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

Status: Enrolling

Conditions: Heart Diseases

Treatments: Other: Ultrasound and Educational Intervention; Other: Educational Intervention Alone

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06769880

P50MD017349 (U.S. NIH Grant/Contract)

23112905

Details and patient eligibility

About

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.

Enrollment: 100 estimated patients

Sex: All

Ages: 45+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups, including a placebo group

Educational Intervention Alone

Placebo Comparator group

Treatment:

Other: Educational Intervention Alone

Ultrasound and Educational Intervention

Experimental group

Treatment:

Other: Ultrasound and Educational Intervention