The goal of this clinical trial is to test whether financial support in the form of a one-time $500 stipend would improve medication adherence and quality of life in low-income, socially-needy patients with heart failure with reduced ejection fraction in the post-discharge setting. The main questions it aims to answer are: * Will financial support improve heart failure quality of life? * Will financial support improve medication adherence? Participants will complete surveys on quality of life, social stress, and spending habits at their baseline visit. Participants will be randomly assigned to receive $500 at their baseline visit or $0 at their baseline visit. At their one month visit, quality of life and medication adherence will be assessed. These results will be compared between groups. The group that received $0 at their baseline visit will be provided $500 at their one-month visit and return for a two-month visit. At that visit, quality of life and medication adherence will be assessed. These results will be compared to their one-month results. Researchers will compare the 1-month quality of life scores and medication adherence scores between the immediate financial support vs delayed financial support. Researchers will also compare 1-month vs 2-month quality of life and adherence data for participants who were randomized to the delayed financial support group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
153
A debit card will be loaded with $500 and can be used like a typical debit card.
UT Southwestern Medical Center
Dallas, Texas, United States
Heart Failure Quality of Life by Kansas City Cardiomyopathy Questionnaire (KCCQ)
Quality of life will be ascertained using the KCCQ-12, a validated measure of quality of life among patients with heart failure. The score contains four domains, physical limitation, symptom frequency, quality of life, and social limitations. Each subdomain provides an individual score from 0 to 100, with 0 denoting the worst and 100 denoting the best possible health. These scores are averaged and presented as a summary score.
Time frame: 1 month
Heart Failure Quality of Life by Kansas City Cardiomyopathy Questionnaire (KCCQ)
Quality of life will be ascertained using the KCCQ-12, a validated measure of quality of life among patients with heart failure. The score contains four domains, physical limitation, symptom frequency, quality of life, and social limitations. Each subdomain provides an individual score from 0 to 100, with 0 denoting the worst and 100 denoting the best possible health. These scores are averaged and presented as a summary score.
Time frame: 2 months
Detection of Serum Levels of Guideline Directed Medical Therapies (GDMT)
This will be ascertained using serum therapeutic drug monitoring of guideline-directed medical therapies.
Time frame: 1 month
Self-reported medication adherence by Morisky Medication Adherence Scale
Self-reported medication adherence will be captured by the Morisky Medication Adherence Scale. This scale is an eight-item survey. The score ranges from 0-8, with higher scores denoting greater adherence.
Time frame: 1 month
Detection of Serum Levels of Guideline Directed Medical Therapies (GDMT)
This will be ascertained using serum therapeutic drug monitoring of guideline directed medical therapies.
Time frame: 2 months
Self-reported medication adherence by Morisky Medication Adherence Scale
Self-reported medication adherence will be captured by the Morisky Medication Adherence Scale. This scale is an eight-item survey. The score ranges from 0-8, with higher scores denoting greater adherence.
Time frame: 2 months
Change in social stress
This will be captured using the perceived stress scale. This is a ten-item survey assessing perceived stress over the last month. The scores range from 0-40, with higher scores denoting higher perceived stress.
Time frame: 1 months
Change in social stress
This will be captured using the perceived stress scale. This is a ten-item survey assessing perceived stress over the last month. The scores range from 0-40, with higher scores denoting higher perceived stress.
Time frame: 2 months
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