Author + information
- Neil F. Gordona,b,
- Richard D. Salmona,b,
- Brenda S. Wrighta,b,
- George C. Fairclotha,b,
- Terri L. Gordona,b,
- Michael Hargretta,b,
- Martin R. Berka,b,
- Barry A. Franklina,b and
- Martha Gulatia,b
Background: Rapidly escalating healthcare costs have led to increasing attention on population health management (PHM). CardioSmart (CS) is a patient education and empowerment initiative of the American College of Cardiology that includes worksite wellness (CS@Work) and telehealth (CS OnCall) PHM components. In this study, we evaluated the clinical effectiveness of CS@Work/CS OnCall and participant satisfaction with CS OnCall in an employee population.
Methods: A cohort of 19,022 adult (mean age = 42 years) male (n = 7,784) and female (n = 11,238) employees were evaluated at baseline and after a mean follow-up of 3.1 years. CS@Work included access to: the CardioSmart.org patient education website; a health risk assessment; prevention-related challenges/activities; online lifestyle management programs; and the CS OnCall telehealth coaching program. Outcome variables included changes in 13 health risks that are predictive of future healthcare costs and the 10-year coronary heart disease (CHD) risk score. Participants in CS OnCall (n = 2,370) were also asked to respond (5 = most favorable; 1 = least favorable rating) to statements related to their overall satisfaction with the program and whether they would likely recommend it to others.
Results: The total number of health risks decreased by 4.9% and the magnitude of decrease was greater in those who participated in CS OnCall compared with those who did not (Decrease = 10.5% versus 3.6%; p = 0.001). For employees with a baseline CHD risk ≥10%, the score decreased by 2.9% (relative risk reduction) and the decrease was greater in those who participated in CS OnCall compared with those who did not (Relative risk reduction = 13.7% versus 1.4%; p <0.001). For participants in CS OnCall, statements regarding overall satisfaction with the program (mean = 4.62) and recommending it to others (mean = 4.66) received very high ratings.
Conclusions: These unique data demonstrate that: 1) the CS@Work and, especially, CS OnCall PHM programs elicit significant improvements in multiple risk factors and reduce overall CHD risk; and 2) CS OnCall is associated with very high participant satisfaction ratings. Collectively, these findings have important implications for PHM.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Innovations in Cardiovascular Risk Assessment and Reduction
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1235-070
- 2017 American College of Cardiology Foundation