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Team-Based Shared Decision-Making Program in Cardiovascular-Kidney-Metabolic Health

Not Yet RecruitingEARLY_Phase 1

Sponsor: Johns Hopkins University

Conditions: Hypertension (HTN), Diabetes (DM), Hyperlipidaemia, Kidney Disease, Obesity

Interventions: Team-based shared decision-making

The investigators are proposing a new team-based shared decision-making (SDM) program. The goal of this study is to see whether this program is practical and whether it may help adults with cardiometabolic risk factors and cardiovascular-kidney-metabolic syndrome. The investigators will enroll adults from a primary care clinic in Maryland. People in the intervention group will take part in the 6-month program in addition to usual care. People in the control group will receive usual care only.

Eligibility overview

Sex: ALL

Age: 30 Years to 79 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Are adults aged 30 to 79 years (to use PREVENT equations to calculate 10- and 30-year risk estimates for total CVD),
* Are in stage 2 CKM: the presence of metabolic risk factors (hypertension \[stages 1 and 2\], hypertriglyceridemia \[≥135 mg/dL\], diabetes, Metabolic Equivalents (MetS)\*) and/or Chronic Kidney Disease (CKD) \[moderate- to high-risk CKD which are stages 1-3 CKD\]), and
* Receive primary care at Johns Hopkins Community Physicians (JHCP).
* Access to smart phone or tablet to use app.

Exclusion Criteria:

* Have diagnosis of CVD,
* Stage 4-5 CKD, kidney failure, or on dialysis
* Have a serious medical condition such as cancer;
* On or planning to start Glucagon-like peptide-1 (GLP-1) receptor agonists in next 6 months;
* Have cognitive impairment;
* Are currently involved in other programs on improving LE8; or
* Unwillingness to provide informed consent
* Unable to speak, read, or communicate in English.