This study aims to control risk factors of non communicable diseases by life style and care intervention based on internet technology, looking forward to improve cardiovascular and cerebrovascular complications, diabetes and all-cause death.
Men and women older than 25 years of age with two or more risk factors as follows, BMI≥24 or BMI≤18.5 kg/m2, smoking, active exercise less than 30 minutes every day, blood pressure higher than 130/85 mmHg, dyslipidemia, fasting glucose higher than 6.1mmol/l, fatty liver.
Patients with hypertension, diabetes and ASCVD
Patients had not signed the consent form
Patients with severe heart failure, hepatic failure, renal failure and malignant tumor.
Patients planing pregnancy
Parallel
Intensive intervention group
BehavioralEstablish a team of chronic disease prevention managers (5 people), with each educator responsible for the intervention of 200 people. For sub-health population and chronic disease patients, there would be conducted health education interview twice, 4 calls, online communication 50 times once a year, controlling risk factors and making treatment plan.
standard intervention group
BehavioralConduct general health education without active management
incidence rate of new noncommunicable diseases
incidence rate of new noncommunicable diseases, for example, ASCVD, diabetes mellitus, hypertension
incidence rate of major adverse cardiovascular events
incidence rate of major adverse cardiovascular events, including nonfatal stroke, nonfatal myocardial infarction, and cardiovascular death
incidence rate of all-cause mortality
incidence rate of all-cause mortality in the population
score of quality of life (SF-36 scale)
the improvement of quality of life
Reduce the economic burden on health
survey of health economic burden, calculate medical expenses
Click on the lead sponsor to view all of their trials.
