Asymptomatic Hypertension
Conditions
Keywords
Hypertension, Social Determinates of Health, Community Health Worker
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.
Interventions
BEHAVIORALCommunity Health Worker engagement
Engagement with Community Health Worker who will facilitate referrals to local community-based organizations
Sponsors
Icahn School of Medicine at Mount Sinai
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants on study at 3 months | 3 months | Number of participants on study at 3 months to assess retention |
| Number of intervention engagement | 6 months | Number of interventions engagement based on number of types of CHW encounters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of Intervention Measure (AIM) | baseline, 3 months, 6 months | AIM is a 4-item measure, each item scored on a 5-point Likert scale. Full scaled scored from 4 to 20, with higher score indicating greater acceptability, appropriateness and feasibility. |
| Intervention Appropriateness Measure (IAM) | baseline, 3 months, 6 months | IAM is a 4-item measure, each item scored on a 5-point Likert scale. Full scale scored from 4 to 20, with higher score indicating a greater level of appropriateness. |
Countries
United States
Contacts
CONTACTCindy Clesca
PRINCIPAL_INVESTIGATORMarcee Wilder, MD MPH
ISMMS
Outcome results
None listed