About this trial
The overall objective is to evaluate the effectiveness and implementation of the Corrie Lipids Program, a comprehensive digital health initiative designed to address critical gaps in lipid-lowering as a component of ASCVD treatment by delivering an intervention that combines a patient-facing smartphone app, clinician education and coaching, and seamless incorporation into clinical workflows.
Researchers plan to assess this multicenter digital health initiative in approximately 1,000 adults with uncontrolled LDL-C and elevated ASCVD risk using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. The study will examine whether the program improves LDL-C goal attainment, app engagement, prescribing patterns, and LDL-C monitoring, while also identifying barriers and facilitators to implementation across sites.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years
Uncontrolled LDL-C per AHA/ACC guidelines
At least 1 major cardiovascular risk factor, including: high risk for ASCVD (individuals who meet criteria for Lipid-Lowering Therapy (LLT) based on ASCVD risk assessment using the most up-to-date guidelines), known ASCVD or subclinical ASCVD based on imaging, clinically diagnosed familial hypercholesterolemia or LDL-C ≥190 mg/dL, diabetes mellitus, history of statin-associated side effects
Has a primary care physician and/or cardiologist who can prescribe lipid therapy
Disqualifiers
Motor, cognitive, auditory, or visual impairment limiting technology use
Does not speak English
Malignancy (except nonmelanoma skin cancers or cervical or breast ductal carcinoma in situ within the previous 5 years)
Pregnancy (positive pregnancy test, highly sensitive urine or serum), plan to become pregnant or donate eggs, breastfeeding or plan to breastfeed
Trial design
Single group
Treatments tested in this trial
Corrie Lipids Digital Health Program
DeviceThe Corrie Lipids Program is a digital health initiative for adults with uncontrolled LDL-C and high ASCVD risk. It includes a smartphone app for LDL-C tracking, medication reminders, and education, along with clinician education and support to improve guideline-directed lipid management.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of participants achieving guideline-based LDL-C goals
LDL-C Goal Achievement assessed 6 months after enrollment in the Corrie Lipids program
Percentage of participants who download and engage with the Corrie app
Patient Engagement With the App defined as downloading and completing an educational article or video among those who were offered the app.
Secondary outcomes
Percentage of patients prescribed statin and non-statin therapies
Lipid-Lowering Therapy Prescribing
Percentage of patients ordered an LDL-C test
LDL-C Test Ordering
Percentage of clinicians utilizing the program for patients
Clinician Uptake of Corrie Lipids Program
Percentage of patients utilizing the app
Patient Uptake of Corrie Lipids Program. Percentage of patients utilizing the app (including the amount of time spent on the app, the features used, and whether patients continue to utilize the app over time)
Other outcomes
Percentage of Patients LDL-C Goal Achievements in App (Users versus Non-Users)
Percentage of patients who engaged with the app and achieved LDL-C goals versus percentage of patients who did not engage with the app who achieved LDL-C goals
Clinician Knowledge Improvement assessed by survey
Improvement on knowledge assessment from pre- to post- Corrie Lipids Program, measured by percentage of questions correct on knowledge assessment pre-program (baseline, time of enrollment) versus percentage of questions correct on knowledge assessment post-program.
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