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Testing a Community Intervention to Increase Aspirin Use

June 11, 2019



Recently, there is a growing consensus that aspirin, when appropriately used, reduces cardiovascular death in men, ages 45-79, and women ages 55-79 years. The use of aspirin for primary prevention was recommended in the U.S. Preventive Services Task Force Report in 2009 and more recently in the CDC/CMS ‘Million Hearts’ ABCs (aspirin, blood pressure, cholesterol, smoking) campaign. Aspirin use is also recommended in the Healthy People 2020 goals. However, many adults who would benefit, are not taking aspirin.


The State of Minnesota has received a donation to launch a campaign to increase aspirin use. The proposed grant requests funding to evaluate the effectiveness of regular aspirin use. Investigators intend to test new methods to increase appropriate aspirin use. Using a two-arm design, the investigators have defined 24 geographic areas in the state that will form the basis for a group-randomized trial. This design will allow them to distinguish the effects of the intervention methods. The interventions will be evaluated by surveys of the target-age general population at the beginning and as a follow-up. Appropriate aspirin use in that population will be the primary goal and endpoint. Simultaneous surveys of adjacent Upper Midwestern states  such as Iowa, North and South Dakota, and Wisconsin will also monitor trends.


A substantial pilot study in a middle sized community in Northern Minnesota allows researchers validate the methods at the community level. This pilot study also demonstrated behavior change. This program, if successful, should result in a generalizable program tested in a real world population setting overall.


Study Information


This is a randomized, interventional, parallel assignment for the purpose of preventing heart attacks. There is an estimated 10800 participants. The study began in December 2014 and is estimated to be completed by November 2019.


Inclusion Criteria


  • Healthy men, ages 45-79.
  • Healthy women, ages 55-79
  • Per USPSTF 2009 recommendations


Exclusion Criteria


  • History of cardiovascular disease
  • Aspirin allergy
  • Serious, life-threatening illness




You may participate in this study at the University of Minnesota in Minneapolis, Minnesota, United States, 55455. If you have any questions please contact Russell Luepker at 612-624-6362 or at




This study is sponsored by the University of Minnesota – Clinical and Translational Science Institute.

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