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Идёт набор NCT06769880

Use of Bedside Imaging and Community Health Workers for Early Screening and Referral of Pre-symptomatic Stage B Heart Failure in the Emergency Department

Без фазы С лечением Heart Diseases

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Ultrasound and Educational Intervention, Educational Intervention Alone.
Кому может быть актуально
Состояния в реестре: Heart Diseases. Базовые параметры: от 45 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Combating Health Disparities Using Bedside Imaging and Community Health Workers for Early Screening and Referral of Pre-symptomatic Stage B Heart Failure in the Emergency Department

Обзор

The goal of this clinical trial is to learn if using point-of-care ultrasound (POCUS) can increase participant engagement and changes in behavior among adults with risk factors for pre-symptomatic heart failure presenting to the emergency department. The main questions it aims to answer are: 1. Does POCUS increase understanding of heart failure and the likelihood to improve diet, exercise, and follow up? 2. Does POCUS improve diet, exercise, follow up, and self-efficacy at three months post-intervention? Researchers will compare an educational intervention with versus without POCUS to see if POCUS works to improve outcomes. Participants will: Receive either the educational intervention alone or an educational intervention plus POCUS. They will report the difference in their understanding and likelihood to improve diet, exercise, and follow up immediately post-intervention. They will also report changes in diet, exercise, follow up, and self-efficacy at three months post-intervention.

Вмешательства

  • Другое Ultrasound and Educational Intervention
    This will include the educational intervention combined with a point-of-care ultrasound
  • Другое Educational Intervention Alone
    This will include only the educational intervention (without ultrasound)

Первичные конечные точки

  • Rate of Primary Care Follow Up [Срок оценки: 3 Months Post-Intervention]
Вторичные конечные точки (10)
  • Likelihood to Follow Up with a Primary Care Physician within the 3 Months Post-Intervention [Срок оценки: Baseline and Immediately Post-Intervention]
  • Self-perceived knowledge of heart failure [Срок оценки: Baseline and Immediately Post-Intervention]
  • Degree of motivation and self-efficacy using a modified High Blood Pressure Self-Care Profile (HBP-SCP) Motivation and Self-Efficacy tool [Срок оценки: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention]
  • Likelihood to change their fruit and vegetable intake using the Stages of Change tools for Fruits and Vegetables [Срок оценки: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention]
  • Likelihood to change their fat intake using the Stages of Change for Dietary Fat tool [Срок оценки: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention]
  • Likelihood to change their exercise using the Stages of Change for Physical Activity [Срок оценки: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention]
  • Change in diet quality using the Mediterranean Eating Pattern for Americans tool [Срок оценки: Baseline and 3 Months Post-Intervention]
  • Change in exercise status using the Exercise Vital Sign tool [Срок оценки: Baseline and 3 Months Post-Intervention]
  • Satisfaction with the educational intervention [Срок оценки: Immediately Post-Intervention and 3 Months Post-Intervention]
  • New medications or changes in their anti-hypertensive medication use [Срок оценки: 3 Months Post-Intervention]

Критерии участия

Критерии включения

  • Must be 45 years of age or older
  • Must have high blood pressure, diabetes mellitus, or obesity (body mass index ≥30 kg/m2)

Критерии исключения

  • Symptoms of acute heart failure (difficulty breathing, leg swelling)
  • History of heart failure
  • Unable to tolerate an ultrasound examination
  • No access to a phone for follow up

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Профилактика

Центры проведения

США · 1 центр
  • Rush University Medical Center — Chicago

Идентификаторы

NCT: NCT06769880 · 23112905 · P50MD017349

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗