Heart-to-Heart: A Community Health Worker-Led Intervention to Increase Cardiac Rehabilitation Participation Among Patients With Low Socioeconomic Status
Johns Hopkins University
Summary
This study is being done to evaluate whether a program called Heart to Heart, that helps patients make a more informed decision about cardiac rehab (CR), is interesting, acceptable to participants, and whether participants would recommend it to others.
Description
This is a prospective, single-institution pilot study to evaluate the acceptability, feasibility and preliminary efficacy of a tailored Community Health Worker (CHW) led intervention to increase CR participation called H2H. Individuals hospitalized with Cardio Vascular Disease (CVD) events (aged 21 and older) will be identified and screened for eligibility from two Johns Hopkins acute care sites into the pilot study. The duration of participation for each participant is up to 6 months from baseline assessments. All participants will complete a survey at baseline, 3-, and 6-months and will hav…
Eligibility
- Age range
- 21+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Patients hospitalized with cardiac events and eligible for CR at Johns Hopkins Hospital and Bayview Medical Center. CR eligibility is determined by their treating health care team . 2. Low socioeconomic status defined by Medicaid insurance, or top quartile of the area deprivation index in Baltimore city. 3. Age ≥ 21 years 4. Willing to be audio-recorded Exclusion Criteria: 1. Formal diagnosis of dementia or cognitive impairment in the Electronic Health Record (EHR) that would prohibit completion of study activities 2. Formal diagnosis of a severe psychiatric disorders…
Interventions
- BehavioralEducation, Providing and Engaging Social Support and Assistance with Health System Navigation
1. Introduction to Program and Cardiac Rehab Needs Assessment Education about Cardiac Rehab 2. Education about CVD and how Cardiac Rehab can help in the participants recovery 3. Social Support Module 4. Health System Navigation Module
Locations (3)
- Johns Hopkins HospitalBaltimore, Maryland
- Johns Hopkins Bayview Medical CenterBaltimore, Maryland
- Johns Hopkins HospitalBaltimore, Maryland