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Community-Informed Interventions for Congestive Heart Failure Management

This study aims to improve care for adults living with congestive heart failure (CHF) who also face challenges related to social determinants of health (SDoH), such as housing or food insecurity. Researchers will gather information through interviews and group discussions with patients, caregivers, community health workers, and care team members. The goal is to understand what makes it hard or easy for people to manage their CHF and to develop better training and workflows for healthcare teams. This study is looking for about 75 participants aged 18 or older who have a CHF diagnosis and receive primary care at Mayo Clinic, Rochester, with documented SDoH challenges. The main goal is to identify the biggest challenges patients face in taking care of themselves.

Study design
This is an observational study, meaning researchers will gather information without testing a new treatment. It involves about 75 participants.
What's involved
You would participate in an individual interview or a group discussion lasting approximately 60 to 120 minutes. These can be in person, by phone, or by video.
Compensation
Not stated in the trial record.
Follow-up
The study will identify barriers to self-care over an average of two years.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07730827

Community-Informed Interventions for Equitable Congestive Heart Failure Management in Primary Care

Recruiting
Not specifiedAges 18+Observational
Mayo Clinic
~75 participants
Updated 2026-07-28 on ClinicalTrials.gov
What's tested:Interviews and group discussion for patients and caregiversInterviews and group discussion for community health worker and care-team stakeholders

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Identification of prioritized barriers to self-care
Measured over Through study completion, an average of 2 years

Conditions

Congestive Heart Failure
Heart Failure

Explore related trials

Congestive Heart Failure

Where it's being run

1 sites across 1 states
Minnesota1

Study leadership

  • Majken T. Wingo, MD · PRINCIPAL_INVESTIGATOR · Mayo Clinic
  • Jane W. Njeru, MB, ChB · PRINCIPAL_INVESTIGATOR · Mayo Clinic

Who to contact

Amber Woltzen
[email protected]
507-422-6732
Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

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.
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.
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

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

What this trial measures

  • Identification of prioritized barriers to self-careThrough study completion, an average of 2 years

    Total number of prioritized barriers to equitable congestive heart failure self-care and transitions-of-care support identified through participant interviews and group discussions.