Project Overview +

It is critically important to develop effective technological tools for Veterans to improve their understanding of and capacity to be actively involved in shared decision making about key health issues. It is also critical to make sure both the patients� and the clinicians� decisions are informed decisions.

Aims +

To develop a user interface for physicians to input data about a patient and see the patient's risk reduction for a variety of treatment options that reduce their risk for cardiac events (heart attack and stroke).

Participants +

This project does not include patient recruitment at this time. Future proposals will include patient recruitment.

Intervention +

The cardiovascular tool will use data from the corporate data warehouse (CDW) as the input for the risk prediction cardiovascular model which will produce individual risk data for each patient. This information will be presented to users (patients and clinicians) using state-of-the art risk communication methods. The information gained from the model will allow us to provide tailored information regarding which factors make their risk higher (e.g., smoking, weight, blood pressure) and the health behaviors they could perform to modify their risks. Furthermore, the data for clinicians would be valuable as it would allow them to work with their patients to identify key medical treatment priorities and goals for the specific patient and most appropriate treatment options to discuss. Patients who are not obvious candidates for beginning a medical regimen (or are obvious candidates for not starting medical treatment), will complete a preference elicitation task that will help them consider their goals, preferences, and the costs and benefits of different approaches to help them decide whether they should start (or continue) lifestyle changes or whether they should begin medication (using Sarah�s conjoint analysis tools).