Mortality Reductions Based on AUD/Heavy Alcohol Use, HIV Risk, and Cardiovascular Risk

NYU Langone Health

Status: Active, not recruiting

Conditions: HIV Risk; Substance Use Disorders; Alcohol Use Disorder; Cardiovascular Disease

Treatments: Behavioral: Navigation, compensation, and personalization

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05828849

22-01584

Details and patient eligibility

About

The purpose of this research study is to investigate if a personalized intervention including parts such as navigation (focus on patient outreach efforts, missed and completed encounters), personalization (individual health benefits) and compensation (value health-related costs borne by patients) will help people reduce their chances of dying from preventable causes, including heart attacks, strokes, drinking alcohol, substance abuse, HIV, and other conditions.

Enrollment: 87 patients

Sex: All

Ages: 35 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age 35 to 64

2. Low SES (≤ $38,000 annual income, based on 2019 20th percentile NYC income, adjusted for family size)

3. Expected mortality ≥1% per year (based on age, sex, race/ethnicity), with ≥1 of the following contributors:

   1. 10-year cardiovascular risk ≥10% (assessed by ASCVD risk tool)
   2. Heavy alcohol consumption (defined using SAMHSA binge drinking definition, drinking >4 standard drinks for men and >3 standard drinks for women on same occasion in past month)

4. Willing to be navigated to Health and Hospitals Corporation of New York health system.

5. Ability to provide written informed consent in English or Spanish

Exclusion criteria

1. Receives regular care elsewhere than Health and Hospitals Corporation of New York
2. Already diagnosed with high mortality-condition(s) that are not included in the simulation model.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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87 participants in 2 patient groups

Low SES Population - Intervention

Experimental group

Description:

Participants receive the study intervention, composed of navigation, compensation, and personalization for study participants. The intervention will be administered in person to the participants recruited for the study and will be administered by peer navigators who will be trained on Motivational Interviewing (MINT) techniques.

Treatment:

Behavioral: Navigation, compensation, and personalization

Low SES Population - No Intervention

No Intervention group

Description:

Participants receive no intervention components of navigation, compensation, and personalization. Participants will receive their normal medical care through regular doctor visits without any intervention or personalization.