Habit Formation for Adherence to Statin Use and LDL Reduction

Inclusion Criteria

• •Individuals at high risk of a cardiac event, specifically one of the following:
• •Individuals with clinical CVD (defined as diagnosis with myocardial infarction, stroke, or peripheral vascular disease) with an LDL greater than or equal to 100 mg/dl ;
• •Individuals with Diabetes (between the ages of 40-75) with an LDL greater than or equal to 100 mg/dl;
• •Individuals without clinical CVD or diabetes with LDL greater than or equal to 100 mg/dl and estimated 10-year CVD risk 7.5%;
• •Individuals without clinical CVD or diabetes with LDL cholesterol greater than or equal to 190 mg/dl A prescription filled for a statin medication within the last 12 months (derived from pharmacy records);
• •Medication Possession Ratio (MPR) less than or equal to 80%
• •Low medication adherence on self-report completed during enrollment