Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations: A Feasibility Study
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Number of participants on study at 3 months
Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Arms & Interventions
Participants with Hypertension
Participants with hypertension in high-risk Emergency Department populations
Intervention: Community Health Worker engagement (Behavioral)
Outcomes
Primary Outcomes
Number of participants on study at 3 months
Time Frame: 3 months
Number of participants on study at 3 months to assess retention
Number of intervention engagement
Time Frame: 6 months
Number of interventions engagement based on number of types of CHW encounters
Secondary Outcomes
- Acceptability of Intervention Measure (AIM)(baseline, 3 months, 6 months)
- Intervention Appropriateness Measure (IAM)(baseline, 3 months, 6 months)
Investigators
Marcee Wilder
Assistant Professor
Icahn School of Medicine at Mount Sinai