Financial Support in an Underserved and Low-Income Population With Heart Failure

Description

The goal of this clinical trial is to test whether financial support in the form of a one-time $500 stipend would improve medication adherence and quality of life in low-income, socially-needy patients with heart failure with reduced ejection fraction in the post-discharge setting. The main questions it aims to answer are: * Will financial support improve heart failure quality of life? * Will financial support improve medication adherence? Participants will complete surveys on quality of life, social stress, and spending habits at their baseline visit. Participants will be randomly assigned to receive $500 at their baseline visit or $0 at their baseline visit. At their one month visit, quality of life and medication adherence will be assessed. These results will be compared between groups. The group that received $0 at their baseline visit will be provided $500 at their one-month visit and return for a two-month visit. At that visit, quality of life and medication adherence will be assessed. These results will be compared to their one-month results. Researchers will compare the 1-month quality of life scores and medication adherence scores between the immediate financial support vs delayed financial support. Researchers will also compare 1-month vs 2-month quality of life and adherence data for participants who were randomized to the delayed financial support group.

Conditions

Heart Failure, Systolic, Financial Stress, Medication Adherence, Quality of Life

Study Overview

Study Details

Study overview

The goal of this clinical trial is to test whether financial support in the form of a one-time $500 stipend would improve medication adherence and quality of life in low-income, socially-needy patients with heart failure with reduced ejection fraction in the post-discharge setting. The main questions it aims to answer are: * Will financial support improve heart failure quality of life? * Will financial support improve medication adherence? Participants will complete surveys on quality of life, social stress, and spending habits at their baseline visit. Participants will be randomly assigned to receive $500 at their baseline visit or $0 at their baseline visit. At their one month visit, quality of life and medication adherence will be assessed. These results will be compared between groups. The group that received $0 at their baseline visit will be provided $500 at their one-month visit and return for a two-month visit. At that visit, quality of life and medication adherence will be assessed. These results will be compared to their one-month results. Researchers will compare the 1-month quality of life scores and medication adherence scores between the immediate financial support vs delayed financial support. Researchers will also compare 1-month vs 2-month quality of life and adherence data for participants who were randomized to the delayed financial support group.

Financial Support in an Underserved and Low-Income Population With Heart Failure

Financial Support in an Underserved and Low-Income Population With Heart Failure

Condition
Heart Failure, Systolic
Intervention / Treatment

-

Contacts and Locations

Dallas

UT Southwestern Medical Center, Dallas, Texas, United States, 75235

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Age \> 18
  • * English speaking participants who completed SOCIAL-HF study surveys
  • * Ejection Fraction \<=40% and eligible for at least one component of GDMT
  • * Has at least some difficulty paying monthly bills (Somewhat Difficult and Very Difficult)
  • * Annual household income \<130% Federal Poverty Limit
  • * Have at least two additional social needs based on the following domains:
  • * Cost-related nonadherence
  • * Food Insecurity
  • * Housing Instability
  • * Transportation Difficulty
  • * Unemployment
  • * Household Crowding: Person/Room Ratio \>1
  • * Rent Burden: Rent/Income Ratio \>30%
  • * Low social support
  • * Interpersonal Violence
  • * History of Discrimination
  • * Unwilling to return for 1 and 2-month follow-up visits.
  • * Currently in jail or prison
  • * Primary residence outside Dallas County
  • * Legal Blindness
  • * Systolic blood pressure \<90 mmHg on screening
  • * Contraindications or Intolerance all medications available for therapeutic drug monitoring (metoprolol, losartan, lisinopril, valsartan, and spironolactone)
  • * Unable to answer orientation questions.

Ages Eligible for Study

18 Years to 80 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Texas Southwestern Medical Center,

Ambarish Pandey, MD,MSCS, PRINCIPAL_INVESTIGATOR, UT Southwestern Medical Center

Study Record Dates

2025-03-01