Project 3: ACHIEVE- CHD

Launched by UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER · Jun 15, 2023

Keywords

ClinConnect Summary

The ACHIEVE-CHD trial is part of a larger project aimed at improving heart health and reducing health inequalities among Black and African American individuals living in Detroit and Cleveland. Specifically, this trial focuses on coronary heart disease (CHD), which is a condition that can lead to serious heart problems. The study will involve Community Health Workers (CHWs) who will provide support and education to help participants manage their health better. Participants will also receive training to ensure that the CHWs deliver effective care.

To be eligible for this study, participants must be between 40 and 75 years old, self-identify as Black or African American, and live in the Cleveland Metro Area. They should have at least two risk factors for heart disease, such as being overweight or having high blood pressure. Participants will need to complete a specific heart test and be willing to work with healthcare providers. The trial is currently recruiting participants and aims to improve heart health outcomes for those who join.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. 40 to 75 years of age
• • 2. Self-identified as Black or African American
• • 3. Residence in the Cleveland Metro Area
• 4. Must have at least two of the following risk factors identified at a UH health fair screenings, with one risk factor being with SBP, A1c, or LDL:
• • 1. BMI≥30 mg/dL
• • 2. History of smoking
• • 3. Elevated blood pressure defined as SBP\>140 or DBP\>80 mmHg
• • 4. HbA1c≥5.7%
• • 5. LDL≥130
• • 5. Able to complete a coronary artery calcium score test (CAC)
• • 6. Willing and able to consent
• • 7. Willing to have a UH provider and UH care
• • 8. Currently insured for standard of care procedures
• Exclusion Criteria:
• • 1. Established documented cardiovascular disease (coronary artery disease, peripheral artery disease, myocardial infarction, stroke).
• • 2. Systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg
• • 3. Lung disease requiring supplemental oxygen therapy
• • 4. Individuals receiving treatment for cancer related disease
• • 5. Pregnant or nursing mothers