Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations: A Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Number of participants on study at 3 months
研究概览
简要总结
This single-center, single-arm quasi-experimental study will assess the feasibility and acceptability of a community health worker (CHW)-led intervention to address social determinants of health (SDOH) among emergency department patients with hypertension. At enrollment, participants (N=15) will complete standardized SDOH surveys in REDCap, and CHWs will facilitate referrals to local community-based organizations that address identified social needs. With participant consent, the study will also include medical record review through EPIC and Healthix to evaluate healthcare utilization-including emergency department visits, hospitalizations, and outpatient encounters-during the one-year period before and after the index ED visit.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years and older who reside in the 5 boroughs of NYC,
- •whom speak English or Spanish,
- •have a known diagnosis of hypertension, and
- •have uncontrolled hypertension, defined as two measures of systolic blood pressure (SBP) ≥140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg obtained during their ED visit.
排除标准
- •Patients who are unable to consent,
- •pregnant patients,
- •patients with a history of end stage renal disease, a history of heart failure or a BMI of greater than 50.
研究组 & 干预措施
Participants with Hypertension
Participants with hypertension in high-risk Emergency Department populations
干预措施: Community Health Worker engagement (Behavioral)
结局指标
主要结局
Number of participants on study at 3 months
时间窗: 3 months
Number of participants on study at 3 months to assess retention
Number of intervention engagement
时间窗: 6 months
Number of interventions engagement based on number of types of CHW encounters
次要结局
- Acceptability of Intervention Measure (AIM)(baseline, 3 months, 6 months)
- Intervention Appropriateness Measure (IAM)(baseline, 3 months, 6 months)
研究者
Marcee Wilder
Assistant Professor
Icahn School of Medicine at Mount Sinai