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A nurse-led intervention to extend the Veteran HIV treatment cascade for cardiovascular disease prevention (V-EXTRA-CVD)
Organization DURHAM VA MEDICAL CENTERLocation DURHAM, UNITED STATESPosted 1 Sept 2020Deadline 31 Mar 2026 ⚠️
VANIHUS FederalResearch GrantFY2025AIDS VirusAIDS/HIVASCVDAccess to CareAchievementAchievement AttainmentAcquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome VirusAddressAdherenceAgingAnalgesic ManagementAtherosclerosisAtherosclerotic Cardiovascular DiseaseBlood PressureCVD preventionCaringChronic DiseaseChronic IllnessClinicClinicalComplexComputerized Medical RecordDiagnosisDisease remissionDoseEducationEducational MaterialsEducational aspectsElectronic Health RecordElectronic Medical RecordEnsureEvaluationEventEvidence based interventionFundingGoalsGuidelinesHIVHIV/AIDSHealthHealth CareHealth Care ProvidersHealth PersonnelHealth PromotionHealth Services AccessibilityHome Blood Pressure MonitoringHuman Immunodeficiency VirusesHyperlipemiaHyperlipidemiaInterventionInterviewLAV-HTLV-IIILymphadenopathy-Associated VirusManaged CareMedication ManagementMethodologyMethodsModelingMonitorNursesPathway interactionsPatient-Centered CarePatientsPerceptionPersonsPharmacologic ManagementPopulationPrevention therapyProcessProtocolProtocols documentationProviderRE-AIMRandomizedReach, Effectiveness, Adoption, Implementation, and MaintenanceRemissionResearch DesignResearch MethodologyResearch MethodsResearch PriorityResearch ResourcesResourcesRiskRisk FactorsRisk ReductionSalutogenesisSelf Blood Pressure MonitoringServicesSiteSpecialtyStudy TypeTestingUnited StatesVeteransVeterans Health AdministrationVeterans Health AffairsViralVirusVirus-HIVWorkaccess to health careaccess to health servicesaccess to servicesaccess to treatmentaccessibility of health careaccessibility to health careaccessibility to health servicesantiretroviral therapyantiretroviral treatmentatheromatosisatherosclerosis riskatherosclerotic diseaseatherosclerotic riskatherosclerotic vascular diseaseavailability of servicesblood treatmentbudget impactcardiac disease preventioncardiovascular disease preventioncardiovascular disease riskcardiovascular disorder preventioncardiovascular disorder riskcare accesscare as usualcare coordinationchronic disorderclinical significanceclinically significantconnected careconnected health carecoordinating carecost effectivenessdelivered remotelydesigndesigningelectronic health care recordelectronic health medical recordelectronic health plan recordelectronic health registryelectronic medical health recordevidence baseexperienceformative assessmentformative evaluationhealth care accesshealth care availabilityhealth care personnelhealth care servicehealth care service accesshealth care service availabilityhealth care workerhealth equityhealth providerhealth service accesshealth services availabilityhealth workforcehigh riskhypertension controlhypertension managementimplementation facilitationimprovedinnovateinnovationinnovativeintervention armintervention deliveryintervention designiterative designmedical personnelmedical specialtiesmedication therapy managementmembernursenursing interventionpathwaypreventpreventingprevention evaluationprimary care practiceprimary outcomeprocess evaluationprogramspromoting healthrandomisationrandomizationrandomized, clinical trialsrandomly assignedreach, efficacy, adoption, implementation, and maintenancerecruitreduce riskreduce risksreduce that riskreduce the riskreduce these risksreduces riskreduces the riskreducing riskreducing the riskremote deliveryresearch and methodsrisk-reducingscreeningscreeningssecondary outcomeservice availabilitystudy designsupport toolstelehealththerapy designtooltreatment accesstreatment armtreatment as usualtreatment designtreatment provideruptakeusual carevirtual carevirtual health care
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Description preview
Background: The VA is the largest provider of HIV care in the United States. The ~31,000 Veterans with HIV
use significantly more healthcare and have up to 2x higher risk of atherosclerotic cardiovascular disease
(ASCVD) compared to uninfected Veterans. The HIV treatment cascade model includes care steps; once
people obtain remission, providers…
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