Director: Eugene Oddone, M.D.Principal Investigators:
About the CREATE
Heart disease, cancer, chronic lung disease, and stroke are the leading causes of death in the United States and are highly prevalent among Veterans. More than half of all deaths, and much of the chronic illness found in Veterans can be attributed to four modifiable risk factors: tobacco use, overweight/obesity, physical inactivity, and alcohol use. VA has made significant improvements in controlling the conditions that lead to heart disease, cancer, and stroke (e.g., hypertension and hyperlipidemia), and a priority initiative focused on preventive measures that addresses underlying factors (e.g., obesity, tobacco use, and physical inactivity) is underway. The cornerstone of that prevention initiative is based on reorganizing primary care through the patient-aligned care team, or PACT model. This CREATE will support that approach by using rigorous health services research methods to evaluate novel prevention strategies.
Each CREATE works closely with operational partners throughout the VA System. The partner(s) associated with this CREATE include:
The four projects within this CREATE seek to advance the science of prevention research and simultaneously provide key information for VA system partners about how best to provide prevention services to Veterans. Studies will test prevention services using novel media (e.g., telephone, smartphone and Internet); link prevention services and findings into PACTs to ensure that patients receive targeted support and encouragement from their providers; and will provide a roadmap for policy decisions about how best to effectively implement VA's Health Risk Assessment tool. Projects include: