NCT05814562

Cardiovascular Precision Medicine & Remote Intervention

Cardiovascular Precision Medicine & Remote Intervention - Pilot Protocol

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 25 (actual)
• Sponsor: Icahn School of Medicine at Mount Sinai · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This exploratory / proof of concept study aims to evaluate whether it is possible to identify at-risk patients based on EHR review of blood pressure fluctuation over time and cholesterol levels, recruit those patients, and engage them in a remote intervention protocol.

Detailed description

Patients will be screened for participation based on EHR blood pressure measurements. Those who potential meet the prespecified criteria will be approached during a clinic visits about participation in the study. Patients who agree to participate and sign an informed consent will be given an automatic blood pressure monitor and their contact details will be obtained in order to enable administration of the intervention. The intervention's theoretical underpinnings are principles previously identified as promising or helpful in health care management of at-risk patients. The principles are: 1. "Hovering", using a risk marker, to guide an intervention 2. Addressing posttraumatic avoidance as a way to improve adherence, using an imaginal exposure paradigm. 3. Using a remote interventionist via a telemetric interface that involves active, dynamic patient engagement rather than automated processes

Conditions

• Hypertension

Interventions

Type	Name	Description
BEHAVIORAL	Remote Intervention	The study utilizes a tailored telemetric intervention to improve adherence to medications. The telemetric intervention (administered via telephone, or interactive internet chat applications such as Zoom ©, FaceTime ® or Skype ®) will enable experienced therapists to address nonadherence from a remote location, using a structured, tailored approach that accommodates specific patient needs.

Timeline

• Start date: 2023-04-10
• Primary completion: 2024-10-25
• Completion: 2024-10-25
• First posted: 2023-04-18
• Last updated: 2024-10-29

Locations

1 site across 1 country: United States