Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Community Health Worker engagement.
- Who it may be relevant to
- Registry conditions: Asymptomatic Hypertension. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations: A Feasibility Study
Overview
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.
Interventions
- Behavioral Community Health Worker engagement
Engagement with Community Health Worker who will facilitate referrals to local community-based organizations
Primary outcome measures
- Number of participants on study at 3 months [Time frame: 3 months]
- Number of intervention engagement [Time frame: 6 months]
Secondary outcome measures (2)
- Acceptability of Intervention Measure (AIM) [Time frame: baseline, 3 months, 6 months]
- Intervention Appropriateness Measure (IAM) [Time frame: baseline, 3 months, 6 months]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Icahn School of Medicine at Mount Sinai — New York
Publications
- Ahuja R, Ayala C, Tong X, Wall HK, Fang J. Public Awareness of Health-Related Risks From Uncontrolled Hypertension. Prev Chronic Dis. 2018 Apr 5;15:E40. doi: 10.5888/pcd15.170362. PMID 29625630
- Akinyelure OP, Jaeger BC, Oparil S, Carson AP, Safford MM, Howard G, Muntner P, Hardy ST. Social Determinants of Health and Uncontrolled Blood Pressure in a National Cohort of Black and White US Adults: the REGARDS Study. Hypertension. 2023 Jul;80(7):1403-1413. doi: 10.1161/HYPERTENSIONAHA.122.20219. Epub 2023 Apr 21. PMID 37082942
- Ware KS, Chidume T, Chou C. Social determinants of health and preventable emergency department patient encounters among adults with hypertension. Public Health Nurs. 2023 Jan;40(1):171-174. doi: 10.1111/phn.13152. Epub 2022 Nov 15. PMID 36380448
- Foster B, Dawood K, Pearson C, Manteuffel J, Levy P. Community Health Workers in the Emergency Department-Can they Help with Chronic Hypertension Care. Curr Hypertens Rep. 2019 May 21;21(7):49. doi: 10.1007/s11906-019-0955-6. PMID 31115736
Identifiers
NCT: NCT07539597 · STUDY-25-00363 · 1P50MD019475