Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk

Background. The Kanyini Guidelines Adherence with the Polypill (Kanyini-GAP) Study aims to examine whether a polypill-based strategy (using a single capsule containing aspirin, a statin and two blood pressure-lowering agents) amongst Indigenous and non-Indigenous people at high risk of experiencing...

Full description

Bibliographic Details
Main Authors: Liu, H., Patel, A., Brown, A., Eades, S., Hayman, N., Jan, S., Ring, I., Stewart, G., Tonkin, A., Weeramanthri, T., Wade, V., Rodgers, A., Usherwood, T., Neal, B., Peiris, D., Burke, H., Reid, Christopher, Cass, A.
Format: Journal Article
Published: BioMed Central Ltd 2010
Online Access:http://hdl.handle.net/20.500.11937/37088
_version_ 1848754950890323968
author Liu, H.
Patel, A.
Brown, A.
Eades, S.
Hayman, N.
Jan, S.
Ring, I.
Stewart, G.
Tonkin, A.
Weeramanthri, T.
Wade, V.
Rodgers, A.
Usherwood, T.
Neal, B.
Peiris, D.
Burke, H.
Reid, Christopher
Cass, A.
author_facet Liu, H.
Patel, A.
Brown, A.
Eades, S.
Hayman, N.
Jan, S.
Ring, I.
Stewart, G.
Tonkin, A.
Weeramanthri, T.
Wade, V.
Rodgers, A.
Usherwood, T.
Neal, B.
Peiris, D.
Burke, H.
Reid, Christopher
Cass, A.
author_sort Liu, H.
building Curtin Institutional Repository
collection Online Access
description Background. The Kanyini Guidelines Adherence with the Polypill (Kanyini-GAP) Study aims to examine whether a polypill-based strategy (using a single capsule containing aspirin, a statin and two blood pressure-lowering agents) amongst Indigenous and non-Indigenous people at high risk of experiencing a cardiovascular event will improve adherence to guideline-indicated therapies, and lower blood pressure and cholesterol levels. Methods/Design. The study is an open, randomised, controlled, multi-centre trial involving 1000 participants at high risk of cardiovascular events recruited from mainstream general practices and Aboriginal Medical Services, followed for an average of 18 months. The participants will be randomised to one of two versions of the polypill, the version chosen by the treating health professional according to clinical features of the patient, or to usual care. The primary study outcomes will be changes, from baseline measures, in serum cholesterol and systolic blood pressure and self-reported current use of aspirin, a statin and at least two blood pressure lowering agents. Secondary study outcomes include cardiovascular events, renal outcomes, self-reported barriers to indicated therapy, prescription of indicated therapy, occurrence of serious adverse events and changes in quality-of-life. The trial will be supplemented by formal economic and process evaluations. Discussion. The Kanyini-GAP trial will provide new evidence as to whether or not a polypill-based strategy improves adherence to effective cardiovascular medications amongst individuals in whom these treatments are indicated. © 2010 Liu et al; licensee BioMed Central Ltd.
first_indexed 2025-11-14T08:48:33Z
format Journal Article
id curtin-20.500.11937-37088
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T08:48:33Z
publishDate 2010
publisher BioMed Central Ltd
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-370882017-09-13T14:01:05Z Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk Liu, H. Patel, A. Brown, A. Eades, S. Hayman, N. Jan, S. Ring, I. Stewart, G. Tonkin, A. Weeramanthri, T. Wade, V. Rodgers, A. Usherwood, T. Neal, B. Peiris, D. Burke, H. Reid, Christopher Cass, A. Background. The Kanyini Guidelines Adherence with the Polypill (Kanyini-GAP) Study aims to examine whether a polypill-based strategy (using a single capsule containing aspirin, a statin and two blood pressure-lowering agents) amongst Indigenous and non-Indigenous people at high risk of experiencing a cardiovascular event will improve adherence to guideline-indicated therapies, and lower blood pressure and cholesterol levels. Methods/Design. The study is an open, randomised, controlled, multi-centre trial involving 1000 participants at high risk of cardiovascular events recruited from mainstream general practices and Aboriginal Medical Services, followed for an average of 18 months. The participants will be randomised to one of two versions of the polypill, the version chosen by the treating health professional according to clinical features of the patient, or to usual care. The primary study outcomes will be changes, from baseline measures, in serum cholesterol and systolic blood pressure and self-reported current use of aspirin, a statin and at least two blood pressure lowering agents. Secondary study outcomes include cardiovascular events, renal outcomes, self-reported barriers to indicated therapy, prescription of indicated therapy, occurrence of serious adverse events and changes in quality-of-life. The trial will be supplemented by formal economic and process evaluations. Discussion. The Kanyini-GAP trial will provide new evidence as to whether or not a polypill-based strategy improves adherence to effective cardiovascular medications amongst individuals in whom these treatments are indicated. © 2010 Liu et al; licensee BioMed Central Ltd. 2010 Journal Article http://hdl.handle.net/20.500.11937/37088 10.1186/1471-2458-10-458 BioMed Central Ltd unknown
spellingShingle Liu, H.
Patel, A.
Brown, A.
Eades, S.
Hayman, N.
Jan, S.
Ring, I.
Stewart, G.
Tonkin, A.
Weeramanthri, T.
Wade, V.
Rodgers, A.
Usherwood, T.
Neal, B.
Peiris, D.
Burke, H.
Reid, Christopher
Cass, A.
Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title_full Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title_fullStr Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title_full_unstemmed Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title_short Rationale and design of the Kanyini guidelines adherence with the polypill (Kanyini-GAP) study: A randomised controlled trial of a polypill-based strategy amongst Indigenous and non Indigenous people at high cardiovascular risk
title_sort rationale and design of the kanyini guidelines adherence with the polypill (kanyini-gap) study: a randomised controlled trial of a polypill-based strategy amongst indigenous and non indigenous people at high cardiovascular risk
url http://hdl.handle.net/20.500.11937/37088