» Articles » PMID: 35455722

Collaborative Approach to Reach Everyone with Familial Hypercholesterolemia: CARE-FH Protocol

Abstract

The Collaborative Approach to Reach Everyone with Familial Hypercholesterolemia (CARE-FH) study aims to improve diagnostic evaluation rates for FH at Geisinger, an integrated health delivery system. This clinical trial relies upon implementation science to transition the initial evaluation for FH into primary care, attempting to identify individuals prior to the onset of atherosclerotic cardiovascular disease events. The protocol for the CARE-FH study of this paper is available online. The first phase of the project focuses on trial design, including the development of implementation strategies to deploy evidence-based guidelines. The second phase will study the intervention, rolled out regionally to internal medicine, community medicine, and pediatric care clinicians using a stepped-wedge design, and analyzing data on diagnostic evaluation rates, and implementation, service, and health outcomes.

Citing Articles

Beyond identification of familial hypercholesterolemia: Improving downstream visits and treatments in a large health care system: Improving FH Care.

Lee H, Kadaru T, Schneider R, Triana T, Tujardon C, Ayers C Am J Prev Cardiol. 2025; 21:100937.

PMID: 40007938 PMC: 11851175. DOI: 10.1016/j.ajpc.2025.100937.


Implementation of a primary-tertiary shared care model to improve the detection of familial hypercholesterolaemia (FH): a mixed methods pre-post implementation study protocol.

Birkenhead K, Sullivan D, Trumble C, Spinks C, Srinivasan S, Partington A BMJ Open. 2024; 14(5):e082699.

PMID: 38692720 PMC: 11086381. DOI: 10.1136/bmjopen-2023-082699.


Overcoming the real and imagined barriers to cholesterol screening in pediatrics.

Schubert T, Gidding S, Jones L J Clin Lipidol. 2024; 18(3):e297-e307.

PMID: 38485620 PMC: 11209759. DOI: 10.1016/j.jacl.2024.02.008.


Using implementation science to develop a familial hypercholesterolemia screening program in primary care: The CARE-FH study.

Jones L, Romagnoli K, Schubert T, Clegg K, Kirchner H, Hu Y J Clin Lipidol. 2024; 18(2):e176-e188.

PMID: 38228467 PMC: 11069448. DOI: 10.1016/j.jacl.2024.01.001.


Designing implementation strategies to improve identification, cascade testing, and management of families with familial hypercholesterolemia: An intervention mapping approach.

Jones L, Calvo E, Campbell-Salome G, Walters N, Brangan A, Rodriguez G Front Health Serv. 2023; 3:1104311.

PMID: 37188259 PMC: 10175779. DOI: 10.3389/frhs.2023.1104311.


References
1.
Williams M, Buchanan A, Davis F, Andrew Faucett W, Hallquist M, Leader J . Patient-Centered Precision Health In A Learning Health Care System: Geisinger's Genomic Medicine Experience. Health Aff (Millwood). 2018; 37(5):757-764. DOI: 10.1377/hlthaff.2017.1557. View

2.
Nilsen P . Making sense of implementation theories, models and frameworks. Implement Sci. 2015; 10:53. PMC: 4406164. DOI: 10.1186/s13012-015-0242-0. View

3.
Proctor E, Landsverk J, Aarons G, Chambers D, Glisson C, Mittman B . Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Adm Policy Ment Health. 2008; 36(1):24-34. PMC: 3808121. DOI: 10.1007/s10488-008-0197-4. View

4.
Williams M . Early Lessons from the Implementation of Genomic Medicine Programs. Annu Rev Genomics Hum Genet. 2019; 20:389-411. DOI: 10.1146/annurev-genom-083118-014924. View

5.
Jones L, Tilberry S, Gregor C, Yaeger L, Hu Y, Sturm A . Implementation strategies to improve statin utilization in individuals with hypercholesterolemia: a systematic review and meta-analysis. Implement Sci. 2021; 16(1):40. PMC: 8045284. DOI: 10.1186/s13012-021-01108-0. View