title: Telemedicine cardiovascular risk reduction in veterans.
abstract: BACKGROUND
  Patients with co-occurrence of hypertension, hyperlipidemia, and diabetes have an increased risk of cardiovascular disease (CVD) events. Comprehensive programs addressing both tailored patient self-management and pharmacotherapy are needed to address barriers to optimal cardiovascular risk reduction. We are examining a Clinical pharmacy specialist-, telephone-administered intervention, relying on home monitoring, with a goal of providing tailored medication and behavioral intervention to Veterans with CVD risk.
  
  
  METHODS
  Randomized controlled trial including patients with hypertension (blood pressure >150/100 mm Hg) or elevated low density liporotein (>130 mg/dL). Longitudinal changes in CVD risk profile and improvement in health behaviors over time will be examined.
  
  
  CONCLUSIONS
  Given the national prevalence of CVD and the dismal rates of risk factor control, intensive but easily disseminated interventions are required to treat this epidemic. This study will be an important step in testing the effectiveness of a behavioral and medication intervention to improve CVD control among Veterans.
authors.affiliation: Center of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC 27701, USA. stephanie.melnyk@va.gov
authors.forename: S Dee
authors.initials: SD
authors.lastname: Melnyk
authors.forename: Leah L
authors.initials: LL
authors.lastname: Zullig
authors.forename: Felicia
authors.initials: F
authors.lastname: McCant
authors.forename: Susanne
authors.initials: S
authors.lastname: Danus
authors.forename: Eugene
authors.initials: E
authors.lastname: Oddone
authors.forename: Lori
authors.initials: L
authors.lastname: Bastian
authors.forename: Maren
authors.initials: M
authors.lastname: Olsen
authors.forename: Karen M
authors.initials: KM
authors.lastname: Stechuchak
authors.forename: David
authors.initials: D
authors.lastname: Edelman
authors.forename: Susan
authors.initials: S
authors.lastname: Rakley
authors.forename: Miriam
authors.initials: M
authors.lastname: Morey
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control*; D019468:Disease Management; D015438:Health Behavior; D006801:Humans; D010595:Pharmacists; D040242:Risk Reduction Behavior; D018401:Sample Size; D017216:Telemedicine; D013689:Telephone; D014728:Veterans
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