Improving Care for underserved older Black patients with cardiovascular and other chronic conditions
Official title: 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)
Run by University of Alabama at Birmingham · NCT07748858 · Data updated 2026-11-12
This study tests a culturally tailored approach to patient-centered care for older African American patients with cardiovascular disease and other conditions who receive care at a community hospital.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 50 Years to 99 Years |
| Sex | All |
| Enrollment | 29 (estimated) |
| Sponsor | University of Alabama at Birmingham Academic / other |
| Locations | 1 site (Birmingham, Alabama) |
| Status | Recruiting |
| Started | May 1, 2026 |
| Main results expected | June 2027 |
| Study ends | June 2027 |
| Registry record updated | August 6, 2026 |
| Trial ID | NCT07748858 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are 50 years or older, with at least one cardiovascular condition and at least one additional chronic condition, and either a caregiver or a clinician serving this population.
✕Probably not a fit
Patients without access to consistent primary care or those not engaging in the program may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational, formative evaluation guided by values clarification and cultural values theory. The study aims to develop a culturally appropriate version of the patient-centered care approach by engaging a community advisory group that includes clinicians, patients, and caregivers. It will assess acceptability and feasibility in a sample of about 20 under-resourced older African American patients with cardiovascular comorbidities, focusing on program delivery metrics and engagement. The study will also examine participants’ ability to complete pre- and post-intervention measures related to perceived care, treatment burden, shared decision-making, and clinician communication over an 8-week period.
Why it matters
Potential benefit: If successful, patients may experience better alignment of care with their values and improved communication with clinicians.
How similar studies have gone: Prior efforts using patient-centered care approaches in minority populations have shown improvements in satisfaction and communication, though this exact culturally tailored approach is novel in this setting.
Who can join: the full rules
Show full inclusion / exclusion 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.
Where it's running
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Cooper Green Mercy Hospital
Birmingham, Alabama, United States Recruiting
Study contacts
- Principal investigator: Deborah Ejem — University of Alabama at Birmingham
- Study coordinator: Nardakafaria McNeill
- Email: nmcneill@uab.edu
- Phone: 205-934-0707
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.