Ignite Creation Date:
2024-05-05 @ 12:00 PM
Last Modification Date:
2024-10-26 @ 9:18 AM
Study NCT ID:
NCT00211874
Status:
COMPLETED
Last Update Posted:
2015-10-12
First Post:
2005-09-14
Brief Title:
Improving Heart Failure Care in Minority Communities
Sponsor:
Icahn School of Medicine at Mount Sinai
Organization:
Icahn School of Medicine at Mount Sinai
Study Overview
Official Title:
Improving Heart Failure Care in Minority Communities
Status:
COMPLETED
Status Verified Date:
2015-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
For congestive heart failure CHF patients with systolic dysfunction a randomized controlled trial compared nurse-based disease management to address problems in patient and clinician management with usual care for effects on hospitalization and functioning among ethnically-diverse patients in ambulatory practices
Detailed Description:
Congestive heart failure CHF disproportionately afflicts Black and elderly people and is a leading cause of hospitalization 65 years Although effective therapies can improve functioning and survival in patients with systolic dysfunction many may not be receiving the full benefit of existing knowledge including counseling on self-management and appropriate doses of medications Patients play a critical role in managing a chronic condition such as CHF but may not have the skills to do so Clinicians may not provide counseling or medications consistent with evidence-based guidelines
Systematic reviews of clinical-behavior change have suggested that interventions targeted to specific problems are more likely to be successful Based on shortfalls identified in patient self-management and clinical care in Harlem a predominately non-white area in northern Manhattan we tailored a nurse-management intervention to address the problems documented and evaluated its effectiveness in a randomized controlled trial This trial among primarily-minority patients addresses important gaps in this literature the study targeted problems documented among CHF patients in Harlem enrolled patients from ambulatory practices randomly assigned patients between nurse-management and usual care and evaluated their subsequent health-related outcomes Hypothesis the nurse-management program would result in nurse patients having fewer hospitalizations and reporting better functioning
Systematic reviews of clinical-behavior change have suggested that interventions targeted to specific problems are more likely to be successful Based on shortfalls identified in patient self-management and clinical care in Harlem a predominately non-white area in northern Manhattan we tailored a nurse-management intervention to address the problems documented and evaluated its effectiveness in a randomized controlled trial This trial among primarily-minority patients addresses important gaps in this literature the study targeted problems documented among CHF patients in Harlem enrolled patients from ambulatory practices randomly assigned patients between nurse-management and usual care and evaluated their subsequent health-related outcomes Hypothesis the nurse-management program would result in nurse patients having fewer hospitalizations and reporting better functioning
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| AHRQ R01 HS10402-01 | OTHER | AHRQ | None |