Actively Recruiting

Phase Not Applicable
Age: 40Years - 70Years
All Genders
ID06302127

County Medical Community-based, Cardiovascular Risk Stratified Integrated Care Model: a Pragmatic Cluster Randomised Control Trial

Led by Peking University · Updated on 2025-07-16

2560

Participants Needed

3

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the RISIMA model, an integrated care approach for patients aged 40 to 70 with hypertension and/or type 2 diabetes. This model focuses on cardiovascular disease (CVD) risk assessment, treatment, and management through a community-based healthcare consortium. The trial aims to assess how well this risk-stratified integrated care model works compared to standard care in improving patient outcomes related to cardiovascular risk. The study compares two groups: one receiving usual public health services including quarterly follow-ups and annual physical exams, and the other receiving the RISIMA model. This integrated model includes team-based care by family health teams, a risk-stratified care pathway based on CVD risk scores, enhanced health education sessions, financial incentives for care integration, and a supporting health information system. The intervention is delivered as a package with tailored management plans according to patients' cardiovascular risk levels. Participants will be involved for at least 12 months, during which researchers will monitor outcomes such as the 10-year CVD risk score, blood pressure control, cholesterol, fasting blood sugar, and cardiovascular event rates. The study also evaluates cost-effectiveness. Participants will attend regular follow-ups, education sessions, and risk assessments, with data collected via a health information system that supports care coordination and performance evaluation.

CONDITIONS

Brief Title

County Medical Community-based, Cardiovascular Risk Stratified Integrated Care Model: a Pragmatic Cluster Randomised Control Trial

Who Can Participate

Age: 40Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged between 40 and 70 years old
  • Patients with hypertension or diabetes
  • Permanent residents of the county where the research is conducted
  • Already signed up with the family doctor team in the township where the research is located
Not Eligible

You will not qualify if you...

  • Unable to independently carry out the interventions required for the study
  • Residing far from the village or township health center where the research is located, making it difficult to cooperate with visits
  • Patients who refuse to participate
  • Patients with comorbidities such as cancer that may interfere with the study visits or intervention effects
  • Pregnant or lactating women

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Risk-stratified Integrated Care

Duration - 12 months

Participants receive care based on their cardiovascular risk level, including team-based care, risk-stratified management, and strengthened health education.

Quarterly visits for follow-up and monthly health education sessions with individual counseling at month 4 and self-management evaluation at month 8

Trial Site Locations

Total: 3 locations

1

Shaxian County General Hospital

Sanming, Fujian, China

Actively Recruiting

2

Luzhai County People's hospital

Liuzhou, Guangxi, China

Actively Recruiting

3

Luzhai County Traditional Medicine hospital

Liuzhou, China

Actively Recruiting

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Research Team

J

Jin Prof. Xu, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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