September 16, 2005
Last Updated:   September 16, 2005
ClinicalTrials.gov Identifier:   NCT00217061
Health Authority:   United States: Institutional Review Board

Study placed in the following topic categories:
Hyperlipidemias
Metabolic Diseases
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders
Hypercholesterolemia
Dyslipidemias
Lipid Metabolism Disorders

Additional relevant MeSH terms:
Cardiovascular Diseases

ClinicalTrials.gov processed this record on September 05, 2008




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