Community-informed approaches to equitable heart failure care in primary care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study collects input from patients with congestive heart failure, their caregivers, community health workers, and care-team members through interviews and group discussions. The aim is to expand expertise and capacity for equity-oriented care within the Advanced Care Ecosystem. Researchers will analyze discussions to identify barriers related to social determinants of health and possible practical interventions for primary care settings. Participation is limited to adults at Mayo Clinic in Rochester who have CHF and specific social or care-management needs. The study does not test a clinical treatment but focuses on gathering insights to inform future care pathways.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Patients living with congestive heart failure (CHF):

* Age 18 years or older.
* Diagnosis or clinical documentation of CHF or heart failure in the Mayo Clinic medical record.
* Empaneled in Mayo Clinic, Rochester, primary care
* Evidence in the EHR of one or more adverse SDoH, elevated utilization, medical/social complexity.
* Able to provide informed consent.
* Able to participate in study procedures.

Caregivers:

* Age 18 years or older.
* Caregiver with relevant lived, caregiving, or community experience related to CHF, and nominated by the patient.
* Able to provide informed consent
* Able to participate in study procedures.

Community health worker and care-team stakeholders:

* Age 18 years or older.
* Current or recent role relevant to CHF care, transitions of care, SDoH, patient education, or CHW workflows.
* Able to provide informed consent
* Able to participate in study procedures.

Exclusion Criteria:

* Under age 18 years.
* Unable or unwilling to provide informed consent.

Where it's running

• Mayo Clinic
  Rochester, Minnesota, United States Recruiting

Study contacts

• Principal investigator: Majken T. Wingo, MD — Mayo Clinic
• Study coordinator: Amber Woltzen
• Email: woltzen.amber@mayo.edu
• Phone: 507-422-6732

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.