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Improving Patient-Centered Care for Underserved Older African American Patients With Cardiovascular Comorbidities

Improving Patient-Centered Care for Underserved Older African American Patients With Cardiovascular Comorbidities: A Pilot Study of the Patient Priorities Care Approach at Cooper Green Mercy Health Services Authority (PPC-HEART)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
50 Years to 99 Years
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Procedures mentioned: Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "Determine the acceptability (e.g., program appraisal interviews) and feasibility (e.g., avg. length of program sessions, program participation rate, study completion rate) of the PPC Approach among a sample 20 of under-resourced older southern AA patients with CVCs receiving primary care at Cooper Green Mercy Health Services Authority."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study will adapt a care approach to better fit the culture and needs of older African American patients with heart or blood vessel disease and other long-term health problems. It will check whether the approach is helpful to patients and practical to use at Cooper Green Mercy Health Services Authority. It will also check whether patients can complete surveys about their care before and after 8 weeks.

This is formative evaluation trial guided by the Values Clarification Theory25 and the Cultural Values Theory26, with specific aims to: Aim 1. Develop a culturally appropriate version of the PPC Approach for older AAs with CVCs by assembling a community advisory group of 3 primary care clinicians, 3 older AA patients with CVCs, and 3 AA persons who care for AA patients with CVCs to solicit feedback on the PPC Approach. Aim 2. Determine the acceptability (e.g., program appraisal interviews) and feasibility (e.g., avg. length of program sessions, program participation rate, study completion rate) of the PPC Approach among a sample 20 of under-resourced older southern AA patients with CVCs receiving primary care at Cooper Green Mercy Health Services Authority. Aim 3. Examine the ability of participants to complete pre- and post-test (8 weeks post-baseline) measures of perception of care, treatment burden, shared decision-making, and patient-clinician communication exchange.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Patients age 50 or older.
  • Have at least one heart or blood vessel condition, such as high blood pressure, heart failure, an uneven heartbeat, or stroke.
  • Have at least one other long-term condition, such as joint inflammation, COPD or asthma (lung diseases), diabetes, kidney disease, or cancer one year after treatment.
  • Caregivers of participants and health care providers who serve this group may also take part.

Who can't join

  • Have a psychiatric condition listed in the study, such as schizophrenia or bipolar disorder.
  • Have dementia, a condition that affects memory and thinking.
  • Have thoughts of suicide.
  • Have a current substance use disorder, such as addiction to drugs or alcohol.
  • Live in a nursing home or assisted living facility.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * greater than or equal to 50 years old * at least one CVD (i.e., coronary artery disease, hypertension, heart failure, arrhythmias, cardiomyopathy, peripheral artery disease, stroke, and valvular heart disease) * at least one coexisting chronic condition (i.e., inflammatory joint disease, COPD/asthma, diabetes, chronic kidney disease, and cancer one-year post-treatment) * a caregiver of a participant, or a provider who serves this population. Exclusion Criteria: * Axis I psychiatric (schizophrenia, bipolar disorder), dementia, suicidal ideation, * active substance use disorder nursing home or assisted living facility residence.

Study sites (1)

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