Coronary Heart DiseaseFHHP-RCTNCT00552591
Family Heart Health Program: Randomized, Controlled Trial
A study testing 12-week risk reduction program, managed by a Heart Health Educator in people with Coronary Heart Disease, run by Ottawa Heart Institute Research Corporation at 1 site in Canada.
Trial summary
Background: Family members (spouses, siblings, offspring) of patients with coronary heart disease (CHD) may themselves be at increased risk for developing CHD for genetic, biochemical and/or behavioural reasons. Read more about this study
- Who is it for?
- Ages 20 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Coronary Heart Disease
- What is being tested?
- 12-week risk reduction program, managed by a Heart Health Educator
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 426 participants
- Where
- 1 siteCanada
- Study dates
- Sep 2007to Sep 2011
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Spouse, offspring or sibling of patient hospitalized at UOHI within the past 5 years for:
- Acute coronary syndrome (ACS);
- Elective percutaneous coronary intervention (PCI); or
- Bypass surgery (CABG);
- Willing to provide informed consent;
- At least one of the following modifiable risk factors:
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- Current smoker;
- Systolic blood pressure ≥ 140 and or Diastolic BP ≥ 90 and/or currently on medication to treat high blood pressure;
- Total cholesterol/HDL-cholesterol ratio ≥ 5.0 and/or on antilipemic medication;
- Abdominal obesity (for men, waist circumference > 102 cm; for women, waist circumference > 88cm);
- Physical Inactivity [<150 min mod, 5-7 d/week or <100 min vig, 4-7 d/week]
- Geographically available for assessment, intervention and follow-up.
Who cannot join
- Unable to understand English or French;
- History of diabetes mellitus or any atherosclerotic disease;
- Fasting glucose ≥ 7.0 mmol/L at screening;
- Presence of life threatening illness (e.g., known or suspected cancer or other disease with a life expectancy of less than five years);
- Chronic kidney disease and/or undergoing dialysis;
- Active liver disease;
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- Pregnant or planning to become pregnant within the next year;
- Cognitive impairment;
- Other family member already participating in study.
Trial locations and contacts
1 site in 1 country.
About this study
Background: Family members (spouses, siblings, offspring) of patients with coronary heart disease (CHD) may themselves be at increased risk for developing CHD for genetic, biochemical and/or behavioural reasons. Targeted approaches aimed at family members of those with established CHD may be a cost-effective way to identify high-risk persons and link them to effective risk factor modification. During pilot testing we found 29% of family members of patients recently hospitalized at our institution had ≥ 3 CHD risk factors. Encouragingly, they indicated high levels of "readiness" to change underlying risk behaviours such as cigarette smoking and physical inactivity. We have developed a 12-week family heart health program featuring a personal plan for achieving risk factor goals and weekly contact with a heart health educator. This intervention needs to be fully tested.
Research Aims:
Read more
In this study, we will:
- Compare the effects of a targeted family heart health (FHH) screening, counselling and follow-up program versus usual care (UC) for reducing participants total cholesterol/high density lipoprotein (TC/HDL) ratio 52 weeks after program entry, in family members of patients recently hospitalized with CHD;
- Compare the effects of the FHH program versus UC on modifiable components comprising the Framingham score, including: smoking status; systolic blood pressure; total cholesterol; and high density lipoprotein cholesterol;
- Compare the effects of the FHH program versus UC on: lifestyle-related factors (dietary patterns, leisure time exercise, body composition); medication use (anti-lipemic medications, anti-hypertensive medications, pharmacotherapies for smoking cessation); and use of healthcare resources (physician visits, hospitalization days, number of laboratory and diagnostic tests and procedures).
- Conditions
- Coronary Heart Disease
- Being tested
- 12-week risk reduction program, managed by a Heart Health Educator
- Keywords
- family risk, behavior modification, lifestyle change, prevention of CHD, health care costs
- Medical subject headings
- Coronary Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
12-week risk reduction program, managed by a Heart Health EducatorBehavioural
The educator and participant will negotiate a personal plan for achieving the goals through lifestyle change (i.e. smoking cessation, increased exercise, improved nutrition) and, if necessary, pharmacotherapy coordinated by the participant's personal physician. Educational modules have been developed to address specific lifestyle issues including smoking cessation, healthy eating, exercise, and weight management, and will be provided to participants as required. A summary of the risk factor profile and personal plan will be incorporated into a report for the participant's personal physician as well. Participants will also receive telephone-based motivational counseling sessions for 12 weeks to address specific lifestyle issues.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Family Heart Health Program Receives: Behavioral: 12-week risk reduction program, managed by a Heart Health Educator |
| 2 | No intervention | Usual Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Ratio of Total Cholesterol to HDL Cholesterol TC/HDL
Measured: Baseline to one year
Physical Activity
Measured: Baseline to 1 year
Servings of Fruits and Vegetables
Measured: Baseline to 1 year
Secondary outcomes (5)
Cholesterol Levels
Measured: Baseline to 1 year
Glucose Levels
Measured: Baseline to 1 year
Blood Pressure
Measured: Baseline to 1 year
Body Mass Index
Measured: Baseline to 1 year
Waist Circumference
Measured: Baseline to 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2007 (estimated)
- Study startSep 2007
- Primary completionSep 2011
- Study completionSep 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Coronary Heart DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 426 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ottawa Heart Institute Research Corporation
- Sponsor type
- University, hospital or other
- Collaborators
- Heart and Stroke Foundation of Canada
- Responsible party
- Sponsor
- Investigators
- Robert D Reid, MBA, PhD, Principal investigator, Ottawa Heart Institute Research CorporationAndrew L Pipe, MD, Study chair, Ottawa Heart Institute Research CorporationLori J Mosca, MD, PhD, Study chair, New York Presbyterian HospitalHeidi Mochari, MPH, RD, Study chair, New York Presbyterian HospitalGeorge Wells, PhD, Study chair, Ottawa Heart Institute Research CorporationLouise J Beaton, MSc, Study chair, Ottawa Heart Institute Research CorporationPat O'Farrell, RN, Study chair, Ottawa Heart Institute Research CorporationChris M Blanchard, PhD, Study chair, Dalhousie University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00552591
- Sponsor's protocol ID
- NA 6142
- Acronym
- FHHP-RCT
- Status last verified
- Feb 2022
- First submitted
- 1 Nov 2007
- Last updated
- 30 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Reid RD, McDonnell LA, Riley DL, Mark AE, Mosca L, Beaton L, Papadakis S, Blanchard CM, Mochari-Greenberger H, O'Farrell P, Wells GA, Slovinec D'Angelo ME, Pipe AL. Effect of an intervention to improve the cardiovascular health of family members of patients with coronary artery disease: a randomized trial. CMAJ. 2014 Jan 7;186(1):23-30. doi: 10.1503/cmaj.130550. Epub 2013 Nov 18.
PubMed 24246588
Study at a glance
From the registry record, last updated by the sponsor on 30 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Family Heart Health Program: Randomized, Controlled Trial
- ClinicalTrials.gov ID
- NCT00552591
- Acronym / sponsor ID
- FHHP-RCT / NA 6142
- Conditions
- Coronary Heart Disease
- Keywords
- family risk, behavior modification, lifestyle change, prevention of CHD, health care costs
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 426 participants (actual)
- Lead sponsor
- Ottawa Heart Institute Research CorporationUniversity, hospital or other
- Collaborators
- Heart and Stroke Foundation of Canada
- Study start
- Sep 2007
- Primary completion
- Sep 2011 (actual)
- Study completion
- Sep 2011 (actual)
- First posted
- 2 Nov 2007 (estimated)
- Results
- Posted 30 Jun 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Background: Family members (spouses, siblings, offspring) of patients with coronary heart disease (CHD) may themselves be at increased risk for developing CHD for genetic, biochemical and/or behavioural reasons. Targeted approaches aimed at family members of those with established CHD may be a cost-effective way to identify high-risk persons and link them to effective risk factor modification. During pilot testing we found 29% of family members of patients recently hospitalized at our institution had ≥ 3 CHD risk factors. Encouragingly, they indicated high levels of "readiness" to change underlying risk behaviours such as cigarette smoking and physical inactivity. We have developed a 12-week family heart health program featuring a personal plan for achieving risk factor goals and weekly contact with a heart health educator. This intervention needs to be fully tested.
Research Aims:
In this study, we will:
- Compare the effects of a targeted family heart health (FHH) screening, counselling and follow-up program versus usual care (UC) for reducing participants total cholesterol/high density lipoprotein (TC/HDL) ratio 52 weeks after program entry, in family members of patients recently hospitalized with CHD;
- Compare the effects of the FHH program versus UC on modifiable components comprising the Framingham score, including: smoking status; systolic blood pressure; total cholesterol; and high density lipoprotein cholesterol;
- Compare the effects of the FHH program versus UC on: lifestyle-related factors (dietary patterns, leisure time exercise, body composition); medication use (anti-lipemic medications, anti-hypertensive medications, pharmacotherapies for smoking cessation); and use of healthcare resources (physician visits, hospitalization days, number of laboratory and diagnostic tests and procedures).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Behavioral: 12-week risk reduction program, managed by a Heart Health EducatorFamily Heart Health Program |
| 2 | No intervention | –Usual Care |
Who may qualify
- Ages
- 20 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Spouse, offspring or sibling of patient hospitalized at UOHI within the past 5 years for:
- Willing to provide informed consent;
- At least one of the following modifiable risk factors:
- Geographically available for assessment, intervention and follow-up.
Key exclusion criteria (9 listed)
- Unable to understand English or French;
- History of diabetes mellitus or any atherosclerotic disease;
- Fasting glucose ≥ 7.0 mmol/L at screening;
- Presence of life threatening illness (e.g., known or suspected cancer or other disease with a life expectancy of less than five years);
- Chronic kidney disease and/or undergoing dialysis;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 12-week risk reduction program, managed by a Heart Health EducatorThe educator and participant will negotiate a personal plan for achieving the goals through lifestyle change (i.e. smoking cessation, increased exercise, improved nutrition) and, if necessary, pharmacotherapy coordinated by the participant's personal physician. Educational modules have been developed to address specific lifestyle issues including smoking cessation, healthy eating, exercise, and weight management, and will be provided to participants as required. A summary of the risk factor profile and personal plan will be incorporated into a report for the participant's personal physician as well. Participants will also receive telephone-based motivational counseling sessions for 12 weeks to address specific lifestyle issues. | Behavioural | 1 |
Primary outcome
Ratio of Total Cholesterol to HDL Cholesterol TC/HDL
Time frame: Baseline to one year
Physical Activity
Time frame: Baseline to 1 year
Servings of Fruits and Vegetables
Time frame: Baseline to 1 year
5 secondary outcomes
Cholesterol Levels
Time frame: Baseline to 1 year
Glucose Levels
Time frame: Baseline to 1 year
Blood Pressure
Time frame: Baseline to 1 year
Body Mass Index
Time frame: Baseline to 1 year
Waist Circumference
Time frame: Baseline to 1 year
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24246588Reid RD, McDonnell LA, Riley DL, Mark AE, Mosca L, Beaton L, Papadakis S, Blanchard CM, Mochari-Greenberger H, O'Farrell P, Wells GA, Slovinec D'Angelo ME, Pipe AL. Effect of an intervention to improve the cardiovascular health of family members of patients with coronary artery disease: a randomized trial. CMAJ. 2014 Jan 7;186(1):23-30. doi: 10.1503/cmaj.130550. Epub 2013 Nov 18.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert D Reid, MBA, PhD principal investigator
Ottawa Heart Institute Research Corporation
Andrew L Pipe, MD study chair
Ottawa Heart Institute Research Corporation
Lori J Mosca, MD, PhD study chair
New York Presbyterian Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing 12-week risk reduction program, managed by a Heart Health Educator in people with Coronary Heart Disease, run by Ottawa Heart Institute Research Corporation at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Jun 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Ratio of Total Cholesterol to HDL Cholesterol TC/HDL (time frame: Baseline to one year). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00552591, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2026; AzTrials last refreshed its copy on 26 Oct 2026.