Evaluating the use of the heart age tool in community pharmacies: a 4-week cluster-randomized controlled trial

Karianne Svendsen1,2, David R Jacobs3, Lisa T Mørch-Reiersen4

  • 1Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

Insights

Using a

Area of Science:

  • Cardiovascular disease risk assessment and communication.
  • Public health interventions in community pharmacy settings.
  • Biomarker analysis for lifestyle changes.

Background:

  • Cardiovascular disease (CVD) remains a leading cause of mortality globally.
  • Effective communication of CVD risk is crucial for motivating lifestyle changes.
  • The 'heart age' tool estimates an individual's CVD risk based on risk factors.

Purpose of the Study:

  • To evaluate if 'heart age' communication enhances motivation for healthier lifestyles.
  • To assess the impact of 'heart age' on whole-blood cholesterol and omega-3 status.
  • To explore pharmacy staff perceptions of the 'heart age' tool's utility.

Main Methods:

  • Cluster-randomized trial in 48 community pharmacies.
  • Intervention group received 'heart age' plus conventional risk communication.
  • Control group received conventional risk communication only.
  • Whole-blood cholesterol and omega-3 fatty acids measured via dried blood spots at baseline and 4 weeks.
  • Pharmacy staff surveyed on perceived utility of the 'heart age' tool.

Main Results:

  • No significant difference in cholesterol reduction between intervention and control groups.
  • Omega-3 fatty acid concentrations increased similarly in both groups after 4 weeks.
  • Pharmacy staff found the 'heart age' tool convenient and motivating for communicating CVD risk.

Conclusions:

  • While perceived as a motivating tool by pharmacy staff, 'heart age' communication did not improve cholesterol or omega-3 status more than conventional methods.
  • Further research may be needed to optimize the use of 'heart age' for clinical outcomes.
  • Community pharmacies can play a role in CVD risk communication, but the added value of 'heart age' requires further investigation.
Abstract

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