Innovative Approaches to Hypertension Management in High-Risk Emergency Department Populations

Purpose

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.

Condition

  • Asymptomatic Hypertension

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts 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.

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Participants with Hypertension 		Participants with hypertension in high-risk Emergency Department populations
  • Behavioral: Community Health Worker engagement
    Engagement with Community Health Worker who will facilitate referrals to local community-based organizations

Recruiting Locations

Icahn School of Medicine at Mount Sinai
New York, New York 10029

More Details

Status
Recruiting
Sponsor
Icahn School of Medicine at Mount Sinai

Study Contact

Cindy Clesca
212-824-8057
cindy.clesca@mountsinai.org