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

Rush University Medical Center100 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

100

Conditions

Heart Diseases

Interventions

Eligibility

Sex: ALLMin age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Rate of Primary Care Follow Up

Defined as the presence or absence of a follow up visit with a primary care provider at 3 months

Time frame: 3 Months Post-Intervention

Secondary Outcomes

Likelihood to Follow Up with a Primary Care Physician within the 3 Months Post-Intervention

Ordinal scale of 1 (very unlikely) to 7 (very likely)

Time frame: Baseline and Immediately Post-Intervention

Self-perceived knowledge of heart failure

Ordinal scale of 1 (no knowledge) to 7 (extremely knowledgeable)

Time frame: 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

Time frame: 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

Time frame: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention

Likelihood to change their fat intake using the Stages of Change for Dietary Fat tool

Time frame: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention

Likelihood to change their exercise using the Stages of Change for Physical Activity

Time frame: Baseline, Immediately Post-Intervention, and 3 Months Post-Intervention

Change in diet quality using the Mediterranean Eating Pattern for Americans tool

Time frame: Baseline and 3 Months Post-Intervention

Change in exercise status using the Exercise Vital Sign tool

Time frame: Baseline and 3 Months Post-Intervention

Satisfaction with the educational intervention

Ordinal scale of 1 (very unsatisfied) to 7 (very satisfied)

Time frame: Immediately Post-Intervention and 3 Months Post-Intervention

New medications or changes in their anti-hypertensive medication use

Time frame: 3 Months Post-Intervention

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

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts