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

NCT06769880 · Rush University Medical Center
In plain English

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Official title
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
About this study
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.
Eligibility criteria
Inclusion Criteria: * Must be 45 years of age or older * Must have high blood pressure, diabetes mellitus, or obesity (body mass index ≥30 kg/m2) Exclusion Criteria: * 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
Study design
Enrollment target: 100 participants
Allocation: randomized
Masking: single
Age groups: adult, older_adult
Timeline
Starts: 2025-10-13
Estimated completion: 2026-09-30
Last updated: 2025-11-21
Interventions
Other: Ultrasound and Educational InterventionOther: Educational Intervention Alone
Primary outcomes
  • Rate of Primary Care Follow Up (3 Months Post-Intervention)
Sponsor
Rush University Medical Center · other
With: National Institute on Minority Health and Health Disparities (NIMHD)
Contacts & investigators
ContactAylin Ornelas Loredo, MMS · contact · aylin_a_ornelasloredo@rush.edu · 312-563-0645
ContactMichelle Santangelo, MS · contact · michelle_santangelo@rush.edu · 312-563-0645
InvestigatorMichael Gottlieb, MD · principal_investigator, Rush University Medical Center
All locations (1)
Rush University Medical CenterRecruiting
Chicago, Illinois, United States
Use of Bedside Imaging and Community Health Workers for Early Screening and Referral of Pre-symptomatic Stage B Heart Failure in the Emergency Department · TrialPath